the Timing for Starting Your Second Pack of Nordiol - Obstetrics and Gynecology

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Timing for the second pack of emergency contraceptive pills?


Hello, doctor.
I would like to ask about the birth control pill I consulted about last month in the obstetrics and gynecology department.
The doctor prescribed me Nordiol, and this will be my second pack.
However, the doctor mentioned to start taking it on the fifth day of my period, while I found online and with other brands that the next pack should be started after a 7-day break.
Could you please clarify how I should take the second pack and the subsequent ones? Thank you.

joan, 20~29 year old female. Ask Date: 2023/05/27

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, start taking it on the fifth day of your menstrual period.
Wishing you good health.

Reply Date: 2023/05/27

More Info


When it comes to starting your second pack of Nordiol, it's important to follow the specific instructions provided by your healthcare provider. Nordiol is a combined oral contraceptive pill that is typically taken to prevent pregnancy. The timing for starting the second pack can vary based on individual circumstances and the specific instructions given by your doctor.

In your case, your doctor advised you to start taking Nordiol on the fifth day of your menstrual cycle. This is a common practice for many combined oral contraceptives, as starting the pill during the first five days of your period ensures that you are not pregnant and allows the pill to be effective immediately. If you start taking the pill at this time, you will be protected against pregnancy right away, and you will also help regulate your menstrual cycle.

Regarding the confusion about starting the second pack after a seven-day break, it's important to note that Nordiol, like many other combined oral contraceptives, is typically taken continuously for 21 days, followed by a seven-day break during which you will have a withdrawal bleed (similar to a period). After this break, you would start your second pack. However, if your doctor has instructed you to start your second pack on the fifth day of your period, it is likely that they are tailoring the advice to your specific health needs or circumstances.

To clarify, here is a general guideline for taking Nordiol:
1. First Pack: Take one pill daily for 21 consecutive days. It is best to take the pill at the same time each day to maintain consistent hormone levels in your body.


2. Break Period: After completing the first pack, take a seven-day break. During this time, you will likely experience a withdrawal bleed.

3. Second Pack: After the seven-day break, you would typically start your second pack. If your doctor has advised you to start on the fifth day of your period, you should follow that instruction.

4. Continuing the Cycle: After completing the second pack, continue with the same pattern: 21 days of taking the pill followed by a seven-day break.

It's also important to remember that while taking Nordiol, you may experience some side effects, which can include nausea, headaches, mood changes, and breast tenderness. If you have any concerns about side effects or if you experience any unusual symptoms, it is advisable to consult your healthcare provider.

In summary, follow your doctor's instructions regarding when to start your second pack of Nordiol. If you have any doubts or if your menstrual cycle does not align with the expected pattern, do not hesitate to reach out to your healthcare provider for clarification. They can provide personalized advice based on your health history and needs. Always prioritize open communication with your healthcare provider to ensure you are using the contraceptive method effectively and safely.

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