Advertisement

Nortrel Dosage

Starting Nortrel for the First Time

There are two different, recommended ways to start Nortrel (any strength) for the first time:
  • Sunday start -- Start Nortrel on the first Sunday after your period starts (even if you are still having your period). For many women, starting on Sunday may decrease the chance of having their periods on the weekends (although not all women find this to be the case). You will need to use a backup method of birth control for the first seven days of the first pack.
  • Day 1 start -- Start Nortrel on the first day of your period (within 24 hours of the start of bleeding). You will be protected from pregnancy from the start, and no backup method of birth control is needed. If your period happens to start on a Sunday, treat this as a day 1 start (not a Sunday start).
If you choose a Sunday start, you will start every pack of Nortrel on Sundays. If you choose a day 1 start, you will start each pack on your initial start day (for instance, if you first started Nortrel on a Tuesday, you will start every pack on a Tuesday).
Some healthcare providers may suggest other ways to start Nortrel (such as starting in the middle of the cycle). Make sure to follow your healthcare provider's instructions in such situations.

Basic Nortrel Dosage Instructions

Basic Nortrel instructions vary depending on whether you have 21-day or 28-day packs:
  • 28-day packs: Start at the beginning of the pack, taking one tablet daily, at the same time each day. Each pack will last for 28 days (four weeks). After you finish one pack, immediately start a new one the next day. Do not let any days pass between packs, even if you are still having your period. The first 21 tablets contain the active ingredients. The last seven tablets do not contain any hormones. During this last week, your body gets a little break from the hormones, allowing you to have a period. Sometimes, you may have breakthrough bleeding or spotting between periods. When this happens, keep taking Nortrel as usual.
  • 21-day packs: Starting at the beginning of the pack, take one tablet daily, at the same time each day. Each pack will last for 21 days (three weeks). After you finish one pack, wait seven days before starting the next pack. During this last week, your body gets a little break from the hormones, allowing you to have a period. Sometimes, you may have breakthrough bleeding or spotting between periods. When this happens, keep taking Nortrel as usual. Make sure to start the next pack on time, even if you are still having your period.
Last reviewed by: Kristi Monson, PharmD
Advertisement
9 Signs You May Have Hyperactive-Impulsive Type Adult ADHD