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How to take MINNY: 28-day regimen (MINNY 28): Tablets must be taken in the order directed on the package every day at about the same time with some liquid as needed. One tablet is to be taken daily for 28 consecutive days. Start with the number 1 tablet in the top corner.
Follow the direction of the arrows until all 28 tablets have been taken. Each subsequent pack is started the day after the last tablet of the current pack. During placebo days a withdrawal bleeding usually occurs. This usually starts on day 2-3 after the last active tablet and may not have finished before the next pack is started.
21-day regimen (MINNY): For day-1 start, the first day of menstrual bleeding should be counted as day-1. The cycle is to take 1 tablet per day for 21 days; no tablet for 7 days. During tablet-free interval of 7 days, a withdrawal bleeding may occurs. Whether bleeding has stopped or not, the patients should start a new course of the 21-day regimen.
How to start MINNY: No preceding hormonal contraceptive use (in the past month): Tablet-taking has to start on day 1 of the menstrual. Starting on days 2-5 is allowed, but during the first cycle a barrier method is recommended in addition for the first 7 days of tablet-taking.
Changing from another combined oral contraceptive: The women should start MINNY preferably on the day after the last active tablet of previous combined oral contraceptive, but at latest on the day following the placebo tablet interval of previous combined oral contraceptive.
Changing from a progestagen-only-method (minipill, injection, implant): The women may switch any day from the minipill (from an implant on the day of its removal, from an injectable when the next injection would be due), but should in all of theses cases be advised to additionally use a barrier method for the first 7 days of tablet taking.
Following first-trimester abortion: The women may start immediately. When doing so, she need not take additional contraceptive measures.
Following delivery: In the nonlactating mother, may be initiated no earlier than day 28 postpartum for contraception because of the increased risk for thromboembolism. Advise the patient to use a barrier method for first 7 days of tablet taking. However, if intercourse has already occurred, consider the possibility of ovulation and conception prior to initiation of medication.
Missed Active Dose: While there is little likelihood of ovulation occurring if only 1 tablet is missed, the possibility of spotting or bleeding is increased. The possibility of ovulation occurring increased with each successive day that scheduled tablets are missed. This is particularly likely to occur if ≥2 consecutive tablets are missed. Any time ≥1 active tablets have been missed, the patient should use another method of contraception for the balance of the cycle until tablets have been taken for 7 consecutive days. If a patient forgets to take ≥1 tablet, the following is suggested: One active tablet: Have the patient take this as soon as remembered, even if this means taking two tablets at the same time. She then continues to take tablets at her usual time.
If missed at week 3 the next pack must be started as soon as active tablets in the current pack are finished, i.e., no placebo tablets should be taken. The user is unlikely to have a withdrawal bleed until the end of the second pack, but she may experience spotting or breakthrough bleeding on "active-tablet" taking days.
Two consecutive active tablets: The patient should take 2 tablets as soon as remembered with the next pill at the usual time or she should take 2 tablets daily for the next 2 days, then resume the regular schedule.
