There is only one standard MonoNessa dosage, regardless of your age or weight. You can either start taking the birth control pill on the first day of your period or on the first Sunday after your period starts. Make sure to take one tablet at the same time each day. To minimize the risk of pregnancy, you must follow MonoNessa dosing instructions carefully.
MonoNessa® (norgestimate/ethinyl estradiol) is a birth control pill that is a generic version of Ortho-Cyclen®. There is only one standard dose of MonoNessa. As always, do not adjust your MonoNessa dose unless your healthcare provider specifically instructs you to do so. Although MonoNessa is very effective when taken correctly, not taking MonoNessa as directed significantly increases the risk of unintentional pregnancy.
There are two different standard ways to start MonoNessa for the first time. You can start it either on the first day of your period or on the first Sunday after your period starts (even if you are still having your period). It is thought that starting on Sunday may decrease the chance that you will have your periods on the weekends, although this does not work for all women. If you start MonoNessa on the first day of your period (a "day 1 start"), you do not need any backup contraception. If you choose a Sunday start, you need to use a backup method of contraception (such as condoms) for the first week. If the first day of your period happens to be on a Sunday, treat this as a day 1 start (no backup needed).
There may be other ways to start MonoNessa (other than a day 1 start or a Sunday start); be sure to follow your healthcare provider's instructions carefully if you start MonoNessa in a non-standard way.
Starting at the beginning of the pack, take 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 wait any days between packs (this may take a little planning, since you will need a new pack on hand). The first 21 tablets contain the active ingredients. The last seven tablets contain no active ingredients. During this last week, your body gets a little break from the hormones, allowing you to have a period.