Millinette

Avoid unwanted pregnancy with Millinette

Manage your contraception with ease by ordering a 3–6 month supply of Millinette 20/75 or 30/75 combined contraceptive pills. We guarantee quick and discreet delivery.

Our prices

Strength Quantity Price Stock
20mcg/75mcg63 tablet£10.80In Stock
30mcg/75mcg63 tablet£10.35In Stock
Prices exclude a prescription fee. This treatment requires a quick online consultation,
which a doctor will review to determine if a prescription is appropriate.

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Information

Dr Samantha Miller

Reviewed by Dr Samantha Miller MB ChB
(2017, University of Glasgow)
GMC number: 7561464

Information last reviewed 22/02/2021

About

What is Millinette?

Millinette is a type of the combined contraceptive pill, the most popular form of contraception in the UK. It comes in two different strengths: 20/75 and 30/75. Millinette 20/75 contains a lower dose of oestrogen.

How does Millinette work?

Millinette prevents pregnancy by stopping ovulation from occurring. Ovulation occurs when the ovaries release an egg ready for fertilisation. If this doesn't happen, the womb lining is shed and leaves the body as menstrual blood. Millinette contains a synthetic version of oestrogen (ethynylestradiol) and a synthetic version of progesterone (gestodene) to override your natural cycle. This means an egg won't be released and the womb lining will be thinner to stop a fertilised egg from attaching. It also causes the mucus surrounding the entrance to the cervix to thicken, making it difficult for sperm to enter.

How effective is Millinette?

Millinette is over 99% effective when it is taken perfectly. When used in the real world where sometimes mistakes are made and it’s not taken perfectly, it is around 91% effective at preventing pregnancy. This means that 9/100 women taking Millinette will get pregnant in the first year of taking it.

When does Millinette start to work?

If Millinette is started on the first day of your period, it will work immediately. You can also start taking it on days 2–5 of your cycle, but you may not be protected against pregnancy for the first 7 days, so an additional contraceptive should be used during this time. You can also start it at another time in your natural cycle if you need to, provided you have not been at risk of pregnancy, you will require to use condoms in this instance too.

Millinette for non-contraceptive purposes

Millinette can also be given to ease PMS and painful, irregular periods, as it generally results in a regular bleeding pattern that is lighter and less painful. It may also be prescribed to treat acne and for managing the symptoms of endometriosis.

Can you use Millinette for period delay?

Millinette can be used for period delay. To use it in this way, skip the pill free week between packs. If you are looking for a specific treatment for period delay, Noristherone (Utovlan) is available to order from Dr Felix and has been designed specifically for this purpose.

Switching contraceptive pill

You may need to try more than one type of contraceptive pill before finding one that works for you. If you are switching to Millinette from another combined pill, then finish your current pill strip and start taking Millinette straight away, skipping the 7-day break. Your contraception will continue when switched in this way and you won’t need any extra precautions.

When switching from the mini pill (progestogen-only pill) you can do this at any time during the month, but you will not be fully protected against pregnancy for the first 7 days. In this case, you should use condoms or another contraceptive for 7 days

Ingredients

Active ingredients

The active ingredients in Millinette 20/75 are 20 micrograms ethinylestradiol and 75 micrograms gestodene. 

Millinette 30/75 contains 30 micrograms ethinylestradiol and 75 micrograms gestodene.

Inactive ingredients

The other ingredients contained in Millinette are sodium calcium edetate, magnesium stearate, silica colloidal anhydrous, povidone K-30, maize starch, lactose monohydrate, quinoline yellow (E104), povidone K-90, titanium dioxide (E171), Macrogol 6000, Talc calcium carbonate (E170), Sucrose.

Which ingredients can cause an allergic reaction?

It is unlikely but not impossible to have an allergic reaction to Millinette. Signs to look out for that might indicate you are having a severe allergic reaction to Millinette are: facial/tongue swelling, trouble breathing, severe dizziness and hives. It is imperative to seek immediate medical care if you experience any of these while taking the medication.

Dosage

What should I do if I miss a pill?

If you have missed a pill, your contraception may be affected. The first thing you should do is take the missed pill; this can be done at the same time as your next one if needed. Continue to take the rest of your pills on time and ensure you use an additional method of contraception for the next 7 days. If you have had unprotected sex during this time, see your doctor as soon as possible as there is a chance you may be pregnant.

What should I do if I took a pill too late?

If you take your pill within 12 hours of your usual time, your contraceptive protection will not be affected. If it has been more than 12 hours since you were due to take it, follow the instructions for a missed pill to ensure that you do not get pregnant.

If I have vomited, will Millinette still work?

If you vomit or have diarrhoea within 3–4 hours of taking Millinette, it may not be as effective. Take another pill as soon as you can and keep on taking the rest of the pack as usual. This will mean that your cycle will be one day shorter. If the vomiting continues, follow the guidelines for what to do if you miss a pill. Be sure to use additional contraception if you’re feeling unwell, and for 7 days after you feel better. 

Is it safe to take Millinette for a long time?

Millinette is safe to take long-term if you do not have any pre-existing medical conditions which put you at risk of a blood clot. Taking the combined pill heightens the risk of experiencing a blood clot for all women, and in fact, Millinette has a greater risk than some of the other combined contraceptive pills due to its ingredients. Your GP or pharmacist will assess your suitability before prescribing you the pill. There is also detailed information included with Millinette which should be read before taking the pill. This outlines who can and cannot take the pill and what the warning signs are for blood clots.

How to start Millinette?

Millinette should be started on the first day of your period and it will function right away as a contraceptive. If this isn't possible, it’s recommended to start it on days 2–5 of your period, however, you won't be fully protected against pregnancy for the first 7 days. In this case, you would need to use additional contraception for the first week. If you wish to start it at another time in your cycle, you must be sure you are not pregnant, and you should use additional contraception for the first 7 days. You are more likely to experience breakthrough bleeding if the pill is started part-way through your cycle.

How to take Millinette?

Millinette should be taken once a day for 21 days. It can be taken at any time of the day, but it should be taken consistently at the same time each day. When you reach the end of a pill strip, wait 7 days until starting the next one. This is when you will have your withdrawal bleed, similar to your period.

Millinette comes in two different strengths; 20/75 and 30/75. Each tablet contains either 20 or 30mg of ethinylestradiol, which is a synthetic version of oestrogen and 75mg of gestodene, which is a synthetic progestogen. One tablet should be taken daily.

How to use Millinette for period delay?

To use Millinette for period delay, skip the pill-free week between packs and begin the next pack the day after you finish your current one. This will delay your period until the end of the second pill pack. You may experience breakthrough bleeding or spotting, particularly if you are using the 20/75 version of Millinette.

Side Effects

Millinette side effects

Common side effects may include: 

  • Breakthrough bleeding, irregular bleeding or spotting
  • Headaches 
  • Vaginitis (irritation of the vagina)
  • Fungal infection of the vulva and/or vagina
  • Nausea 
  • Menstrual cramps 
  • Abdominal pain 
  • Breast pain, tenderness or discharge
  • Mood changes including depression
  • Nervousness 
  • Dizziness 
  • Weight gain 
  • Acne 
  • Amenorrhoea (no menstrual bleeding)

Less common side effects may include: 

  • Migraine 
  • Vomiting 
  • Diarrhoea 
  • Reduced sex drive 
  • Fluid retention 
  • Increased blood pressure 
  • Excessive hair growth 
  • Hair loss 
  • Breast swelling 
  • Altered appetite 
  • Rash 
  • Chloasma (yellow-brown patches on the skin)
  • Changes in blood lipid levels 

Rare side effects can include: 

  • Anaphylaxis
  • Jaundice 
  • Eye irritation when wearing contact lenses
  • Ear conditions and labyrinthitis
  • Glucose intolerance 
  • Skin diseases such as erythema nodosum and erythema multiforme
  • Decrease in serum folate levels 
  • Blood clots
  • Liver tumours
  • Exacerbation of pre-existing conditions such as varicose veins, systemic lupus erythematosus (SLE), porphyria, chorea, 
  • Inflammation of the nerves in the eye
  • Pancreatitis
  • Gallbladder conditions including gallstones

Contraindications

Do not use Millinette if: 

  • You have ever had a blood clot 
  • You have a condition that affects your blood clotting  
  • You need an operation or will be off your feet for a long time, including wheelchair users
  • You have ever had a heart attack or stroke 
  • You have ever had angina pectoris 
  • You have ever had a transient ischaemic attack
  • You have ever had a migraine with aura 
  • You have ever had severe diabetes with blood vessel damage 
  • You have uncontrolled high blood pressure 
  • You have ever had breast, cervical or vaginal cancer 
  • You have unexplained vaginal bleeding 
  • You are allergic to any of the ingredients contained in the pill 
  • You are over the age of 35 and smoke

Tell your doctor if any of the following apply to you: 

  • You have high cholesterol or triglycerides 
  • You have hyperhomocysteinaemia 
  • You have ever had pancreatitis 
  • You have liver problems 
  • Systemic lupus erythematosus 
  • Haemolytic uraemic syndrome 
  • Chronic inflammatory bowel disease 
  • Sickle cell anaemia 
  • Superficial thrombophlebitis 
  • Varicose veins 
  • If you have recently given birth
  • High blood pressure 
  • Heart problems
  • Jaundice 
  • Pruritus 
  • Gallstones 
  • Porphyria 
  • Sydenham's Chorea 
  • Herpes gestationis 
  • Otosclerosis 
  • Liver problems 
  • Kidney problems 
  • Diabetes 
  • Depression 
  • Chloasma 

Drug interactions

Certain medications can interfere with the way Millinette works, causing it to be less effective. These include: 

  • Epilepsy medications 
  • HIV medications 
  • Hepatitis C medications 
  • Rifampicin 
  • Rifabutin 
  • Griseofulvin 
  • Modafinil 
  • Bosentan 
  • Etoricoxib 
  • St. John's wort 

Millinette can interfere with the way the following medicines work: 

  • Ciclosporin 
  • Theophylline
  • Lamotrigine 
  • Tizanidine 

Speak to your doctor if you are taking any medications alongside your combined pill.

Millinette and alcohol

It's fine to drink alcohol while you're taking Millinette.

How to deal with the emotional side effects of Millinette

You may experience mood changes while taking Millinette, including feeling depressed, nervous or agitated. If this persists, try writing down how you are feeling and talk to friends and family. Finding appropriate methods of self-care is important, however, you should also speak to your doctor and consider an alternative form of contraception if you are worried Millinette is making things worse.

Treatment Options

Millinette for acne

The hormones contained in Millinette can help to treat acne and achieve clearer skin. This is the case for all types of combined pill. The progestogen-only pill (mini) does not tend to help acne and can actually exacerbate it.

Millinette for endometriosis

Hormonal contraceptives are usually offered in the first instance as a treatment option for women with endometriosis. This is because the combined pill takes control of menstrual bleeding, replacing your period with an artificial cycle. Millinette 20/75 is best for endometriosis as it contains a lower dose of oestrogen.

Millinette 20/75 vs Millinette 30/75

Millinette 20/75 has a lower dose of ethinylestradiol than Millinette 30/75. This may be preferable for women who are sensitive to oestrogen and experience side effects such as headaches or nausea when taking a regular strength pill. Millinette 20/75 may also have a lower risk of blood clots than Millinette 30/75.

The 20/75 version is associated with a greater incidence of breakthrough bleeding and as such is not as effective for period control or delay as the 30/75 version. There is currently insufficient evidence to suggest that the 20/75 version is any less effective at preventing pregnancy.

Millinette vs the mini pill

Millinette is a combined contraceptive pill which means it contains two types of synthetic hormones; oestrogen and progestogen. The mini pill is also known as the progestogen-only pill as it just contains the progestogen hormone. The mini pill results in fewer side effects and is suitable for women who are unable to take the combined pill. It must be taken on time for it to be effective, and it cannot be used to control your period.

Alternatives to Millinette

Millinette 30/75 is the same as Femodene and Katya combined pills. Femodette and Sunya are the same as Millinette 20/75. Dr Felix stocks all available forms of the pill in the UK. The mini pill is a good alternative for women who are unable to take the combined pill as the risks are lower. Long term reversible contraceptives are available from your GP or family planning clinic such as the coil, implant or injection. Condoms are the only form of contraception that protects against sexually transmitted infections.

Q&A

When can I get pregnant after taking Millinette?

If you stop taking Millinette, you are at risk of getting pregnant at any time. Your natural period will usually return within a month and if you are planning to start a family it's recommended to speak to your GP or family planning clinic about coming off the pill. They will be able to ensure you have all the information and resources available to have a healthy conception and pregnancy.

When will my period start again after I stop taking Millinette?

It's common to get your period 2–4 weeks after coming off the pill, but this will vary from one woman to the next. Your periods may be irregular at first, but they will likely settle back to your natural pattern in a few months.

Can Millinette cause weight gain?

Weight gain is a reported side effect of taking Millinette but not everyone will experience this, and the reported cases may simply be a coincidence. If weight is a problem for you, talk to your doctor as they may recommend a different type of pill.

Can Millinette cause anxiety?

Mood changes and nervousness are possible side effects of taking Millinette. If Millinette is having a significant effect on you, you should speak to your doctor about your symptoms and how you've been feeling. 

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