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Velivet Coupon - Velivet 28 tablets package

velivet

Generic Cyclessa
Used for Birth Control
Used for Birth Control

Velivet is a combined hormonal birth control pill that's taken by mouth every day. It's a triphasic birth control, meaning it has three different phases of hormones that tries to mimic (are similar to) the rise and fall of hormones in the menstrual cycle. Some people find triphasic birth controls, like Velivet, more complicated to take, especially if they need to make up for a missed dose.

Last reviewed on July 7, 2022
basics-icon

What is Velivet?

What is Velivet used for?

  • To prevent pregnancy

How Velivet works

Velivet is a combined contraceptive that contains two hormones: ethinyl estradiol (an estrogen) and desogestrel (a progestin). Both hormones work together to prevent pregnancy by:

  • Suppressing ovulation (release of an egg from the ovary)

  • Changing cervical mucus to block sperm movement

  • Making it difficult for the fertilized egg to implant by changing the lining in the uterus

Are you looking for information on Apri (desogestrel / ethinyl estradiol) monophasic or Kariva (desogestrel / ethinyl estradiol) biphasic instead?

Drug Facts

Common BrandsVelivet, Caziant, Cesia (brand no longer available), Cyclessa (brand no longer available)
Drug ClassEstrogen / Progestin combined contraceptive
Controlled Substance ClassificationNot a controlled medication
Generic StatusLower-cost generic available
AvailabilityPrescription only
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Avg retail price
$138.51(save 71.11%)
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$40.01
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basics-icon

What are the side effects of Velivet?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Nausea
  • Vomiting
  • Stomach cramps
  • Bloating
  • Spotting
  • Breast tenderness
  • Weight changes (up or down)
  • Headache
  • Raised blood pressure
  • Depression

Other Side Effects

  • Yeast infection
  • Spotty darkening of skin
  • Change in sex drive
  • Acne
  • Change in appetite

Serious Side Effects

Contact your healthcare provider immediately if you experience any of the following.
  • Heart attack: chest pain, stomach discomfort, sweating, nausea, dizziness
  • Stroke: sudden numbness or weakness in the arm, leg, or face, confusion, trouble seeing, headache, difficulty walking
  • Deep vein thrombosis (blood clot in the leg): leg cramp, swelling, pain, muscle tightness
  • Pulmonary embolism (blood clot in the lung): cough, chest pain, trouble breathing, racing heart
  • Liver problems: yellowing of the skin or the whites of the eyes, tiredness, stomach pain

Source: DailyMed

The following side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

Absent, missed, or irregular menstrual periods

anxiety

change in vision

changes in skin color

chest pain or discomfort

chills

clay-colored stools

constipation

cough

dark urine

diarrhea

dizziness, lightheadedness, fainting

fever

hives or welts

itching skin or rash

large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs

nausea

pain or discomfort in the arms, jaw, back, or neck

pain, tenderness, or swelling of the foot or leg

pains in the chest, groin, or legs, especially in the calves of the legs

severe headaches of sudden onset

slow or fast heartbeat

stomach pain

sudden loss of coordination or slurred speech

sudden troubled breathing

sweating

unusual tiredness or weakness

vomiting

vomiting of blood

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Incidence not known

Bloating

blotchy spots on the exposed skin

breast enlargement or tenderness

feeling sad or empty

irritability

itching of the vagina or outside the genitals

loss of interest or pleasure

pain during sexual intercourse

thick, white curd-like vaginal discharge without odor or with mild odor

trouble wearing contact lenses

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

pros-and-cons

Pros and cons of Velivet

thumbs-up

Pros

Once-daily dosing

More closely mimics your natural hormone levels during your menstrual cycle than monophasic birth control ppills

Works better to prevent pregnancy compared to some other birth control methods

Available as a lower-cost generic

thumbs-down

Cons

Can be more complicated to use compared to other birth control methods

Must be taken in the exact order in your pill pack

Missing doses or taking them too late can lead to pregnancy

Can cause unpleasant side effects, like nausea, vomiting, and headaches

pharmacist-tips

Pharmacist tips for Velivet

pharmacist
  • Set an alarm to help you remember to take Velivet at the same time every day. Forgetting to take your pill raises the chance of getting pregnant. If you miss a dose, refer to the label or call your provider for further instructions.

    • It's normal to have spotting (light bleeding outside of your period) or feel sick to your stomach for the first few packs of Velivet. This should get better over time, but if it doesn't contact your provider.

      • If you have vomiting or diarrhea, or take certain medications, Velivet might not work as well for you. Always use a back-up birth control method until you're able to check with your healthcare provider.

        • If you wear contact lenses and notice vision changes when wearing them or when wearing your glasses while taking Velivet, see your eye provider to get an exam.

          • Hormonal contraceptives like Velivet don't protect against sexually transmitted diseases (STDs), such as human immunodeficiency virus (HIV), chlamydia, gonorrhea, genital warts, or herpes. Using a latex or polyurethane condom during sex can help lower your risk of an STD.

            • If you've been taking Velivet as instructed and have missed two periods in a row or feel like you might be pregnant, call your provider. Studies haven't shown a risk of birth defects in females who've used birth control pills before pregnancy or during early pregnancy, but it's no longer necessary to take them once you're pregnant.

              • You might experience a delay in getting pregnant after taking Velivet. It's recommended to wait until you have regular menstrual cycles again after stopping Velivet before you try to get pregnant. If you want to stop taking this medication and become pregnant, speak to your provider.

                • Velivet has been prescribed specifically for you, so don't share it with anyone who wants to take birth control. Their provider should evaluate them to make sure they get a safe option.

                  faqs

                  Frequently asked questions about Velivet

                  How well does Velivet work to prevent pregnancy?
                  When Velivet is used exactly as directed, meaning it's taken at the same time every day consistently, it's more than 99% successful at preventing pregnancy in the first year of use. With typical use (when some doses are missed or taken late), 5 in 100 females will get pregnant in the first year. Your chance of getting pregnant while taking Velivet is higher if you don't take it correctly. If you're having trouble remembering to take your pill, talk to your provider.
                  How should I start taking Velivet?
                  The two most common ways to start taking Velivet are the Day 1 Start and the Sunday Start methods. For the Day 1 Start, you'd begin taking Velivet during the first 24 hours of your period. If you choose the Sunday Start method, you'd begin taking Velivet on the Sunday after your period starts (even if you're still bleeding). For this method, you do need to use another method of birth control (e.g., condom or spermicide) for 7 days. Discuss the best way to start taking Velivet with your provider.
                  What does it mean that Velivet is triphasic?
                  Velivet is triphasic because it has three different phases of active pills. The active pills in your pack just mean they have hormones in them, and the inactive pills don't. Velivet was made to have different amounts of hormones in each week of active pills to try to more closely copy the rise and fall of estrogen and progesterone during a natural menstrual cycle. There isn't enough information to know if triphasic birth control pills work better or have fewer side effects when compared to monophasic birth control pills (meaning all of the active pills contain the same amount of hormones).
                  What do the different colored tablets mean in my Velivet pack?
                  Your pack contains 21 active pills (with hormones) and 7 inactive pills (without hormones). They'll be different colors depending on which week you're at in your pack (and colors might also vary by brand). Your pills will be a different color every week, to show that they contain different dosages of hormones. If you have questions about which pill you're taking in your pack, refer to the label that came with your prescription or contact your pharmacist or provider.
                  Can I take Velivet while breastfeeding?
                  Combined hormonal birth control pills, like Velivet, can lower the quality and amount of breast milk you produce. It can also pass into breast milk, which might lead to larger breasts and jaundice (yellowing of the skin and whites of the eyes) in babies. For these reasons, it's recommended to use an alternative birth control option until you've stopped breastfeeding. Speak with your provider about other birth control options.
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                  warings-icon

                  What are the risks and warnings for Velivet?

                  Velivet can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

                  risk-warning

                  Cigarette smoking and serious heart problems

                  • Risk factors: Females over 35 years old who smoke cigarettes

                    If you smoke cigarettes, using combined oral contraceptives (COCs), like Velivet, raises your risk for serious health problems, such as strokes, heart attacks, and blood clots. Females age 35 years and older who smoke are at even higher risk for these problems. If you smoke, talk with your provider about safer birth control alternatives.

                    risk-warning

                    Blood clots and strokes

                    • Risk factors: Females over 35 years old who smoke | Females over 40 years old who don't smoke | Recent surgery with a long period of bed rest | Starting Velivet less than a month after childbirth | High blood pressure | People identified as obese | High cholesterol | Diabetes | Higher dose of estrogen

                      Velivet raises your risk of blood clots. These clots can occur anywhere in your body, including your lungs (pulmonary embolism or PE), legs (deep vein thrombosis or DVT), brain (stroke), and heart (heart attack). Get emergency help right away if you have any signs of a blood clot:

                      • Brain: weakness or numbness in your arms, legs, or face on one side of the body, trouble speaking, blurred vision, dizziness, loss of balance, trouble walking, or confusion

                        • Eyes: trouble seeing, bulging eye, double vision

                          • Heart: chest pain, sweating, nausea, or dizziness

                            • Lungs: trouble breathing, chest pain, or cough

                              • Legs: cramps, swelling, pain, or muscle tightness

                                If you need to have surgery, tell your provider you're taking Velivet. They might have you stop taking it 4 weeks before until 2 weeks after your surgery to lower your risk of blood clots.

                                risk-warning

                                Risk of breast and cervical cancer

                                • Risk factors: History of breast cancer | Taking COCs for a long time

                                  Study results are mixed, but there's a possibility that Velivet and other COCs can raise your risk for breast and cervical cancer.

                                  Don't use Velivet if you have breast cancer because some types of breast cancer grow faster in the presence of estrogen, an ingredient in this birth control pill. To help with early breast cancer detection, you can do monthly breast self-checks at home and yearly breast exams with your healthcare provider. Call your healthcare provider if you notice any abnormal changes or feel lumps, pain, or swelling in your breasts.

                                  Get medical help right away if you experience abnormal vaginal bleeding, discharge, or pain during sex, since these could be signs of cervical cancer.

                                  risk-warning

                                  Liver problems

                                  • Risk factors: Liver problems or infection in the liver | Taking COCs with 50 mcg of estrogen or higher

                                    Though rare, Velivet can cause liver problems, such as liver damage and liver tumors. These problems are linked more with earlier formulations of COCs that contained higher levels of estrogen (50 mcg of higher), and less so with Velivet since it only contains 25 mcg of estrogen. Don't use this medication if you already have liver problems. Call your provider right away if you experience symptoms of liver problems, such as tiredness, stomach pain, or yellowing of the skin or whites of the eyes.

                                    risk-warning

                                    High blood sugar and triglycerides

                                    • Risk factors: Prediabetes or diabetes | Personal or family history of high triglycerides | High dose

                                      COCs like Velivet might raise your blood sugar and triglyceride (fat) levels. If you have diabetes, let your provider know if you experience any changes in your blood sugar. Make sure to go to all of your check-ups so your provider can monitor any changes.

                                      risk-warning

                                      High blood pressure

                                      • Risk factors: High blood pressure | Older age | Using COCs for a long time | Kidney problems

                                        Velivet and other COCs can raise your blood pressure. Your provider might ask you to check your blood pressure regularly. If you notice your blood pressure is higher while you're taking this medication, contact your provider. If you have uncontrolled high blood pressure, Velivet might not be the best option for you.

                                        risk-warning

                                        Headache

                                        Headaches are a common side effect of COCs like Velivet. But, if you experience a new migraine, a migraine that's worse than normal, or a new headache that keeps coming back or is severe, call your provider so you can be checked out.

                                        risk-warning

                                        Irregular bleeding

                                        Breakthrough bleeding and spotting are common side effects of hormonal birth control pills. This is more common during the first 3 months of using Velivet. Let your provider know if you experience any vaginal bleeding outside of your period, or if your period has stopped completely. There are other causes besides your birth control pills for irregular bleeding that your provider will evaluate.

                                        risk-warning

                                        Pregnancy outside of the womb

                                        Research suggests that females who take that COCs are at a higher risk of pregnancy occuring outside of the womb (ectopic pregnancy) if the birth control pills don't work like they're supposed to. The chance of becoming pregnant is higher when you don't take Velivet as instructed at the same time every day. Symptoms of an ectopic pregnancy include low back pain, abnormal vaginal bleeding, and cramping. If you experience any of these symptoms, contact your provider.

                                        risk-warning

                                        Depression

                                        • Risk factors: History of depression

                                          Let your provider know if you experience symptoms of depression or worsening depression while taking Velivet. In cases of serious depression, your provider might have you stop taking it.

                                          risk-warning

                                          Interactions with other medications

                                          Certain medications can make Velivet get broken down faster in your body, making it less effective and can lead to pregnancy. Some examples include carbamazepine (Tegretol) and phenytoin (Dilantin). Use a back-up method or other form of birth control for at least 28 days after stopping any of these medications. Other medications can raise the amount of Velivet in your body, which can lead to more side effects. Make sure to tell your provider or pharmacist all of your medications so they can make sure they don't interact with Velivet.

                                          If you have hepatitis C and need to be treated with Viekira Pak (dasabuvir / ombitasvir / paritaprevir / ritonavir), let your provider know right away that you're taking a COC. You'll need to stop Velivet before starting Viekira Pak because taking them together can cause liver problems. You can start Velivet again 2 weeks after you stop Viekira Pak.

                                          dosage

                                          Velivet dosage forms

                                          The average cost for 3 packages of 28 tablets of Velivet is $40.01 with a free GoodRx coupon. This is 71.11% off the average retail price of $138.51.
                                          package
                                          Package
                                          DosageQuantityPrice as low asPrice per unit
                                          28 tablets3 packages$40.01$13.34

                                          Typical dosing for Velivet

                                          Velivet (and its branded generics) comes in a 28-day pack. Your medication might look different depending on which branded generic your provider prescribes. Please take the medication as instructed by your provider or following the directions on the package. In general:

                                          • Day 1 through 7: 0.1 mg desogestrel and 25 mcg ethinyl estradiol

                                          • Day 8 through 14: 0.125 mg desogestrel and 25 mcg ethinyl estradiol

                                          • Day 15 through 21: 0.15 mg desogestrel and 25 mcg ethinyl estradiol

                                          • Day 22 through 28: Placebo tablets (hormone-free)

                                          The typical dose is 1 tablet by mouth at the same time every day. Tablets must be taken in the exact order of the blister pack. See FAQ section for more details.

                                          interactions

                                          Interactions between Velivet and other drugs

                                          Velivet may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Velivet. Please note that only the generic name of each medication is listed below.

                                          Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

                                          Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                                          Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                                          drug-cost

                                          How much does Velivet cost?

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                                          contraindications-icon

                                          Velivet contraindications

                                          Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Velivet will not be safe for you to take.
                                          • Heavy smoking (15 or more cigarettes per day) and over age 35

                                          • Currently have or history of DVT or other blood clotting problems

                                          • Coronary artery disease

                                          • Cerebrovascular disease (problems with blood flow in the brain)

                                          • Certain heart valve or heart rhythm problems

                                          • Severe (very high) high blood pressure

                                          • Diabetes with blood vessel problems

                                          • Certain types of headaches

                                          • Major surgery where you weren't able to move for a long time

                                          • Undiagnosed abnormal genital bleeding

                                          • Currently have endometrial cancer or other estrogen-dependent growth

                                          • Currently have or have a history of breast cancer

                                          • Jaundice

                                          • Liver tumors

                                          • Liver disease

                                          • Pregnancy

                                          • Receiving hepatitis C medication containing ombitasvir / paritaprevir / ritonavir, with or without dasabuvir

                                          alternatives

                                          What are alternatives to Velivet?

                                          There are a number of medications that your doctor can prescribe in place of Velivet. Compare a few possible alternatives below.
                                          Velivet
                                          Used for:
                                          • To prevent pregnancy

                                          $40.01 Lowest GoodRx priceView Prices
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                                          $26.23 Lowest GoodRx priceView Prices
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                                          $20.15 Lowest GoodRx priceView Prices
                                          images

                                          Velivet images

                                          White Round 334 And B - Velivet 28-Day 0.025mg-0.1mg / 0.025mg-0.125mg / 0.025mg-0.15mg Tablet
                                          This medicine is White, Round Package Imprinted With "B" And "334".White Round 334 And B - Velivet 28-Day 0.025mg-0.1mg / 0.025mg-0.125mg / 0.025mg-0.15mg Tablet
                                          White Round 334 And B - Velivet 28-Day 0.025mg-0.1mg / 0.025mg-0.125mg / 0.025mg-0.15mg Tablet
                                          This medicine is White, Round Package Imprinted With "B" And "334".White Round 334 And B - Velivet 28-Day 0.025mg-0.1mg / 0.025mg-0.125mg / 0.025mg-0.15mg Tablet

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