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Vienva Coupon - Vienva 28 tablets of 0.1mg/0.02mg package

levonorgestrel / ethinyl estradiol

Generic Delyla
Used for Birth Control
Used for Birth Control

Vienva is a combined hormonal birth control pill that's taken by mouth every day. It's a monophasic birth control, meaning all of the active pills contain the same dosages of estrogen and levonorgestrel. But the dosages of these hormones are lower compared with some other birth control pills with the same ingredients, which can be helpful for females who experience side effects from higher doses of hormones.

Last reviewed on July 6, 2022
basics-icon

What is Vienva?

What is Vienva used for?

  • To prevent pregnancy

How Vienva works

Vienva (along with its branded generics) is a combination oral contraceptive (COC) that contains 2 hormones: ethinyl estradiol (an estrogen) and levonorgestrel (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

  • Creating an unfriendly environment for the fertilized egg by changing the lining in the uterus (womb)

Are you looking for information on Amethyst (levonorgestrel / ethinyl estradiol) continuous cycle, Jolessa (levonorgestrel / ethinyl estradiol) monophasic extended cycle, or Portia (levonorgestrel / ethinyl estradiol) monophasic instead?
When does Vienva start working?
Time passed since treatment started:
HOURS
DAYS
WEEKS
MONTHS
Initial effect
Full effect

Drug Facts

Common BrandsVienva, Sronyx, Lutera, Aviane, Tyblume
Drug ClassEstrogen / Progestin combined contraceptive
Controlled Substance ClassificationNot a controlled medication
Generic StatusNo lower-cost generic available
AvailabilityPrescription only
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Avg retail price
$59.52(save 59.68%)
GoodRx discount
$24.00
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basics-icon

What are the side effects of Vienva?

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
When do Vienva possible side effects begin and end?
Time passed since treatment started:
HOURS
DAYS
WEEKS
MONTHS
Changes in menstrual bleeding
Headache
Nausea
Stomach cramps
Breast changes
Mood changes
Seek immediate medical care if you experience this side effect.
If a line continues to the right, you'll likely keep experiencing this side effect once it starts.

Source: DailyMed

The following side effects have also been reported

Side effects that you should report to your care team as soon as possible:

  • Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
  • Blood clot—pain, swelling, or warmth in the leg, shortness of breath, chest pain
  • Gallbladder problems—severe stomach pain, nausea, vomiting, fever
  • Increase in blood pressure
  • Liver injury—right upper belly pain, loss of appetite, nausea, light-colored stool, dark yellow or brown urine, yellowing skin or eyes, unusual weakness or fatigue
  • New or worsening migraines or headaches
  • Stroke—sudden numbness or weakness of the face, arm, or leg, trouble speaking, confusion, trouble walking, loss of balance or coordination, dizziness, severe headache, change in vision
  • Unusual vaginal discharge, itching, or odor
  • Worsening mood, feelings of depression

Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):

  • Breast pain or tenderness
  • Dark patches of skin on the face or other sun-exposed areas
  • Irregular menstrual cycles or spotting
  • Nausea
  • Weight gain
pros-and-cons

Pros and cons of Vienva

thumbs-up

Pros

Once-daily dosing

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

Available as a lower-cost generic

Comes in a chewable tablet (Tyblume), which can be a good option for people who have trouble swallowing pills

Pills are in an easy-to-follow blister pack

thumbs-down

Cons

Not a good option for females over 35 who smoke

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

Doesn't protect against sexually transmitted diseases (STDs)

Need to take your pill at the same time every day for it to work well

Chewable tablets (Tyblume) need to be taken on an empty stomach

pharmacist-tips

Pharmacist tips for Vienva

pharmacist
  • Before starting Vienva, discuss your full medical history with your provider. This medication can worsen certain conditions. Some examples are chloasma (a condition that causes dark skin patches) and hereditary angioedema (episodes of severe swelling in your body). If you have a history of chloasma, avoid sun exposure while taking Vienva.

    • Set an alarm to help you remember to take Vienva 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.

      • Swallow your Vienva tablets whole to make sure you get your full dose. The only brand that can be chewed is Tyblume.

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

          • If you have vomiting or diarrhea, or take certain medications, Vienva 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.

            • Any time you vomit within 4 hours of taking Vienva, it's considered a missed dose and you should refer to the instructions for missed doses that came with your prescription or ask your pharmacist or provider.

              • Contact your eye provider right away if you wear contact lenses and notice vision changes when wearing them or when wearing your glasses while taking Vienva.

                • If you've been taking Vienva 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.

                  • Oral contraceptives like Vienva can lower the amount of breast milk you're able to produce and aren't recommended during breastfeeding. If you're breastfeeding, ask your provider about alternative birth control options.

                    • If you want to stop taking this medication and become pregnant, speak to your provider. There might be a delay in getting pregnant after taking Vienva. It might help to wait until you have regular menstrual cycles again after stopping Vienva before you try to get pregnant.

                      • Vienva 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 Vienva

                        How well does Vienva work to prevent pregnancy?
                        When Vienva is used perfectly, 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 Vienva is higher if you don't take it as directed. If you're having trouble remembering to take your pill, talk to your provider.
                        What makes Vienva different from some other birth control pills that also contain levonorgestrel and ethinyl estradiol?
                        Some things that make Vienva different from some other birth control pills with the same ingredients are that: 1) Vienva is monophasic, meaning it contains the same amount of hormones in all of the active tablets. This is different from multiphasic birth control pills that contain different dosages of hormones depending on which day you're on in your pack. 2) Vienva has a lower dose of estrogen and levonorgestrel, you might experience less side effects from the hormones, and 3) Vienva is a 28-day cycle birth control, meaning you typically get your period every month. This is different from taking the continuous and extended-cycle birth control pills where you typically get your period every 3 months, if any at all. Speak to your provider about the best option for you.
                        How should I start taking Vienva?
                        If you're not currently taking another form of hormonal birth control, the two most common ways to start taking Vienva are the Day 1 Start and the Sunday Start methods. For the Day 1 Start, you'd begin taking Vienva during the first 24 hours of your period. If you choose the Sunday Start method, you'd begin taking Vienva on the Sunday after your period starts (even if you're still bleeding). For this method, you need to use another method of birth control (e.g., condom or spermicide) for 7 days. If you're switching from another hormonal birth control, discuss the best way to start taking Vienva with your provider.
                        What do the different colored tablets mean in my Vienva pack?
                        Your pack begins with 21 active pills (meaning they contain hormones in them) followed by 7 inactive pills (they don't contain hormones). The active pills are a different color than the inactive pills at the end of your pack, and each brand might have different colored pills. If you have questions about which pill in your pack contains hormones, refer to the label that comes with your pack or ask your pharmacist or provider.
                        Will I still get my period while I'm taking Vienva?
                        The period you get while you're taking Vienva is called a withdrawal bleed. Vienva contains 7 inactive (hormone-free) pills at the end of each pack, which drops the hormone levels in your body and causes you to have a period. If you'd like to delay your period, discuss other options with your provider.
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                        warings-icon

                        What are the risks and warnings for Vienva?

                        Vienva 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 Vienva, 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 Vienva less than a month after childbirth | High blood pressure | People identified as obese | High cholesterol | Diabetes | Higher dose of estrogen

                            Vienva 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 Vienva. 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 Vienva and other COCs can raise your risk for breast and cervical cancer.

                                        Don't use Vienva 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, Vienva 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 Vienva since it only contains 20 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 Vienva 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

                                              Vienva 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, Vienva might not be the best option for you.

                                              risk-warning

                                              Headache

                                              Headaches are a common side effect of COCs like Vienva. 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 Vienva. 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 Vienva 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 Vienva. In cases of serious depression, your provider might have you stop taking it.

                                                risk-warning

                                                Interactions with other medications

                                                Certain medications can make Vienva 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 Vienva 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 Vienva.

                                                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 Vienva before starting Viekira Pak because taking them together can cause liver problems. You can start Vienva again 2 weeks after you stop Viekira Pak.

                                                dosage

                                                Vienva dosage forms

                                                The average cost for 3 packages of 28 tablets of 0.1mg/0.02mg of Vienva is $24.00 with a free GoodRx coupon. This is 59.68% off the average retail price of $59.52.
                                                package
                                                Package
                                                DosageQuantityPrice as low asPrice per unit
                                                28 tablets of 0.1mg/0.02mg3 packages$24.00$8.00

                                                Typical dosing for Vienva

                                                Your medication might look different and have slightly different directions depending on which branded generic your provider prescribes. Please take the medication as instructed by your provider. In general:

                                                Viena (and its branded generics) comes in a 28-day pack. There are 21 active tablets and they each contain 0.10 mg levonorgestrel and 20 mcg ethinyl estradiol. There are 7 placebo tablets and they don't contain any active medications.

                                                • The typical dose is to take 1 active tablet by mouth daily for 21 days, followed by 1 placebo tablet daily for the remaining 7 days.

                                                Please note: for the chewable brand Tyblume, you can swallow 1 tablet whole, or chew and swallow 1 tablet with 240 mL of water on an empty stomach.

                                                drug-cost

                                                How much does Vienva cost?

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                                                contraindications-icon

                                                Vienva 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 Vienva will not be safe for you to take.
                                                • 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

                                                • Major surgery with not moving for a long time

                                                • Diabetes with blood vessel problems

                                                • Diabetes for greater than 20 years or if you're over 35 years old (Tyblume)

                                                • Certain types of headaches with neurological symptoms

                                                • Migraine with aura or if you're over 35 years old (Tyblume)

                                                • Uncontrolled high blood pressure

                                                • Currently have or have a history of breast cancer

                                                • Currently have endometrial cancer or other estrogen-dependent growth

                                                • Undiagnosed abnormal genital bleeding

                                                • Jaundice

                                                • Liver tumors

                                                • Liver disease

                                                • Pregnancy

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

                                                alternatives

                                                What are alternatives to Vienva?

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

                                                $24.00 Lowest GoodRx priceView Prices
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                                                • To prevent pregnancy

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                                                images

                                                Vienva images

                                                Peach Round Sz And J1 - Vienva 28-Day 0.1mg-0.02mg Tablet
                                                This medicine is Peach, Round Package Imprinted With "J1" And "Sz".Peach Round Sz And J1 - Vienva 28-Day 0.1mg-0.02mg Tablet
                                                Peach Round Sz And J1 - Vienva 28-Day 0.1mg-0.02mg Tablet
                                                This medicine is Peach, Round Package Imprinted With "J1" And "Sz".Peach Round Sz And J1 - Vienva 28-Day 0.1mg-0.02mg Tablet

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