Get Mircette (desogestrel/ethinyl estradiol) online in the USA with a prescription

| Product Name | Mircette |
| Dosage | 0.15 mg desogestrel/0.02 mg ethinyl estradiol (21 active tablets) + 0.01 mg ethinyl estradiol (2 tablets) + 5 inert tablets in a 28‑day pack |
| Active Ingredient | Desogestrel, Ethinyl Estradiol |
| Form | Oral tablets (28‑day blister pack) |
| Description | Combined oral contraceptive (COC) used to prevent pregnancy; does not protect against sexually transmitted infections (STIs). Prescription required in the USA. |
| How to Order Without Prescription | Not available over the counter in the USA. Obtain via a licensed clinician or telehealth provider; filled by a U.S.‑licensed pharmacy. |
Mircette is a combined oral contraceptive (COC) that contains the progestin desogestrel and the estrogen ethinyl estradiol. It is designed to prevent pregnancy when taken exactly as directed. In the United States, Mircette and its FDA‑approved generics are prescription medications. Many people obtain them through in‑person visits, as well as via licensed telehealth services that provide clinician evaluation and electronic prescriptions to U.S.‑licensed pharmacies.
The Mircette pack uses a 28‑day regimen: 21 tablets with 0.15 mg desogestrel and 0.02 mg ethinyl estradiol, followed by 2 tablets containing 0.01 mg ethinyl estradiol, and then 5 inert tablets. This phasic design helps maintain hormonal support during the early withdrawal phase, which may reduce the likelihood of estrogen‑withdrawal symptoms for some users. Several equivalent generic versions are widely available in the USA, often at a lower out‑of‑pocket cost depending on insurance or discount programs. While brand availability can change over time, clinicians can prescribe therapeutically equivalent generics that follow the same dosing schedule.
Mircette cost and typical pricing in the USA
Pricing for Mircette or its equivalent generics varies by pharmacy, insurance coverage, discount program, and location. As a general reference, cash prices for a one‑month supply of a generic equivalent can range from approximately $12 to $60 with common coupon programs, though retail prices without discounts may be higher. Many insurance plans classify combined oral contraceptives as preventive care, which may reduce or eliminate patient cost‑sharing depending on the plan.
Because Mircette is therapeutically equivalent to certain generic options, your clinician or pharmacist can help you choose a cost‑effective product. If you are paying cash, consider comparing prices across pharmacies and checking reputable discount coupons. Mail‑order and telepharmacy services may offer additional savings and convenient home delivery.
Note: Prices fluctuate and are not guaranteed. Always verify current pricing at the pharmacy before finalizing your order.
Where can I get Mircette in the USA?
In the United States, Mircette requires a valid prescription. You can obtain it through:
- In‑person visits with your primary care clinician, OB/GYN, or other licensed prescriber
- Licensed telehealth services that provide online evaluation and electronic prescriptions
- Campus clinics, community health centers, and reproductive health clinics
Once prescribed, your medication can be filled by a U.S.‑licensed retail pharmacy, a mail‑order pharmacy, or a reputable online pharmacy affiliated with a licensed U.S. pharmacy. Many services now offer quick delivery, discreet packaging, and automatic refill reminders to support on‑time dosing.
If you are switching from another birth control or have specific health considerations (such as migraines with aura, a history of blood clots, or smoking status), discuss with your clinician which contraceptive method fits your medical profile best. Combined hormonal contraceptives are not right for everyone.
Mircette in the U.S. context
Mircette and equivalent generics are widely used in the USA as a reliable, reversible method of contraception when taken as directed. Some individuals also notice benefits such as more predictable cycles, reduced menstrual cramps, and improvements in acne; however, treatment goals and outcomes differ between users. If acne control is a treatment priority, ask your clinician whether Mircette or another FDA‑approved combination pill for acne is appropriate for you.
What is Mircette and how does it work?
Mircette combines two hormones: a progestin (desogestrel) and an estrogen (ethinyl estradiol). Together, they prevent ovulation (the release of an egg). They also thicken cervical mucus, making it harder for sperm to reach the egg, and alter the endometrium (lining of the uterus), reducing the chance of implantation.
The 28‑day pack includes 21 active tablets containing 0.15 mg desogestrel and 0.02 mg ethinyl estradiol, 2 tablets with 0.01 mg ethinyl estradiol, and 5 inert tablets. You take one tablet daily, preferably at the same time each day, without skipping days between packs. Withdrawal bleeding typically occurs during the 7 days of lower‑dose estrogen and inert tablets.
When used perfectly, combined oral contraceptives are over 99% effective. With typical use, which accounts for human error such as late or missed pills, effectiveness is closer to 91%–93%. Setting reminders, using smartphone apps, or syncing your dose to a daily habit can help you maintain consistent use.
How Mircette’s phasic regimen may feel different
The inclusion of 0.01 mg ethinyl estradiol tablets after the 21 active days may lessen estrogen‑withdrawal symptoms (for example, headache or mood changes) for some users compared with regimens that transition directly to placebos. Individual responses vary, and some may still experience spotting or breakthrough bleeding during early cycles as the body adapts. Most users find bleeding patterns stabilize after two to three packs.
If irregular bleeding persists beyond three cycles, or becomes heavy or bothersome, consult your clinician. They may recommend continuing to observe, adjusting the estrogen or progestin dose, switching to a different formulation, or evaluating for other causes.
Potential non‑contraceptive benefits
While the primary indication for Mircette is pregnancy prevention, combined oral contraceptives can also offer additional benefits for many users, including:
- More predictable cycles and lighter periods
- Reduced menstrual cramps (dysmenorrhea)
- Improvement in menstrual‑related acne in some individuals
- Decreased risk of endometrial and ovarian cancers with long‑term use
Results vary; discuss your goals with your clinician to ensure expectations align with evidence‑based benefits.
Who should not use Mircette?
Combined oral contraceptives have a U.S. Boxed Warning about cigarette smoking and serious cardiovascular events. Do not use Mircette if you smoke cigarettes and are over 35 years old. Smoking increases the risk of serious heart and blood vessel problems from hormonal birth control.
Do not use Mircette if you have any of the following:
- History of blood clots, deep vein thrombosis (DVT), pulmonary embolism, stroke, or heart attack
- Known inherited or acquired thrombophilias (e.g., Factor V Leiden) without clinician clearance
- Uncontrolled high blood pressure, certain heart valve diseases, or severe vascular disease
- Migraine with aura at any age
- Current or history of breast cancer or other estrogen‑ or progestin‑sensitive cancers
- Active liver disease, liver tumors (benign or malignant), or unexplained jaundice
- Diabetes with vascular complications
- Pregnancy
- Hypersensitivity to any component of Mircette
Your clinician will review the U.S. Medical Eligibility Criteria (US MEC) to ensure a safe fit. If combined pills are not appropriate, alternative methods such as progestin‑only pills, IUDs, implants, or non‑hormonal options may be recommended.
Does Mircette help with acne?
Some users notice improvement in acne with combination pills, including those containing ethinyl estradiol and a progestin. Acne response depends on multiple factors such as baseline severity, skin type, and other treatments. If acne management is a key goal, discuss options with your clinician; certain COCs have explicit FDA‑approved indications for acne in people who also desire contraception.
How to start Mircette
There are several ways to start Mircette. Your clinician will advise which is best for you:
- Day‑1 start: Take your first active tablet on the first day of your period. Back‑up contraception is not necessary if started within 24 hours of period onset.
- Sunday start: Take your first active tablet on the first Sunday after your period begins. Use back‑up (e.g., condoms) for the first 7 days.
- Quick start: Begin today if pregnancy is reasonably excluded. Use back‑up for the first 7 days.
If you are switching from another hormonal method, the specific timing can help maintain continuous protection. Follow your clinician’s guidance for transitioning between methods.
Missed‑pill instructions for Mircette
Take Mircette at the same time each day. If you miss doses, follow these general principles; confirm with the FDA‑approved patient leaflet or your clinician:
- One active tablet missed (less than 48 hours late): Take it as soon as you remember and take the next tablet at the usual time (you may take two in one day). No back‑up needed.
- Two or more active tablets missed in a row (48 hours or more): Take the most recent missed tablet as soon as possible and discard other missed tablets. Continue the remaining tablets at the usual time (you may take two in one day). Use back‑up contraception (such as condoms) or avoid sex until you have taken active tablets for 7 consecutive days.
- If misses occur in the last week of active tablets: Finish the active tablets, skip the inert tablets, and start a new pack the next day. Use back‑up for 7 days.
- If you miss any of the 2 low‑dose estrogen or 5 inert tablets: Discard the missed tablet and continue as scheduled. No back‑up is needed, but keep to the same daily schedule to stay on track.
Emergency contraception: Consider emergency contraception if active pills were missed in the first week and unprotected sex occurred in the previous 5 days, or if you missed two or more active tablets and had unprotected sex. When in doubt, contact your clinician or pharmacist for personalized guidance.
Mechanism of action at a glance
Mircette prevents ovulation, thickens cervical mucus to impede sperm, and alters the uterine lining to reduce the chance of implantation. The combination of estrogen and progestin provides a multi‑layered approach to contraception.
Safety overview and boxed warning
All combined hormonal contraceptives, including Mircette, carry a U.S. Boxed Warning regarding increased risk of serious cardiovascular events in people who smoke cigarettes, especially those older than 35 years. Do not use Mircette if you smoke and are over 35. Quit‑smoking resources are widely available; ask your clinician for support if you need assistance stopping tobacco use.
Dosing schedule and daily routine tips
Take one tablet daily at the same time, without interruption between packs. Many users choose a consistent time that fits their schedule (e.g., after brushing teeth at bedtime). Smartphone alarms, pillbox organizers, and pharmacy refill reminders can help you stay consistent. Stomach upset can occur in some users; taking your tablet with a small snack at the same time each day may help if your clinician agrees.
What to do after unprotected intercourse or missed pills
If you miss multiple active tablets or start a new pack late and have unprotected intercourse, emergency contraception (EC) may be considered. Levonorgestrel EC is available over the counter without age restrictions in the USA and is most effective when taken as soon as possible within 3 days, but can be considered up to 5 days. Ulipristal acetate EC requires a prescription and may be more effective closer to day 5. After EC, follow specific guidance on when to resume or continue Mircette and how long to use back‑up methods. If your period is late after EC use, take a pregnancy test and consult your clinician.
Drug interactions
Some medicines and supplements can reduce the effectiveness of Mircette or increase side‑effect risks. Always tell your prescriber and pharmacist about everything you take, including over‑the‑counter products and herbal supplements. Notable interactions include:
- Enzyme inducers that may reduce contraceptive effectiveness: rifampin/rifabutin, certain anticonvulsants (e.g., carbamazepine, phenytoin, phenobarbital, topiramate at higher doses), certain antiretrovirals, and some antifungals
- St. John’s wort (Hypericum perforatum), which may lower hormone levels
- Hepatitis C regimens containing ombitasvir/paritaprevir/ritonavir (with or without dasabuvir), where estrogen components may increase the risk of ALT elevations
- Lamotrigine, where combined oral contraceptives can lower lamotrigine levels and reduce seizure control
- Warfarin and other anticoagulants, which may require monitoring and dose adjustments
- Cyclosporine and other narrow‑therapeutic‑index drugs, which may be affected by estrogen/progestin co‑administration
This is not a complete list. Your clinician will help determine whether additional back‑up contraception is needed or whether an alternative method is advisable during and after interacting therapies.
Possible side effects
Most side effects are mild and tend to improve after 2–3 cycles as your body adjusts. Common effects include:
- Nausea, bloating, or abdominal discomfort
- Breast tenderness
- Headache
- Breakthrough bleeding or spotting, particularly in the first few packs
- Mood changes
- Changes in menstrual flow
Serious but less common risks include blood clots (DVT, pulmonary embolism), stroke, and heart attack. Risk is higher in people who smoke, have certain medical conditions, are postpartum, or are immobilized. Seek urgent care for symptoms such as leg swelling/pain, chest pain, shortness of breath, sudden severe headache, confusion, visual disturbances, or unilateral weakness.
How to take Mircette correctly
Swallow one tablet daily, in order, as shown on the pack. Do not skip days between packs. Use back‑up contraception for 7 days when starting Mircette unless you began on the first day of your period. If you experience persistent vomiting or severe diarrhea, or if you take a medication known to interact with Mircette, consult your clinician about using back‑up contraception during and after the illness or drug course.
Pregnancy and breastfeeding
Do not use Mircette if you are pregnant. If pregnancy is suspected, stop taking the tablets and contact your clinician. Combined oral contraceptives are generally not the first choice while breastfeeding, especially during the early postpartum period, due to potential effects on milk production. Progestin‑only methods are often preferred initially. Ask your clinician which method best fits your postpartum and lactation goals.
Pharmacist’s tips for success with Mircette
Consistency is the key to contraceptive effectiveness. Keep your pack where you’ll see it daily, set a repeating alarm, and consider automatic pharmacy refills. If side effects such as nausea occur, taking the pill with a small snack at the same time each day may help. Track any breakthrough bleeding; most users stabilize within a few cycles. If bleeding remains heavy or prolonged, or if you experience severe headaches or mood changes, contact your clinician.
Contraindications and precautions
Do not use Mircette if you have a history of blood clots, stroke, heart attack, certain heart valve conditions, uncontrolled hypertension, migraine with aura, estrogen‑ or progestin‑sensitive cancers, active liver disease or tumors, or if you are pregnant. Avoid smoking, particularly if you are 35 or older. Before surgery or if you anticipate long periods of immobilization, inform your clinician; temporary discontinuation may be recommended to lower clot risk.
Combined hormonal contraceptives do not protect against STIs. Use condoms for STI prevention and as back‑up during missed pills or drug interactions.
When to seek medical attention
Call your clinician promptly or seek emergency care if you develop:
- Leg pain/swelling, chest pain, shortness of breath, or coughing blood
- Sudden severe headache, vision loss, slurred speech, weakness or numbness in an arm or leg
- Yellowing of the skin or eyes (jaundice), severe abdominal pain
- Severe depression, significant mood changes, or suicidal thoughts
For non‑urgent concerns such as persistent spotting, headaches, or breast tenderness, schedule a follow‑up to review options with your clinician.
Reporting side effects
If you experience side effects, contact your clinician or pharmacist. You can also report adverse events directly to the FDA’s MedWatch program at www.fda.gov/medwatch or by calling 1‑800‑FDA‑1088.
Interaction considerations with Mircette
To reduce the risk of decreased contraceptive effectiveness or increased side effects, keep an updated medication list and share it at each visit. In particular, mention any of the following if you take them:
- Rifampin or rifabutin
- Carbamazepine, phenytoin, phenobarbital, topiramate (higher doses), oxcarbazepine
- St. John’s wort
- Antiretrovirals for HIV or medications for hepatitis C
- Lamotrigine
- Warfarin or other anticoagulants
Your clinician may recommend back‑up contraception, a different method, or dosage modifications for certain therapies.
Recommendations from our specialists
Our U.S.‑based medical content team encourages users to choose a contraceptive method that fits both health needs and lifestyle. For Mircette users, we recommend:
- Set up daily reminders and automatic refills to minimize missed pills
- Keep a spare pack or travel case to avoid gaps when away from home
- Schedule periodic check‑ins with your clinician to reassess side effects, blood pressure, and evolving health needs
- Discuss changes in smoking status, migraines, medications, or health conditions that could alter the risk profile
- Use condoms for STI protection and as back‑up during missed pills or potential drug interactions
If Mircette is not the best fit for your medical profile, your clinician can help you consider alternatives such as lower‑ or higher‑estrogen COCs, progestin‑only pills, IUDs (hormonal or copper), the implant, the patch, or the vaginal ring. The goal is a safe, effective, and convenient method you can use consistently.
Ready to take control of your birth control? Order Mircette through a licensed U.S. pharmacy
Explore convenient access to Mircette or its FDA‑approved generics with clinician review, electronic prescribing, and fast home delivery from licensed U.S. pharmacies. Enjoy privacy, support, and reliable service tailored to your schedule.
- Prescription‑only in the USA — evaluate via licensed telehealth or in‑person care
- Fast, discreet shipping from U.S.‑licensed pharmacies
- Genuine medication with FDA‑approved equivalents available
- Budget‑friendly options using insurance or pharmacy savings programs
- Expert support from clinicians and pharmacists when you have questions
Join thousands who rely on convenient, evidence‑based contraceptive care. Get started today and stay on track with a method that works for you.
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