Eloine is an oral contraceptive that prevents ovulation from happening as it normally would each month. The Eloine pill increases the amount of mucus surrounding the womb, making it thicker so that it is harder for sperm to complete its journey towards the egg. More information

A doctor will review your order and write you a prescription, if appropriate. This prescription is then forwarded to a pharmacy. The pharmacy will have your medicine delivered to you within one to three working days. Read more about this process here.

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Eloine is a low-dose combined contraceptive pill that contains both estrogen and progestogen. This pill includes far less estrogen than the typical combined pill. This can make the risk of side effects like nausea, headaches, bloating and other issues less common. However, low-dose combined pills also come with a higher risk of irregular bleeding than the usual combined pill. Tablets like Eloine are more commonly prescribed to older women, though they are available for everyone.  

What is Eloine? 

Eloine is an oral contraceptive that prevents ovulation from happening as it normally would each month. The Eloine pill increases the amount of mucus surrounding the womb, making it thicker so that it is harder for sperm to complete its journey towards the egg.  Eloine is often easier to use for some women than the conventional combined pill, because it's taken every day for up to four weeks, without a break. It's important to note that low-dosage pills like Eloine can however increase your risk of irregular bleeding. As a form of low-dose combined pill, Eloine uses both estrogen and progesterone synthetic substances to mimic the natural hormones in your body. Eloine works by inhibiting your body's natural processes, stopping it from preparing for pregnancy. The ovaries do not produce an egg that is ready to be fertilized by sperm. Eloine tricks the body into thinking that ovulation has already occurred.  Additionally, by altering the consistency of the uterus wall, Eloine ensures that it is harder for any fertilized eggs to grow within the womb.  

When is Eloine used? 

Because it has a lower dose of estrogen included with the progestogen, Eloine is often used by women who don't respond well to estrogen in the combined pill. This kind of contraceptive can have a lower risk of side effects like nausea and bloating.  Eloine is usually taken for three different reasons. Either it can be taken as a treatment for PDD, used as a treatment for severe acne, or used as a contraceptive pill to prevent pregnancy. Eloine comes in packets of 28 pills, with 24 active pills containing small amounts of synthetic female hormones, and 4 placebo tablets, containing no active substances.  

How do you use Eloine? 

Eloine is a low-dose combined pill that works by using a combination of estrogen and progestogen. Each blister pack you receive will contain 24 light pink active tablets and four placebo tablets. The two different colors of pills are arranged in order of when to take them.  Like any oral contraceptive, it is important to take the Eloine pill at the same time each day. You can take your pill with or without food, with a small amount of water. Do not confuse the pink pills with the placebo tablets. You will need to take a light pink tablet for the first 24 days, followed by a white tablet for the last four days of the month. You will need to start a new strip straight away after you've finished your packet.  

Many other combined pills require you to take a seven day break between each packet. Eloine can be easier to take for people who might forget to take their pills on time after taking a break. Most packets of Eloine will come with a week sticker that you can use to track which tablets you're taking on each day. This will make it easier to see if you've missed any pills.  During the four days that you're taking the placebo pills on your Eloine packet, you should experience some withdrawal bleeding. This may happen on the 2nd or 3rd day after you finish your set of pills. However, whether you're bleeding has stopped or not, you will need to begin taking your active  

What dosages are available? 

Eloine is a low-dose combined contraceptive pill that is only available in one dosage. You will receive a full packet of 28 pills, including 24 active pills. The 24 active pills will contain 0.020 milligrams of Ethinylestradiol - which is the synthetic version of the hormone progestogen. There will also be a dose of 3 milligrams of Drospirenone - which is the synthetic version of the hormone estrogen. This is a much lower dose of estrogen than you would find in most combined pills.  The 4 white tablets in your pack will not contain any active substances.  

What are the side effects of Eloine? 

Most people will be able to take Eloine without any negative side effects. However, like all medicines, there is a possibility that you may get results from Eloine that you don't appreciate. If you notice any changes to your health, even if it is not listed in the side effects below, speak to your doctor as quickly as possible.  

An increased risk of blood clots in the veins is a common issue when taking the combined hormonal contraceptive. However, you might have a slightly lower chance because of the low dosage in Eloine. It's important to speak to your doctor if you're concerned that you may be at a higher risk of clots.  Some of the common side effects linked to Eloine include: 

  • Headaches 
  • Mood swings 
  • Nausea 
  • Breast pain  
  • Irregular periods 
  • Absence of periods 

Some slightly more uncommon side effects include: 

  • Depression or nervousness 
  • Dizziness or pins and needles 
  • Migraine and headaches 
  • Varicose veins 
  • Increased blood pressure 
  • Stomach ache and indigestion 
  • Diarrhea 
  • Acne or rash 
  • Aches and pains 
  • Muscle cramps 
  • Vaginal fungal infection 
  • Pelvic pain 
  • Breast enlargement or tenderness 
  • Lack of energy 
  • Increased sweating 
  • Fluid retention 

Your chance of experiencing a blood clot when taking Eloine may be slightly higher if you have other conditions that also increase this risk.  

When shouldn't you use Eloine? 

Most healthy women will be able to take Eloine. However, some conditions may make it more dangerous to use this pill as your form of oral contraception. You should discuss all of your medical history with your doctor before taking a prescription for Eloine. Your medical professional will be able to assess the risks and benefits of prescribing Eloine carefully.  

Usually, you will not be given Eloine if you : 

  • Have ever had a blood clot in a vessel within your legs or your lungs 
  • Know you have a disorder that makes you more vulnerable to blood clotting issues 
  • Need an operation, or you will be off your feet for long periods 
  • Have ever had a stroke or heart attack 
  • Have ever had severe chest pain or angina 
  • High risk of atherosclerosis ie combination of strong family history, obesity and smoking >40 cigarettes a day 
  • Suffer from any conditions that might affect your risk of clotting conditions, such as severe diabetes, a very high blood pressure, or a high level of fat in your blood 
  • Have a condition called hyperhomocysteinemia  
  • Suffer from migraines with aura 
  • Experience liver problems or liver disease 
  • Have kidney conditions that cause your kidneys not to work as they should 
  • Have breast cancer or cancer of the genital organs 
  • Are allergic to the substances within Eloine 
  • Have unexplained bleeding from the vagina between periods or after sex.  

Discussing your medical history with your doctor in depth will ensure that you do not take unnecessary risks with your oral contraception. If Eloine is not the right option for you, then your doctor or pharmacist will be able to suggest an alternative option. If you notice any signs of a blood clot that may mean you're suffering from blood clots in your legs, your lungs or any other organ, you will need to contact an emergency health service immediately. Speak to your doctor if you're thinking of using Eloine when breastfeeding. The hormones in Eloine can pass through into breast milk and may not be appropriate for use when nursing your baby. Your doctor will be able to give you the best possible advice on this.  

Does Eloine interact with any other medications? 

It is important to tell your doctor about any medications you're taking at the same time as Eloine. This will include medicines that you have gotten over the counter without a prescription, drugs that you have on prescription and herbal products. Make sure that you make your doctor aware of any supplements that you are taking too.  Some medications can make Eloine less effective in preventing pregnancy and have an influence on the blood levels of Eloine in your system. Additionally, certain medications when mixed with Eloine may cause unexpected bleeding.  

Medicines known to have poor interactions with Eloine include: 

  • Drugs used to treat epilepsy like phenytoin, primidone, and carbamazepine 
  • Drugs for the treatment of tuberculosis such as rifampicin 
  • Medicines used for Hepatitis and HIV infections known as protease inhibitors 
  • Fungal infection medications like griseofulvin 
  • Medicines for the treatment of arthritis like etoricoxib 
  • Drugs that help with the treatment of high blood pressure such as bosentan 
  • The herbal medicine St. John's Wort 

Eloine can also influence the way that other medications work. For instance, Eloine reacts poorly with medicines that contain ciclosporin, and it can cause problems with the anti-epileptic medication called lamotrigine. You should not take Eloine when using tizanidine to treat muscle cramping or theophylline for breathing problems.  

If you have Hepatitis C and are taking medicines containing ritonavir, or ombitasvir, then avoid using Eloine. Your doctor will probably prescribe another form of oral contraception if you are using any of the drugs above, or any other medications that may interfere with Eloine, or affect your health.  

If your doctor discovers that the combined contraceptive pill is not appropriate for you with the other medications that you're using, then they may suggest using a progestogen only pill instead. On the other hand, if no oral contraceptive is right for you, there may be other options available like IUDS that will allow you to protect against pregnancy without putting your health at risk.

Where can you buy Eloine? 

It is possible to purchase Eloine from any registered pharmacy online or offline as long as you have a prescription and you have completed a full assessment with your doctor. Medical assessments are essential with any form of oral contraceptive because they may interact poorly with other medications that you are taking.  

Can you get Eloine without a prescription?  

You will not be able to buy Eloine without a prescription from your doctor. You will need to discuss your medical history with your GP to ensure that Eloine is safe for you to take. If Eloine is not the right choice for you, then your doctor will usually be able to offer another contraceptive pill on prescription instead.  




Bayer PLC, Reading, UK, Updated December 2018, Eloine 0.02 / 3mg coated tablets, accessed from: https://www.medicines.org.uk/emc/product/6967/pil  

Mims, August 2015, Eloine: New low-dose combined oral contraceptive, Retrieved from https://www.mims.co.uk/eloine-new-low-dose-combined-oral-contraceptive/contraception/article/1360238  

Assessed by:

Dr Imran Malik, General practitioner
Registration number: GMC: 4741365

Dr Imran Malik studied undergraduate medicine at King's College University in Central London and clinical studies at the prestigious King's College Hospital. He graduated with a MBBS degree in 2000 and went on to gain postgraduate memberships with the Royal Society of Medicine and also General Practice in 2006.