What do I do if I miss a pill?

Forgotten a pill? It happens, and you’re not alone. Studies show that up to half of people using oral contraception will miss a pill at some point.
While missing a pill can reduce its effectiveness, what to do next depends on the type of pill and how long it’s been since the missed dose. Because each brand and formulation can differ, it’s best to check your pill’s information leaflet or ask your doctor or pharmacist as soon as possible for tailored advice.
Why missing a pill matters
Oral contraceptives work best when taken consistently at the same time every day. Missing or delaying doses can cause hormone levels to drop, which may reduce contraceptive protection for a short period.
How you manage this depends on:
• Whether you’re taking a combined or progesterone-only pill
• How many pills have been missed
• Where you are in your pill pack
Your GP or pharmacist can help you understand exactly what to do for your specific medication.
Emergency contraception
If you’ve missed multiple pills and recently had unprotected sex, emergency contraception may be an option. These medicines are available from most pharmacies without a prescription. The pharmacist can advise which option is suitable for you and how soon it should be taken.
Preventing missed pills
It’s easy to forget, but these strategies may help you stay on track:
• Take your pill at the same time every day, linked to a daily habit like brushing your teeth
• Set an alarm or use a reminder app
• Keep a spare pack in your bag for travel or unexpected changes in routine
If you find it difficult to remember pills regularly, talk to your doctor about other contraceptive options that might better suit your lifestyle.
References
Chabbert-Buffet N, et al. Missed pills: frequency, reasons, consequences and solutions. Eur J Contracept Reprod Health Care. 2017; 22(3): 165–169.
Family Planning NSW. www.fpnsw.org.au
Disclaimer: This information is not intended to be used as medical advice or a substitute for your own practitioner’s advice, nor is it intended to be used for diagnosis or treatment for any illness/disease.



