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What to do if you’re sick or have diarrhoea when taking the combined pill

If you’re sick (vomit) less than 3 hours after taking the combined pill (or up to 4 hours after taking the Qlaira or Zoely pill), take another pill straight away and then take the next one at the usual time.

If you’re still being sick, use another type of contraception, such as condoms, until you’ve taken the pill for 7 days without being sick.

If you have diarrhoea for more than 24 hours, keep taking your pill as normal. Use another type of contraception, such as condoms, until 7 days after your diarrhoea has stopped.

Vomiting or diarrhoea before your pill-free break

If you’re sick (vomit) or have diarrhoea for more than 24 hours while taking the last 7 pills before your pill-free break or before the dummy pills in the pack (pills 15 to 21), take the 7 pills as normal then start your next pack straight away. Do not have a pill-free break, and do not take the dummy pills.

Use another type of contraception, such as condoms, until you’ve taken the pill for 7 days without being sick or having diarrhoea.

Page last reviewed: 15 February 2024
Next review due: 15 February 2027