Comprehensive medication guide to Ashlyna 91 Day including estimated pricing, availability information, side effects, and how to find it in stock at your local pharmacy.
Estimated Insurance Pricing
$0–$0/month
Estimated Cash Pricing
$20–$400/month
Medfinder Findability Score
60/100
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Ashlyna 91 Day is an extended-cycle combination hormonal oral contraceptive used to prevent pregnancy. It contains two hormones — Levonorgestrel (a synthetic progestin) and Ethinyl Estradiol (a synthetic estrogen). Unlike traditional 28-day birth control packs, Ashlyna uses a 91-day cycle, meaning you take active pills for 84 consecutive days followed by 7 days of low-dose estrogen pills. This extended-cycle design reduces the number of periods you have to approximately four per year. Ashlyna is manufactured by Glenmark Generics and is the generic equivalent of Seasonique.
Ashlyna is FDA-approved for prevention of pregnancy in females of reproductive potential. It is also used off-label for menstrual cycle regulation, reducing menstrual frequency, managing endometriosis-related symptoms, treating heavy menstrual bleeding, and managing menstrual migraines.
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91-day extended-cycle tablet pack — tablet
84 light blue active tablets (Levonorgestrel 0.15 mg / Ethinyl Estradiol 0.03 mg) + 7 light yellow tablets (Ethinyl Estradiol 0.01 mg)
Like all hormonal contraceptives, Ashlyna 91 Day may cause side effects. Common side effects include:
Important warning: Cigarette smoking increases the risk of serious cardiovascular events from combination oral contraceptive use. This risk increases with age and the number of cigarettes smoked. Ashlyna is contraindicated in women over 35 who smoke. Serious but rare side effects include deep vein thrombosis, pulmonary embolism, stroke, and heart attack. Contact your doctor immediately if you experience severe chest pain, sudden shortness of breath, severe headache, or leg swelling.
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Seasonique
The brand-name version with the same active ingredients and 91-day extended-cycle regimen (Levonorgestrel 0.15 mg / Ethinyl Estradiol 0.03 mg for 84 days + Ethinyl Estradiol 0.01 mg for 7 days).
Amethia
Another generic version of Seasonique with the identical 91-day extended-cycle formulation.
Camrese
A brand-name extended-cycle oral contraceptive equivalent to Seasonique with the same ingredients and dosing schedule.
Jolessa / Quasense
Extended-cycle (91-day) oral contraceptives containing Levonorgestrel 0.15 mg / Ethinyl Estradiol 0.03 mg for 84 days followed by 7 placebo (inactive) tablets instead of low-dose estrogen tablets. These are generics of Seasonale.
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Hepatitis C antivirals
moderate(Ombitasvir/Paritaprevir/Ritonavir) — Contraindicated due to risk of ALT elevations
Glecaprevir/Pibrentasvir
moderateNot recommended due to ALT elevations
Enzyme-inducing anticonvulsants
moderate(Phenytoin, Carbamazepine, Phenobarbital, Topiramate, Oxcarbazepine) — May reduce contraceptive efficacy
Rifampin and Rifabutin
moderateSignificantly reduce contraceptive efficacy
HIV protease inhibitors
moderate(Ritonavir-boosted regimens) — May reduce efficacy
St. John's Wort
moderateReduces contraceptive efficacy; use backup contraception
Lamotrigine
moderateAshlyna may decrease Lamotrigine levels, potentially reducing seizure control
Certain antibiotics
moderate(Ampicillin, Tetracyclines) — May reduce efficacy in some patients
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