How should birth control pills be taken?

Patient's question:

I took a birth control pill at 7 a.m. It should be taken every 12 hours, but I lost one pill, so I bought another box. However, it's a different brand, and it says to take two pills at once, which can also be spaced 12 hours apart. But I took both pills, so I ended up taking three pills in one day. Will this have any consequences? After taking the two pills, I had severe headaches, and by the morning of the third day, my blood pressure was 150/95—higher than it has ever been before. Today, it measured 135/74. I also have a cold and am taking cephalexin and cold medicine. Is there any conflict between taking birth control pills and cold medicine? Will it affect breastfeeding effectiveness?

Doctor's answer:

The side effects of emergency contraception pills are too severe, including potential endocrine disorders and even the possibility of infertility. Emergency contraception pills should not be taken with cephalosporin drugs or cold medications. Wait at least two hours between taking them. Do not take emergency contraception pills frequently; no more than three times a year and only once a month. Always use proper contraception methods. Keep your blood pressure within the normal range. You can take them with peace of mind, as they will not cause harm to your body.

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