Combined pill
Lizelle pills: price, side effects and how to take them
Lizelle (drospirenone 3 mg + ethinylestradiol 20 mcg)
Quick answer
Lizelle (drospirenone 3 mg + ethinylestradiol 20 mcg) is a low-dose combined pill with the same formula and the same 24 plus 4 pack as Yaz.
It costs from ₱815 a pack, against ₱889 for Yaz, and needs a reseta (Prescription. All birth control pills need one in the Philippines.).
Key facts
- Generic name
- drospirenone 3 mg + ethinylestradiol 20 mcg
- Type
- Combined pill (estrogen + progestin)
- Pack
- 28 tablets: 24 hormone, 4 inactive
- Prescription
- Required in the Philippines
- Price this month
- From ₱815 a pack
Lizelle is the closest copy of Yaz on Philippine shelves: same drospirenone (A progestin used in Yaz, Yasmin and their same-formula brands.) and ethinylestradiol doses, same 28-tablet pack with 24 hormone tablets and 4 inactive ones. Watsons listed it at ₱815.[src] Yaz, the Bayer original, starts at ₱889.
The third brand with this formula, Ermina, was cheaper still at ₱720, but it is listed as a 24-tablet pack, so its layout may differ from Lizelle's. If you want the exact Yaz pack shape at a lower price, Lizelle is the match. Our research does not name Lizelle's maker.
Lizelle price in the Philippines
Prices checked October 2026. Every pharmacy below requires a prescription.
| Retailer | Pack | Price | Checked |
|---|---|---|---|
| WatsonsPrescription required | 28 tablets | ₱815.00 | October 2026 |
| Mercury Drug | No public online price | [TODO: verify] | |
| Southstar Drug | No public online price | [TODO: verify] |
Same formula, lower price: Ermina
Ermina has exactly the same active ingredients and dose as Lizelle. It costs about ₱95 less a pack, roughly ₱1,235 a year. Ask your doctor or pharmacist if switching is right for you.
How to take Lizelle
Take one tablet a day at about the same time: 24 hormone tablets, then 4 inactive tablets, then start the next pack the next day with no gap. Your withdrawal bleed (The bleed during the inactive or break days of a pill pack. It is not a true period.) usually comes during the inactive days and is often light. As a 20 mcg pill, missing 2 hormone tablets in a row already counts as the stricter case.[src]
When to start: WHO says a combined pill can start within the first 5 days of your period with no extra protection, or any other day if you are reasonably sure you are not pregnant, with condoms for the first 7 days.[src] Switching from Yaz? Ask your pharmacist how to time it so there is no gap.
If you miss a Lizelle pill
Lizelle is a low-dose (20 mcg) combined pill, so the stricter rule applies sooner. Missing 1 hormone pill: take it as soon as you remember and carry on. Missing 2 or more in a row: take one now, use condoms for 7 days, and if it happened in the last hormone week, skip the inactive pills and start a new pack.
If you had sex in the last 5 days and missed pills, talk to a doctor today about emergency options. If unsure, talk to a doctor or pharmacist.
Open the Missed Pill HelperLizelle side effects and what Filipinas worry about
Early spotting, sore breasts, nausea, headaches and mood changes can happen in the first 3 months and usually settle.[src] Light or skipped bleeds are common on low-dose pills. Like all combined pills, Lizelle carries a small clot risk and is not for smokers 35 and over or people with migraine with aura.[src]
Nakakataba ba ang Lizelle?
No large effect, per a Cochrane review of placebo-controlled trials of combined pills,[src] and the NHS says there is no evidence the pill causes weight gain.[src]
Delay ng mens habang nag-pi-pills?No period during the placebo week?
Light or missed withdrawal bleeds are common on the pill, especially low-dose pills like Yaz. If you took your pills correctly, pregnancy is unlikely, and a pregnancy test settles it. Start your next pack on schedule.
Read moreDelikado ba ang pills?Are pills dangerous? What about blood clots?
The risk of a blood clot on the combined pill is real but small. Combined pills are not suitable for smokers 35 and over, people with migraine with aura, a past clot, high blood pressure and some other conditions. Chest pain, leg swelling or sudden breathlessness are emergencies.
May kamahalan ang pills.Pills are too expensive.
Prices range widely, and several cheaper brands have the exact same formula as the expensive ones. Pills, injectables, implants and IUDs are also free at public health facilities, subject to supply.
Read moreThe 24/4 regimen and lighter bleeds
Lizelle keeps the Yaz design: 24 hormone days and 4 inactive days instead of the usual 21 and 7. The shorter hormone-free stretch is one reason bleeds are often lighter or shorter, and sometimes barely there. That is common on low-dose pills and not a sign the pill failed if you took it correctly.[src] Our late period checker helps if you are unsure.
Who should not take Lizelle
Who should not take it
Combined pills may not be safe for you if:
- You smoke and are 35 or older
- You get migraine with aura (flashing lights or zigzags before a headache)
- You have had a blood clot in a leg or lung, or a stroke
- You have high blood pressure
- You gave birth less than 6 weeks ago and are breastfeeding
- You have some heart, liver or diabetes conditions
Combined pills may not be safe for you. Talk to a doctor. A progestin-only pill, implant or IUD is often an option instead.
Common side effects
Spotting between periods, sore breasts, nausea, headaches and mood changes, mostly in the first 3 months. Most settle within about 3 months. More on side effects.
When to get urgent help
Go to an emergency room now for chest pain, sudden breathlessness, coughing blood, a painful swollen leg, a sudden severe headache, vision changes or weakness on one side.
Check the product is registered
Buy only from licensed pharmacies. You can look up a product on the FDA Philippines verification portal.
Same formula, different price
Drospirenone 3 mg + EE 20 mcg. Same active ingredients and dose; pack and inactive tablets can differ.
Three legal routes
Get a prescription
Lizelle needs a prescription in the Philippines. Pick the route that suits you. For adults 18 and over.
Free at a health center
Barangay health centers, RHUs, DOH hospitals and Likhaan. Subject to supply.
See an OB-GYN in person
Clinic visit, prescription in hand. Bring it to any licensed pharmacy.
Online consult
A licensed doctor by video or chat. From ₱700 on some platforms.
Online consult options
For adults 18 and over. Fees are set by each provider and can change.
Lizelle FAQ
Is Lizelle the same as Yaz?
Yes. Same drospirenone 3 mg + ethinylestradiol 20 mcg and the same 24 plus 4 pack. Lizelle costs from ₱815 and Yaz from ₱889 at the pharmacies we checked.
Lizelle or Ermina: which is closer to Yaz?
Both have the same formula. Lizelle matches Yaz's 28-tablet 24 plus 4 pack. Ermina is listed as 24 tablets, so check its leaflet for how the break works.
Walang regla sa inactive pills ng Lizelle. Normal ba?
Oo, karaniwan ang mahina o walang regla sa low-dose pills. Kung tama ang pag-inom mo ng hormone tablets, maliit ang tsansa na buntis ka. Mag-pregnancy test kung nag-aalala ka.
What if I miss 2 Lizelle pills?
As a 20 mcg pill, 2 missed in a row is the stricter case: take one now, use condoms for 7 days, and if it was in the last hormone week, skip the inactive tablets and start a new pack. If you had sex in the last 5 days, talk to a doctor today.
Do I need a prescription for Lizelle?
Yes. Lizelle is a prescription medicine in the Philippines and Watsons lists it as prescription required.
This guide is for information. Talk to a doctor before starting, stopping or switching birth control.
Sources
- Family Planning: A Global Handbook for Providers, WHO and Johns Hopkins CCP
- Managing missed pills (Family Planning Handbook), WHO and Johns Hopkins CCP
- Combined pill: risks and side effects, NHS
- Combined pill: who can and cannot take it, NHS
- Combination contraceptives: effects on weight (Gallo et al.), Cochrane / PubMed
- Oral contraceptives category, Watsons PH
- Prescription Pharmacy: Contraceptive Agents, Rose Pharmacy