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Through Felix, you can get Alysena® prescribed by a licensed healthcare practitioner with free delivery to your door.
Alysena are combination oral contraceptive tablets that contain a combination of two female sex hormones, 100 mcg Levonorgestrel and 20 mcg Ethinyl Estradiol. Alysena is most prominently used as a form of birth control (contraceptive) to prevent pregnancy. In some cases, it’s also used as a treatment for acne (acne vulgaris). For more resources, including a full list of the risks and benefits of Alysena, please review the product monograph.
The primary function of Alysena is inhibition of ovulation, but the effect of the medication may also result from other factors, like the hostility of the cervical mucus to sperm penetration and migration. For acne, the suppression of gonadotropins by Alysena leads to decreased ovarian production of the androgens, including androstenedione. Alysena also significantly reduces bioavailable serum testosterone by preserving the estrogen-induced increases in sex hormone binding globulin (SHBG). In addition, Alysena decreases serum levels of 3β-androstanediol glucuronide. These biochemical changes are consistent with improvement of acne in healthy women.
Alysena has two distinct uses:
1. As an oral contraceptive control
2. Treatment of moderate acne (acne vulgaris) in women over 14 years of age, who have no known contraindications to oral contraceptives, would like to begin using contraception, and have started menstruating.
As a contraceptive, Alysena follows a 28-day series for each package. This includes Alysensa- 21 ‘active’ pink pills, and if you take Alysena-28, 7 ‘inactive’ white pills.
For each 28-day course of Alysena, the pills must be taken daily; preferably at around the same time each day. All the active pink pills should be taken first, followed by a 7-day stretch of taking the inactive, white pills, or taking no pills.
The acne treatments follow the same dosing schedule as the contraceptive use.
If you miss a dosage, it’s important not to double-up the following day. Talk to your Felix healthcare practitioner about what timing methods you should follow to continue ensuring its effectiveness, if you happen to miss a dose during your 28-day course.
The most common side effects of taking online Alysena prescriptions include:
Increased duration of menstrual flow (metrorrhagia)
If you start to experience any serious side effects from using Alysena, be sure to talk to your healthcare practitioner at Felix. They may be able to suggest alternative medications that might work better for you.
There are a number of people that should avoid taking Alysena, such as:
If you fall into any of these categories, or you believe that there are other conditions you’re experiencing, be sure to talk to your Felix healthcare practitioner about them prior to requesting an online Alysena prescription.
Further reading





There are many different options. You can learn more about deciding which option is right for you here.
In Canada, you must have a prescription to be able to get Alysena online.
This requires speaking to a licensed healthcare practitioner, like the ones at Felix. Once you’ve completed your online assessment, they’ll be able to provide an online Alysena prescription, if they believe it’s the right option for you.
No, you don’t need to book an appointment weeks away, or spend hours sitting around a packed waiting room to get an Alysena in Canada. Felix is making the process quick and seamless for our patients.
Just complete your online assessment with one of our experts. If they believe that Alysena is the right choice for you, based on your current condition and medical history, they’ll be able to provide a prescription for you.
Best of all, Felix can ship your medication discreetly, directly to your door. And at no additional cost.
In Canada, the only way to get an Alysena prescription is to first speak with a licensed healthcare practitioner.
Felix is making this process quick and seamless for Canadians. Just complete an online assessment with one of our experts, and if they think Alysena is a good choice for your needs, they can ship your medication right to your door.
No, Alysena is not available as an over-the-counter medication in Canada. You must first get a prescription from a licensed healthcare practitioner, like those at Felix.
Thankfully, Felix makes it easy to get in touch with a registered healthcare practitioner, who can provide prescriptions for Alysena online, or discuss alternative options, depending on your health and medical history.
The only way to get Alysena online in Canada, is to first speak with a licensed healthcare practitioner, like the ones at Felix.
Save yourself the hassle of visiting a doctor’s office and complete an online assessment. If the healthcare practitioner thinks Alysena is right for you, they’ll be able to write you a prescription and ship the medication to you directly.
It’s best to discuss this with your insurance provider, because each person’s insurance company and individual benefits coverage will be different. For those in Ontario that are under 25 years old, OHIP+ will cover the cost of certain birth control medications.
The good news is that if you are covered for Alysena, Felix can bill your insurance directly, and have your medication shipped right to your home for free.
It's important to note that insurance coverage for medications through Felix doesn't include the cost of your assessment.
Felix is Canada’s first truly integrated healthcare platform. We provide on-demand treatment for everyday health needs like weight loss, mental health, sexual health, and more. Founded in 2019, our digital-first approach to healthcare includes everything from diagnosis to prescription — all accessible from the comfort of home.
No. Felix provides a faster, hassle-free way for you to get a treatment plan for certain conditions, but our service does not replace your primary care provider. For matters that extend beyond obtaining a lifestyle treatment safely and easily, we encourage you to consult your primary health practitioner in person — whether for checkups, personal health concerns, or to inform them about your current treatments or treatment plans.
Absolutely. Our online assessments have been designed to ask all the necessary questions required for diagnosis. We've worked with specialists to create an assessment process that can provide sufficient information for the healthcare practitioner to determine whether or not you are eligible for a prescription and craft an appropriate treatment plan.
Call 911 or proceed to your nearest emergency room immediately. Felix is not intended for medical emergencies. Once the emergency has been addressed or resolved, contact your prescribing practitioner to inform them of your experience as this may impact your current treatment plan.
Anyone who is 18 years or older (16 or older for acne and birth control prescriptions), and is located in Alberta, British Columbia, Manitoba, Newfoundland and Labrador, Nova Scotia, Prince Edward Island, Saskatchewan or Ontario. We cannot ship treatments outside of these provinces at this time.
After creating an account, you will complete a medical assessment for evaluation by one of the Felix healthcare practitioners.
During your assessment, you will have the opportunity to send your practitioner questions via secure messaging.
In most cases, practitioners will complete your assessment with secure messaging alone but sometimes they may determine you require an audio or video visit and/or further diagnostic testing to help determine the best treatment plan for you.
If your practitioner has determined a prescription treatment is appropriate, they will approve your visit and write you a prescription. Our pharmacy will then ship your prescription to your home.
You’ll be able to message your healthcare practitioner if you have questions or want to make changes to your treatment at any time.
No. We use an asynchronous telemedicine model so you can complete your online visit in your own time and we save your progress so you can come back later to finish it.
If you are completing a visit in the mental health or weight loss categories, your healthcare practitioner may require a phone or video call to discuss your medical profile further during the assessment process.
Most assessments do not require a phone or video conversation. Once a prescriber has reviewed the info in your assessment they will respond to you via secure instant messages that you can access within your Felix account.
If you are completing a visit in the mental health or weight loss categories, your healthcare practitioner may require a phone or video call to discuss your medical profile further during the assessment process.
You can expect to receive a response from a healthcare practitioner within 24 hours of submission. If you’ve been waiting longer than this, please reach out to our Patient Support team through the chat bubble in the bottom right corner of your account or our Contact Us page.
No. A visit with a licensed healthcare practitioner is required for all treatments currently provided through Felix’s service.
Not long. After completing your assessment, a practitioner will generally respond within 24 hours, and often much sooner.
Treatment plans will be processed within 2-4 business days of your approval date if there is nothing blocking fulfillment.
All packages are shipped via Express Post, which usually takes 2-3 business days. You will receive an email with your tracking number once your treatment has been shipped.
Absolutely. All Felix shipments arrive in a nondescript blister package so you can have your treatment shipped wherever makes sense for you as long as there is someone there to sign for it.
A signature upon delivery may be required.
There is currently no cost to have your treatment shipped to you from our Felix Pharmacy network.
Yes, your security is paramount to Felix’s mission. Personal health information provided during your medical assessment is strictly and legally confidential between you and the Felix healthcare practitioner.
Beyond that, all your account information (including the medical assessment, credit card, and shipping information, etc.) is also stored safely and securely. Felix is compliant with all federal and provincial health privacy legislation. It is our duty to protect your data with comprehensive security infrastructure and stringent data policies to ensure it stays private and secure.
Read more on our Privacy Policy.
Yes! In Canada, only a licensed healthcare practitioner can write a prescription, and only a registered pharmacist can fill that prescription. We are supported by leaders in the Canadian pharmacology and specialized medical fields. Felix adheres strictly to all the regulations set forth by all applicable Colleges of Pharmacists and Colleges of Physicians and Surgeons in which we operate.
Absolutely. All prescriptions obtained via Felix are provided by licensed Canadian healthcare practitioners—the same as you would get at a hospital, doctor’s office, or clinic. These practitioners do not provide prescriptions unless they deem it medically safe and appropriate to write them based on your medical profile and assessment answers. Our assessments have been crafted by the practitioners on our medical team. Finally, all Felix Pharmacies are provincially accredited just like any retail pharmacy.
Your privacy is our top priority. All your data is 256 bit SSL/TLS encrypted, and we take significant steps to keep your data secure. You can read our Privacy Policy for more information.
Felix charges a fee for the online visit. In most cases the fee is $40 but varies by treatment category. The visit fee includes a prescription valid for up to a year (depending on the condition) and on-going support from the healthcare practitioner or pharmacist.
It depends. Treatment costs vary but will be in line with what you would pay at a pharmacy in person. You will see the estimated cost of your treatment before insurance, during the online visit but will only be billed for medication costs for your prescription once it is approved and sent to our pharmacy. Once approved, your treatment and payment will be processed within one to two days.
Keep in mind that you won’t necessarily need to pay the full price yourself. If you have insurance, Felix’s partner pharmacies will bill your insurer directly. You may also be eligible for financial support in your province.
We accept all major credit cards for any aspect of your treatment not covered by insurance or other financial support
Treatment coverage varies greatly between different insurance plans.
The good news is that if you are covered, Felix can bill your insurer directly, and then process your treatment plan at no additional cost to you. We recommend that you upload your private and/or provincial benefit card during the online visit so that our pharmacy partner can apply any coverage you are eligible for before processing your treatment plan.
Insurance coverage for treatment plans through Felix doesn't include the cost of your visit.
A Felix online visit is considered asynchronous since it is conveniently completed through a secure chat bases system. Currently, asynchronous visits are not covered by insurance or provincial health plans so you will be charged a visit fee, depending on the category of treatment you are requesting.
Medication coverage varies greatly between different plans, provinces, and has specific criteria that determine eligibility. For private insurance, we recommend contacting your benefits administrator with your details and the Drug Identification Number (DIN) and the drug name to determine your coverage.
For more details on provincial health plan coverage see below:
Alberta: Learn more about AHCIP here. Search for covered drugs here.
British Columbia: Learn more about MSP here. Search for covered drugs here.
Manitoba: Learn more about MHSIP here. Search for covered drugs here.
Newfoundland and Labrador: Learn more about MCP here. Search for covered drugs here.
Nova Scotia: Learn more about MSI here. Search for covered drugs here.
Ontario: Learn more about OHIP+ here. Search for covered drugs here.
Prince Edward Island: Learn more about Health PEI here. Search for covered drugs here.
Saskatchewan: Learn more about Saskatchewan Health Coverage here. Search for covered drugs here.
OHIP+ covers some birth control for eligible residents of Ontario who are under 25 years old and do not have private insurance. You can check if your birth control medication is covered here. Make sure to upload your Ontario health card during your online visit so our pharmacy partners can apply your coverage directly.











