Alysena Birth Control Pills
Alysena-28, Alysena-21

How to get Alysena online in Canada

With Felix, you can get Alysena prescribed by a licensed healthcare practitioner and delivered to your door for free.

At a glance
Ethinyl Estradiol/Levonorgestrel
20/100 mcg; 21 or 28 tablets
Why Felix
Prescribed by a Canadian healthcare professional
Support and resources along your journey
Free and fast shipping to your door
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What is

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.

How does

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.

What is
used to treat?

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.

How do you take

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.

How long does
last after you take it?

What are the common side effects of

The most common side effects of taking online Alysena prescriptions include:

Increased duration of menstrual flow (metrorrhagia)

  • Sinusitis
  • Flu syndrome
  • Yeast infection (vaginal moniliasis)
  • Indigestion
  • Weight gain
  • Migraines
  • Bronchitis
  • Rash
  • General aches and pains
  • Back pain
  • Breast pain
  • Myalgia
  • Accidental injury
  • Acne
  • Rhinitis
  • Mood swings (emotional lability)
  • Vaginitis - Pharyngitis
  • Urinary tract infection
  • Dizziness
  • Rhinitis
  • Dysmenorrhea
  • Diarrhea
  • Bronchitis
  • Depression
  • Infection
  • Lack of energy and strength (asthenia)
  • Vomiting
  • Absence of menstruation (amenorrhea)

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.

Who shouldn't take

There are a number of people that should avoid taking Alysena, such as:

  • Post-menopausal woman (over 65)
  • Women under the age of 14 or who have not yet had their first period
  • Women who are taking other forms of oral or injectable contraceptives
  • Women who have been shown to have negative reactions when taking Alysena
  • Women with specific conditions that are contraindicated, such as circulatory disorders, breast cancer, liver cancer, or gallbladder cancer.

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.

What happens if
is taken regularly by men?

02387875, 02387883

We’d love to tell you more

Health Canada regulations require us to confirm your patient status to access further information on Alysena.
The drug identification number (DIN) is easy to find. It’ll be printed on your Alysena packaging and the receipt from your pharmacist.

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How Felix works

Step 1

Tell us about your health

Answer a few simple questions about your health.

Step 2

Receive a treatment plan

Your healthcare practitioner will build a personalized plan just for you.

Step 3

Get your medication

We’ll deliver your medication directly to your home for free in discreet packaging.

Trusted by over 1 million Canadians

Very easy and professional experience. Quick response from the doctor and easy ordering, billing and shipped and delivered on time. Hassle free.
Great service and products. Everything always arrived in a timely manner.
Simple, respectful, professional with good follow up and guidance, and fast service and delivery.
Best place to get birth control. No more annoying doctor visits
Within an hour . . . a doctor contacted me to make sure that particular medication was what I wanted. Doctor was friendly and knowledgeable. Within minutes . . . being confirmed my order was put through and I received my medication after 2 days.
Great service! I really appreciate being able to put my auto-refill on pause.
Easy and simple.
The best service!!! So happy I never have to try and get myself to the pharmacy anymore. This is the future!!!
The whole process of signing up with Felix, the online visit, and getting my prescription in the mail was very easy and very convenient.
Super convenient, and amazing customer service! The team always responds +++ fast and answers every question and concern. Very pleased with Felix!
Discreet, quick, very professional, and feels totally safe. This is such a convenient service and I'm a huge fan already.
Sign up was a breeze, and items shipped faster than expected. A positive, painless experience from start to finish!
Felix gets you into contact with doctors discreetly online to address personal matters that you'd rather not go to a doctor in person to see, you get the prescription best suited to your needs, and they'll deliver it to your local pharmacy or even your house!
Very quick and easy to do. Can ask the doctor any questions about the medication.
The process was a whole lot easier and faster than I imagined. And the doctor was absolutely helpful and answered relatively fast. I highly recommend Felix.
Super convenient and affordable! Much easier than having to book a doctors appointment and wait to get a prescription filled.

Other medications



  • Ethinyl Estradiol/Levonorgestrel
  • 21: 20/100mcg tablets; 28: 20/100mcg tablets


  • Cyproterone Acetate\Ethinyl Estradol
  • 2\0.035mg tablets; packs of 21


  • Desogestrel/Ethinyl Estradiol
  • 0.15/0.03mg tablets; packs of 21 and 28

Frequently asked questions


What alternatives are there to Alysena?

There are many different options. You can learn more about deciding which option is right for you here.

Where can I get an Alysena prescription online?

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.

Do I need an appointment to get an Alysena prescription in Canada?

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.

How do I get an Alysena prescription?

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.

Is Alysena available over-the-counter?

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.

Can I buy Alysena online?

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.

‍Is Alysena covered by insurance?

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 101

What is Felix?

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.

Who can use Felix?

Anyone who is 18 years or older 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 treaments outside of these provinces at this time.

Does Felix replace my doctor?

No. Felix provides a faster, hassle-free way for you to get a prescription to certain medications but our service does not replace your primary care provider. For matters that extend beyond obtaining a prescription lifestyle medication 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 the medications you are currently using.

Can I be accurately assessed remotely?

Absolutely. Our online assessments have been designed to ask all the necessary questions required for diagnosis. We've worked with specialist 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.

It's an emergency. What do I do?

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.

Online Visits

How does this visit work?

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.

Do I need to complete my online visit at a scheduled 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.

Does the online visit require a phone or video appointment?

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.

How quickly will a healthcare practitioner review my online visit?

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 email and we’ll look into it.

Can I just get the treatment and skip the online visit?

No. A visit with a licensed healthcare practitioner is required for all treatments currently provided through Felix’s service.

Please email our Customer Support team at and they will be able to assist you with the transfer.

Privacy and Security

Is my information private and secure?

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.

Is this legal?

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.

Is this safe?

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 experts on our medical team. Finally, all Felix Pharmacies are provincially accredited just like any retail pharmacy.

How is my privacy protected?

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. 


How long will it take to get my treatment?

Not long. After completing your assessment, a practitioner will generally respond within 24 hours, and often much sooner.

Treatment plans will be processed within 2-3 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.

Is your packaging discreet?

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.

Do I have to be home to receive my package?

A signature upon delivery may be required.

How much does it cost to ship my treatment?

There is currently no cost to have your treatment shipped to you from our Felix Pharmacy network.

What courier do you use for shipping?

Our pharmacy partners use Canada Post and/or Purolator for shipping.

Pricing and Payment

How much is the online visit?

Felix charges a fee for the online visit, but only if and when you are approved by the healthcare practitioner. 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.

How much will my treatment cost?

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 charged once approved. 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.

What payment methods do you accept?

We accept all major credit cards for any aspect of your treatment not covered by insurance or other financial support

When am I charged?

You will be charged for the online visit as soon as it is approved by the healthcare practitioner. From there, and after your prescription is activated by the pharmacy, you will be charged the medication cost for each shipment based on your chosen refill schedule. If you have provided insurance or benefits coverage details, it will be applied according to your plan.


Am I covered by my insurance?

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.

Is the online visit covered by my insurance or provincial health plans?

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.

Is the medication covered by my insurance or provincial health plans?

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.

Is birth control covered by OHIP in Ontario?

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.

Have more questions? We’ve got answers.
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