Why is this dangerous?
Most oral contraceptives contain oestrogen and progestogen. A single tablet rarely causes more than mild vomiting, but larger amounts cause bone-marrow suppression — the body stops making enough platelets and white cells, which can lead to bleeding and infection weeks later.
Oestrogen exposure can also cause vulval swelling and, in female pets, signs of heat.
Why speed matters
Delaying care significantly worsens outcomes. Some signs appear hours or days later, so "looks fine right now" is not a reason to wait.
Signs to watch for
- Vomiting, diarrhoea, not eating
- Lethargy, depression
- Vulval swelling or discharge in females
- Pale gums, bruising or nosebleeds (delayed, weeks later)
- Signs of heat in an entire female pet
What to do right now
- Call your vet or a poison line and report how many tablets were in the pack and how many are missing.
- Bring the blister pack — doses vary from 20 µg to 50 µg of oestrogen.
- Ask about a blood count check 2–3 weeks later; marrow effects are delayed.
- Keep all hormone medication in a locked cabinet.
If your pet shows any of the signs above, go to the nearest emergency vet now and call ahead.
The step-by-step response, from the first minute to the vet visit, is in our Birth Control & Hormone Pills emergency guide.