
die Pille
the pill
A colloquial term for the birth control pill, a hormonal contraceptive for women.
Viele junge Frauen verhüten mit der Pille.
Many young women use the pill for contraception.
pill
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the pill
A colloquial term for the birth control pill, a hormonal contraceptive for women.
Viele junge Frauen verhüten mit der Pille.
Many young women use the pill for contraception.

pill
A small, solid piece of medication in a round or oval shape that is swallowed; a tablet.
Gegen meine Kopfschmerzen nehme ich eine Pille mit Wasser.
For my headache, I take a pill with water.

to swallow a bitter pill
A fixed expression meaning to have to accept an unpleasant or disappointing fact.
Die Kündigung war für ihn eine bittere Pille, die er erst einmal schlucken musste.
The dismissal was a bitter pill for him, and he first had to swallow it.
The article gives an important clue about the meaning. 'Die Pille' (the pill) with the definite article almost always means the birth control pill. 'Eine Pille' (a pill) with the indefinite article, on the other hand, refers to any tablet.
Ihre Ärztin hat ihr die Pille verschrieben.
Her doctor prescribed her the pill.
In connection with the birth control pill, the typical verbs are 'die Pille nehmen' (to take the pill regularly) and 'die Pille absetzen' (to stop taking the pill).
Sie hat vor einem Jahr die Pille abgesetzt.
She stopped taking the pill a year ago.
When talking about a general pill as medication, the purpose is often added with the preposition 'gegen' (against/for) and the accusative.
Ich brauche eine Pille gegen meine Allergie.
I need a pill for my allergy.
The expression 'eine bittere Pille schlucken' (to swallow a bitter pill) is a fixed idiom. It means that you have to accept very unpleasant news or a very unpleasant fact.
Die Niederlage war eine bittere Pille für die ganze Mannschaft.
The defeat was a bitter pill for the whole team.
tablet
Tablette is the neutral term for a compressed medication. Pille can also be a colloquial term for a small, solid medication, but it is often used specifically for the birth control pill. Tablette is appropriate for medications in general; Pille is usual for hormonal contraception.

Zur Verhütung nimmt Mia jeden Abend die Pille ein.
Mia takes the pill every evening for birth control.
Gegen ihre Kopfschmerzen nimmt Mia eine Tablette mit Wasser ein.
Mia takes a tablet with water for her headache.