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    Tri-previfem

    Generic Name: Ethinyl Estradiol and Norgestimate (ETH in il es tra DYE ole & nor JES ti mate)
    Brand Name: Estarylla, Femynor, Mili, Mono-Linyah, MonoNessa, ...show all 25 brand names.
    Easy-to-read patient leaflet for Tri-Previfem. Includes indications, proper use, special instructions, precautions, and possible side effects.

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    Drug Information:
    This is not a list of all drugs or health problems that interact with Tri-Previfem (ethinyl Estradiol and norgeStimate). Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Tri-Previfem (ethinyl Estradiol and norgeStimate) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor. Use Tri-Previfem (ethinyl Estradiol and norgeStimate) as ordered by your doctor. Read all information given to you. Follow all instructions closely. Learn more

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    Tri-Previfem

    Generic Name: Ethinyl Estradiol and Norgestimate (ETH in il es tra DYE ole & nor JES ti mate)
    Brand Name: Estarylla, Femynor, Mili, Mono-Linyah, MonoNessa, ...show all 25 brand names.
    Uses of Tri-Previfem:
    • It is used to prevent pregnancy.
    • It is used to treat pimples (acne).
    • It may be given to you for other reasons. Talk with the doctor.

    What do I need to tell my doctor BEFORE I take Tri-Previfem?

    • If you have an allergy to ethinyl estradiol, norgestimate, or any other part of Tri-Previfem (ethinyl estradiol and norgestimate).
    • If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
    • If you have had any of these health problems: Blood clots, blood clotting problem, breast cancer or other cancer where hormones make it grow, diseased blood vessels in the brain or heart, disease of a heart valve with problems, heart disease, chest pain caused by angina, heart attack, stroke, high blood pressure, liver disease, liver tumor, very bad headache or migraine, or diabetes that affects blood flow.
    • If you have had any of these health problems: Endometrial cancer, cancer of the cervix or vagina, or vaginal bleeding where the cause is not known.
    • If you turned yellow during pregnancy or with estrogen-based or hormone contraceptive use.
    • If you are pregnant or may be pregnant. Do not take Tri-Previfem (ethinyl estradiol and norgestimate) if you are pregnant.
    • If you are breast-feeding or plan to breast-feed.
    • If you are taking ombitasvir, paritaprevir, and ritonavir (with or without dasabuvir).

    This is not a list of all drugs or health problems that interact with Tri-Previfem (ethinyl estradiol and norgestimate).

    Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Tri-Previfem (ethinyl estradiol and norgestimate) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

    What are some things I need to know or do while I take Tri-Previfem?

    • Tell all of your health care providers that you take Tri-Previfem (ethinyl estradiol and norgestimate). This includes your doctors, nurses, pharmacists, and dentists. This medicine may need to be stopped before certain types of surgery as your doctor has told you. If Tri-Previfem (ethinyl estradiol and norgestimate) is stopped, your doctor will tell you when to start taking Tri-Previfem (ethinyl estradiol and norgestimate) again after your surgery or procedure.
    • This medicine may raise the chance of blood clots, a stroke, or a heart attack. Talk with the doctor.
    • Talk with your doctor if you will need to be still for long periods of time like long trips, bedrest after surgery, or illness. Not moving for long periods may raise your chance of blood clots.
    • If you have high blood sugar (diabetes), talk with your doctor. This medicine may raise blood sugar.
    • Check your blood sugar as you have been told by your doctor.
    • High blood pressure has happened with drugs like this one. Have your blood pressure checked as you have been told by your doctor.
    • Have blood work checked as you have been told by the doctor. Talk with the doctor.
    • This medicine may cause high cholesterol and triglyceride levels. Talk with the doctor.
    • Be sure to have regular breast exams and gynecology check-ups. You will also need to do breast self-exams as you have been told.
    • If you drink grapefruit juice or eat grapefruit often, talk with your doctor.
    • This medicine may affect certain lab tests. Tell all of your health care providers and lab workers that you take Tri-Previfem (ethinyl estradiol and norgestimate).
    • Certain drugs, herbal products, or health problems could cause Tri-Previfem (ethinyl estradiol and norgestimate) to not work as well. Be sure your doctor knows about all of your drugs and health problems.
    • This medicine does not stop the spread of diseases like HIV or hepatitis that are passed through having sex. Do not have any kind of sex without using a latex or polyurethane condom. If you have questions, talk with your doctor.
    • Do not use in children who have not had their first menstrual period.
    • If you have any signs of pregnancy or if you have a positive pregnancy test, call your doctor right away.

    How is this medicine (Tri-Previfem) best taken?

    Use Tri-Previfem (ethinyl estradiol and norgestimate) as ordered by your doctor. Read all information given to you. Follow all instructions closely.

    • Take Tri-Previfem (ethinyl estradiol and norgestimate) at the same time of day.
    • Take with or without food. Take with food if it causes an upset stomach.
    • After starting Tri-Previfem (ethinyl estradiol and norgestimate), you may need to use a non-hormone type of birth control like condoms to prevent pregnancy for some time. Follow what your doctor has told you to do about using a non-hormone type of birth control.
    • If you also take colesevelam, take it at least 4 hours after you take Tri-Previfem (ethinyl estradiol and norgestimate).
    • Do not skip doses, even if you do not have sex very often.
    • If you throw up or have diarrhea, Tri-Previfem (ethinyl estradiol and norgestimate) may not work as well to prevent pregnancy. Use an extra form of birth control, like condoms, until you check with your doctor.
    • If you miss 2 periods in a row, take a pregnancy test before starting a new cycle.

    What do I do if I miss a dose?

    • If a dose is missed, check the package insert or call the doctor to find out what to do. If using Tri-Previfem (ethinyl estradiol and norgestimate) to prevent pregnancy, another form of birth control may need to be used for some time to prevent pregnancy.

    What are some side effects that I need to call my doctor about right away?

    WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

    • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
    • Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
    • Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight.
    • Signs of gallbladder problems like pain in the upper right belly area, right shoulder area, or between the shoulder blades; yellow skin or eyes; fever with chills; bloating; or very upset stomach or throwing up.
    • Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight.
    • Depression or other mood changes.
    • Feeling very tired or weak.
    • Swelling.
    • Not able to pass urine or change in how much urine is passed.
    • A lump in the breast, breast pain or soreness, or nipple discharge.
    • Vaginal itching or discharge.
    • Eyesight changes or loss, bulging eyes, or change in how contact lenses feel.
    • Call your doctor right away if you have signs of a blood clot like chest pain or pressure; coughing up blood; shortness of breath; swelling, warmth, numbness, change of color, or pain in a leg or arm; or trouble speaking or swallowing.

    What are some other side effects of Tri-Previfem?

    All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

    • Weight gain.
    • Headache.
    • Upset stomach or throwing up.
    • Gas.
    • Feeling nervous and excitable.
    • Stomach pain.
    • Bloating.
    • Feeling tired or weak.
    • Enlarged breasts.
    • Tender breasts.
    • Period (menstrual) changes. These include spotting or bleeding between cycles.
    • This medicine may cause dark patches of skin on your face. Avoid sun, sunlamps, and tanning beds. Use sunscreen and wear clothing and eyewear that protects you from the sun.

    These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

    You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

    If OVERDOSE is suspected:

    If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

    How do I store and/or throw out Tri-Previfem?

    • Store at room temperature.
    • Protect from light.
    • Store in a dry place. Do not store in a bathroom.
    • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
    • Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

    Consumer information use

    • If your symptoms or health problems do not get better or if they become worse, call your doctor.
    • Do not share your drugs with others and do not take anyone else's drugs.
    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
    • Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about Tri-Previfem (ethinyl estradiol and norgestimate), please talk with your doctor, nurse, pharmacist, or other health care provider.
    • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

    Further information

    Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

    Medical Disclaimer

    More about Tri-Previfem (ethinyl estradiol / norgestimate)

    • Side Effects
    • During Pregnancy
    • Dosage Information
    • Drug Images
    • Drug Interactions
    • Support Group
    • Pricing & Coupons
    • 192 Reviews
    • Drug class: contraceptives
    • FDA Alerts (2)

    Consumer resources

    Other brands: Sprintec, Ortho Tri-Cyclen, Tri-Sprintec, Estarylla, ... +19 more

    Professional resources

    Other Formulations

    • Previfem

    Related treatment guides

    • Abnormal Uterine Bleeding
    • Acne
    • Birth Control
    • Endometriosis
    • Gonadotropin Inhibition
    • Ovarian Cysts

    Editorial References and Review

    Medically reviewed by USARx EDITORIAL TEAM Last updated on 1/1/2020.

    Source: Drugs.com Tri-previfem (www.drugs.com/cdi/tri-previfem.html).

    Tri-previfem Side Effects

    Tri-Previfem Side Effects

    Note: This document contains side effect information about ethinyl estradiol / norgestimate. Some of the dosage forms listed on this page may not apply to the brand name Tri-Previfem.

    For the Consumer

    Applies to ethinyl estradiol / norgestimate: oral tablet

    Warning

    Oral route (Tablet)

    Cigarette smoking increases the risk of serious cardiovascular side effects from combination oral contraceptive use. This risk increases with age and the number of cigarettes smoked and is quite marked in women over 35 years of age. Use of combination oral contraceptives is contraindicated in women over the age of 35 who smoke

    Along with its needed effects, ethinyl estradiol / norgestimate may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

    Check with your doctor immediately if any of the following side effects occur while taking ethinyl estradiol / norgestimate:

    Incidence not known

    • Absent, missed, or irregular menstrual periods
    • anxiety
    • change in vision
    • changes in skin color
    • chest pain or discomfort
    • chills
    • clay-colored stools
    • constipation
    • cough
    • dark urine
    • diarrhea
    • dizziness or lightheadedness
    • fainting
    • fever
    • headache
    • hives or welts
    • itching skin
    • large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
    • loss of appetite
    • medium to heavy, irregular vaginal bleeding between regular monthly periods, which may require the use of a pad or a tampon
    • nausea
    • pain or discomfort in the arms, jaw, back, or neck
    • pain, tenderness, or swelling of the foot or leg
    • pains in the chest, groin, or legs, especially in the calves of the legs
    • pounding in the ears
    • rash
    • redness of the skin
    • severe headaches of sudden onset
    • slow or fast heartbeat
    • stomach pain
    • sudden loss of coordination or slurred speech
    • sudden troubled breathing
    • sweating
    • unusual tiredness or weakness
    • vomiting
    • vomiting of blood

    Some side effects of ethinyl estradiol / norgestimate may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

    Incidence not known

    • Bloating
    • blotchy spots on the exposed skin
    • breast enlargement or tenderness
    • discouragement
    • feeling sad or empty
    • irritability
    • itching of the vagina or outside the genitals
    • loss of interest or pleasure
    • pain during sexual intercourse
    • stomach cramps
    • thick, white curd-like vaginal discharge without odor or with mild odor
    • tiredness
    • trouble concentrating
    • trouble sleeping
    • trouble wearing contact lenses

    For Healthcare Professionals

    Applies to ethinyl estradiol / norgestimate: oral tablet

    General

    The most frequently reported side effects were headache/migraine, nausea/vomiting, gastrointestinal disorder, diarrhea, abdominal/gastrointestinal pain, vaginal infection, genital discharge, breast issues (including breast pain, discharge, and enlargement), dysmenorrhea, metrorrhagia, abnormal withdrawal bleeding, mood disorders (including depression and mood altered), flatulence, nervousness, rash, and changes in weight (including weight increased or decreased).

    Genitourinary

    Very common (10% or more): Breast issues (10.3%), dysmenorrhea, metrorrhagia, abnormal withdrawal bleeding

    Common (1% to 10%): Vaginal infection, genital discharge, breast tenderness, breast pain, breast enlargement, breast swelling, breast discharge, breast discomfort, nipple pain, menstrual discomfort, menstrual disorder, vulvovaginal infection, urinary tract infection, amenorrhea, premenstrual syndrome

    Uncommon (0.1% to 1%): Ovarian cyst, vulvovaginal dryness

    Rare (less than 0.1%): Vaginal discharge

    Frequency not reported: Suppressed lactation

    Some women experience oligomenorrhea and amenorrhea following termination or oral contraceptive use.

    Gastrointestinal

    Very common (10% or more): Nausea/vomiting (16.3%), gastrointestinal disorder, diarrhea

    Common (1% to 10%): Abdominal/gastrointestinal pain, flatulence, abdominal distention, constipation

    Rare (less than 0.1%): Pancreatitis

    Nervous system

    Very common (10% or more): Headache/migraine (up to 33.6%)

    Common (1% to 10%): Dizziness

    Uncommon (0.1% to 1%): Syncope, paresthesia

    Frequency not reported: Convulsion, cerebrovascular accident

    Cardiovascular

    Uncommon (0.1% to 1%): Palpitation, thrombosis, hypertension, hot flush

    Rare (less than 0.1%): Tachycardia, arterial thromboembolism

    Frequency not reported: Myocardial infarction, venous thromboembolic event, deep vein thrombosis

    Respiratory

    Uncommon (0.1% to 1%): Dyspnea

    Frequency not reported: Pulmonary embolism

    Dermatologic

    Common (1% to 10%): Rash, acne

    Uncommon (0.1% to 1%): Alopecia, hirsutism, urticaria, pruritus, erythema, skin discoloration

    Rare (less than 0.1%): Hyperhidrosis, photosensitivity reaction

    Frequency not reported: Angioedema, erythema nodosum, night sweats

    Metabolic

    Common (1% to 10%): Weight fluctuation, fluid retention

    Rare (less than 0.1%): Appetite disorder

    Frequency not reported: Dyslipidemia

    Musculoskeletal

    Common (1% to 10%): Muscle spasms, pain in extremity, back pain

    Uncommon (0.1% to 1%): Myalgia

    Oncologic

    Uncommon (0.1% to 1%): Cervical dysplasia

    Rare (less than 0.1%): Breast cyst

    Frequency not reported: Breast cancer, carcinoma of the cervix in situ, hepatic adenoma, breast cancer, benign breast neoplasm, focal nodular hyperplasia, fibroadenoma of breast

    Hepatic

    Rare (less than 0.1%): Hepatitis

    Psychiatric

    Common (1% to 10%): Depression, mood altered, mood disorder, nervousness, insomnia

    Uncommon (0.1% to 1%): Anxiety, libido disorder

    Frequency not reported: Irritability, mood swing

    Immunologic

    Common (1% to 10%): Hypersensitivity

    Other

    Common (1% to 10%): Weight increased, weight decreased, fatigue, chest pain, asthenic conditions, edema

    Ocular

    Uncommon (0.1% to 1%): Vision impaired, dry eye

    Frequency not reported: Contact lens intolerance, retinal vascular thrombosis

    Editorial References and Review

    Medically reviewed by USARx EDITORIAL TEAM Last updated on 1/1/2020.

    Source: Drugs.com Tri-previfem (www.drugs.com/cdi/tri-previfem.html).

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