Drug Uses
Triphasil is an oral
contraceptive (commonly known as
"the Pill") containing two
active ingredients (levonorgestrel
and ethinyloestradiol) that are
similar to hormones that your
body naturally produces.
Triphasil is used to prevent
pregnancy or to regulate your
menstrual cycle.
How
Taken
To achieve maximum
contraceptive effectiveness,
Triphasil-21 Tablets must be
taken exactly as directed and at
intervals not exceeding 24
hours. Triphasil-21 Tablets are
a three-phase preparation. The
dosage of Triphasil-21 Tablets
is one tablet daily for 21
consecutive days per menstrual
cycle in the following order: 6
brown tablets (phase 1),
followed by 5 white tablets
(phase 2), and then followed by
the last 10 light-yellow tablets
(phase 3), according to the
prescribed schedule. Tablets are
then discontinued for 7 days
(three weeks on, one week off).
It is recommended that
Triphasil-21 Tablets be taken at
the same time each day,
preferably after the evening
meal or at bedtime. During the
first cycle of medication, the
patient should be instructed to
take one Triphasil-21 Tablet
daily in the order of 6 brown, 5
white and, finally, 10
light-yellow tablets, for
twenty-one (21) consecutive
days, beginning on day one (1)
of her menstrual cycle.
Warnings/Precautions
Tell your doctor your entire
medical history, including
family medical history,
especially: asthma, high blood
pressure, kidney disease, liver
heart disease, stroke, history
of jaundice (yellowing
skin/eyes) or high blood
pressure during pregnancy,
excessive weight gain or fluid
retention during menstrual
cycle, blood clots, heart
attack, seizures, migraine
headaches, breast cancer, high
blood level of cholesterol or
lipids (fats), diabetes,
depression. Depending on
strength, this drug may cause a
patchy, darkening of the skin on
the face (melasma). Higher
strengths are more likely to
cause melasma. Sunlight may
intensify this darkening and you
may need to avoid prolonged sun
exposure and sunlamps. Consult
your doctor regarding use of
sunscreens and protective
clothing. It may take a long
time for you to become pregnant
after you stop taking birth
control pills. Consult your
doctor. Do not smoke cigarettes.
Birth-control pills slightly
increase your risk of strokes,
blood clots, high blood
pressure, heart attacks,
gallbladder disease, vision
problems, and liver tumors.
Cigarette smoking (especially 15
or more cigarettes daily) and
age (women older than 35/smokers
or 40/nonsmokers years of age)
further increase the risk of
stroke, blood clots, high blood
pressure and heart attacks. Ask
your pharmacist or doctor for a
copy of the patient labeling
which explains these risks in
more detail. Consult your doctor
for any questions, including
possible use in non-smokers over
40 years of age. If you are
near-sighted or wear contact
lenses, you may develop vision
problems. Also, your tolerance
of the lenses may decrease.
Contact your eye doctor if these
problems occur. Before having
surgery, including dental
surgery, tell the doctor that
you take birth control pills.
This drug must not be used
during pregnancy. If you become
pregnant or think you may be
pregnant, inform your doctor
immediately. Triphasil passes
into breast milk. This may
affect milk production and may
have harmful effects on a
nursing infant. Consult your
doctor before breast-feeding.
Missed Dose
The pill may not be as
effective if you miss brown,
white or light yellow "active"
pills, and particularly if you
miss the first few brown or the
last few light-yellow "active"
pills in a pack. If you MISS 1
brown, white or light-yellow
active pill: 1. Take it as soon
as you remember. Take the next
pill at your regular time. This
means you may take 2 pills in 1
day. 2. You do not need to use a
back-up birth-control method if
you have sex. 3. You MAY BECOME
PREGNANT if you have sex in the
7 days after you miss pills. You
MUST use another birth-control
method (such as condoms,
spermicide, or sponge) as a
back-up for those 7 days. If you
MISS 2 brown, white or
light-yellow active pills in a
row in THE 3rd WEEK: 1. If you
are a Day 1 Starter: THROW OUT
the rest of the pill pack and
start a new pack that same day.
If you are a Sunday Starter:
Keep taking 1 pill every day
until Sunday. On Sunday, THROW
OUT the rest of the pack and
start a new pack of pills that
same day. 2. You may not have
your period this month but this
is expected. However, if you
miss your period 2 months in a
row, call your doctor or clinic
because you might be pregnant.
3. You MAY BECOME PREGNANT if
you have sex in the 7 days after
you miss pills. You MUST use
another birth-control method
(such as condoms, spermicide, or
sponge) as a back-up for those 7
days. If you MISS 3 OR MORE
brown, white or light-yellow
active pills in a row (during
the first 3 weeks): 1. If you
are a Day 1 Starter: THROW OUT
the rest of the pill pack and
start a new pack that same day.
If you are a Sunday Starter:
Keep taking 1 pill every day
until Sunday. On Sunday, THROW
OUT the rest of the pack and
start a new pack of pills that
same day. 2. You may not have
your period this month but this
is expected. However, if you
miss your period 2 months in a
row, call your doctor or clinic
because you might be pregnant.
3. You MAY BECOME PREGNANT if
you have sex in the 7 days after
you miss pills. You MUST use
another birth-control method
(such as condoms, spermicide, or
sponge) as a back-up for those 7
days.
Possible Side Effects
Triphasil may cause
dizziness, headache,
lightheadedness, stomach upset,
bloating, or nausea. If these
effects persist or worsen,
contact your doctor. Notify your
doctor if you experience: severe
depression, groin or calf pain,
sudden severe headache, chest
pain, shortness of breath, lumps
in the breast, weakness or
tingling in the arms or legs,
yellowing of the eyes or skin.
If you notice other effects not
listed above, contact your
doctor or pharmacist.
Storage
Store at room temperature
between 59 and 86 degrees F
(between 15 and 30 degrees C)
away from moisture and sunlight.
Do not store in the bathroom.
Overdose
Serious ill effects have not
been reported following
ingestion of large doses of oral
contraceptives by young
children. Over dosage may cause
nausea and withdrawal bleeding
in females. In case of over
dosage, contact your health-care
provider or pharmacist.
More
Information
Your health-care provider
will take a medical and family
history before prescribing oral
contraceptives and will examine
you. The physical examination
may be delayed to another time
if you request it and the
health-care provider believes
that it is appropriate to
postpone it. You should be
re-examined at least once a
year. Be sure to inform your
health-care provider if there is
a family history of any of the
conditions listed previously in
this leaflet. Be sure to keep
all appointments with your
health-care provider, because
this is a time to determine if
there are early signs of side
effects of oral-contraceptive
use. Do not use the drug for any
condition other than the one for
which it was prescribed. This
drug has been prescribed
specifically for you; do not
give it to others who may want
birth-control pills.
Disclaimer
This drug information is for
your information purposes only,
it is not intended that this
information covers all uses,
directions, drug interactions,
precautions, or adverse effects
of your medication. This is only
general information, and should
not be relied on for any
purpose. It should not be
construed as containing specific
instructions for any particular
patient.
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disclaims all responsibility for
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this information, and/or any
consequences arising from the
use of this information,
including damage or adverse
consequences to persons or
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or consequences arise. No
warranty, either expressed or
implied, is made in regards to
this information.