WARNING

Ortho Tri-Cyclen is a prescription medication that combines two hormones, estrogen and progestin, to prevent pregnancy. While it is generally considered safe and effective when used as directed, there are some risks associated with taking Ortho Tri-Cyclen. Here are some important points to be aware of:

• Blood Clots: Like other hormonal contraceptives, Ortho Tri-Cyclen may increase the risk of blood clots, which can lead to serious conditions such as deep vein thrombosis (DVT) or pulmonary embolism. This risk is higher in individuals who smoke, have a history of blood clots, or are overweight.
• Cardiovascular Issues: Hormonal contraceptives may slightly increase the risk of heart attacks, strokes, and high blood pressure. Women with pre-existing heart conditions or high blood pressure may be at a greater risk.
• Breast Cancer: Some studies have suggested a slightly increased risk of breast cancer in women using hormonal contraceptives. However, the overall risk is considered small, and the relationship between oral contraceptives and breast cancer is still not fully understood.
• Liver Issues: Rarely, Ortho Tri-Cyclen can cause liver problems, including liver tumors or jaundice. Seek medical attention if you experience symptoms like abdominal pain, yellowing of the skin/eyes, or dark urine.
• Other Side Effects: Common side effects of Ortho Tri-Cyclen may include nausea, headaches, breast tenderness, breakthrough bleeding, and mood changes. These usually improve over time but should be discussed with your healthcare provider if they persist or become bothersome.
• Interactions with Other Medications: Ortho Tri-Cyclen may interact with certain medications, such as antibiotics or anticonvulsants, potentially reducing its effectiveness. It’s important to inform your healthcare provider about all the medications you are taking to ensure proper contraceptive protection.

It’s crucial to consult with your healthcare provider or gynecologist before starting Ortho Tri-Cyclen or any other hormonal contraceptive. They can evaluate your medical history, discuss potential risks, and determine if it is a suitable option for you based on individual factors and health conditions.

Why is this medication prescribed?

Ortho Tri-Cyclen is primarily prescribed as a form of birth control to prevent pregnancy. It is an oral contraceptive that combines two hormones, estrogen and progestin, in a specific dosage regimen. The medication works by preventing ovulation (the release of an egg from the ovaries) and by altering the cervical mucus and uterine lining, making it more difficult for sperm to reach the uterus and for a fertilized egg to implant itself.

In addition to its contraceptive properties, Ortho Tri-Cyclen may also be prescribed to treat certain menstrual cycle irregularities and symptoms associated with premenstrual dysphoric disorder (PMDD). It can help regulate periods, reduce menstrual cramps, and decrease the severity of PMDD symptoms, such as mood swings, bloating, and breast tenderness.

How should this medicine be used?

Ortho Tri-Cyclen should be used as prescribed by your healthcare provider. It is typically supplied as a pack of 28 pills, with 21 active pills containing hormones and 7 reminder pills that do not contain any hormones.

Here are some general guidelines for using Ortho Tri-Cyclen:

• Start on Day 1: Take the first active pill on the first day of your menstrual period or as directed by your healthcare provider. This is known as the “Day 1 Start.” You can also begin taking the pills on the first Sunday after your period starts. Follow the instructions provided by your healthcare provider.
• Take Daily: Take one pill at the same time each day, preferably with a meal or at bedtime. It’s important to establish a routine and stick to it to ensure the medication’s effectiveness.
• Follow the Pill Sequence: The pack will be labeled with the days of the week or in a sequential order. Follow the direction of the arrows and take one pill each day until you finish the pack. Start the next pack immediately without a break, even if you are still menstruating.
• Reminder Pills: After you finish the active pills, you will start taking the 7 reminder pills. These pills are placebo pills and do not contain hormones. They help you maintain your pill-taking routine but do not provide contraceptive protection.
• Menstrual Period: You should experience withdrawal bleeding (similar to a period) during the week of taking the reminder pills. This bleeding is a result of the hormone-free interval and is expected. Begin a new pack after the 7-day interval, regardless of whether or not you have finished bleeding.

It’s important to read the patient information leaflet provided with your medication for specific instructions and consult your healthcare provider if you have any questions or concerns. They can provide personalized guidance on how to use Ortho Tri-Cyclen effectively and address any individual considerations or variations in the regimen.

Other uses for this medicine

Other Uses:

• Ortho Tri-Cyclen may also have other uses besides contraception.
• It can help regulate menstrual cycles, reduce the severity of menstrual cramps, and decrease the risk of ovarian cysts.
• In some cases, it may be prescribed for the treatment of acne. However, this should be done under the guidance of a healthcare professional.

What special precautions should I follow?

When taking Ortho Tri-Cyclen, there are several special precautions to keep in mind:

• Pregnancy: Ortho Tri-Cyclen is not intended for use during pregnancy. If you suspect you may be pregnant, discontinue the medication and consult your healthcare provider.
• Breastfeeding: The hormones in Ortho Tri-Cyclen can pass into breast milk, which may affect the nursing infant. It is recommended to discuss alternative contraceptive options with your healthcare provider if you are breastfeeding.
• Smoking: Smoking while taking hormonal contraceptives, including Ortho Tri-Cyclen, increases the risk of serious cardiovascular side effects, such as blood clots, heart attacks, and strokes. It is generally advised to avoid smoking while on hormonal contraceptives.
• Medical Conditions: Inform your healthcare provider about any existing medical conditions, including blood clotting disorders, high blood pressure, liver disease, diabetes, or a history of breast cancer. These conditions may affect the suitability or dosage of Ortho Tri-Cyclen.
• Medication Interactions: Certain medications, such as antibiotics, anticonvulsants, and antifungals, may interact with Ortho Tri-Cyclen and reduce its effectiveness. It’s important to inform your healthcare provider about all the medications you are taking to ensure appropriate contraceptive protection.

Always consult with your healthcare provider before starting Ortho Tri-Cyclen or any other medication to understand the specific precautions relevant to your individual health profile.

What special dietary instructions should I follow?

Ortho Tri-Cyclen does not typically require any special dietary instructions. However, it is generally recommended to take the medication with a meal or at bedtime to help minimize any potential stomach upset. Taking it consistently at the same time each day is more important than specific dietary instructions.

What should I do if I forget a dose?

If you forget to take a dose of Ortho Tri-Cyclen, follow these general guidelines:

• One Missed Active Pill: Take the missed pill as soon as you remember, even if it means taking two pills in one day. Then continue taking the remaining pills at the usual time. Additional backup contraception (such as condoms) may not be necessary.
• Two or More Missed Active Pills: Take the most recent missed pill as soon as you remember and the next pill at the regular time. Discard any other missed pills. Use backup contraception, such as condoms, for the next seven days. If unprotected intercourse occurred in the previous seven days, consider emergency contraception.
• Missed Reminder Pills: Since the reminder pills are placebo pills and do not contain hormones, missing them does not affect contraceptive protection. Simply discard the missed reminder pills and start the next pack as scheduled.

What side effects can this medication cause?

Ortho Tri-Cyclen, like other hormonal contraceptives, may cause certain side effects. It’s important to note that not everyone experiences these side effects, and some individuals may have different reactions. Common side effects of Ortho Tri-Cyclen may include:

• Nausea: Some individuals may experience mild nausea, especially when starting the medication. Taking the pill with food or at bedtime can help alleviate this symptom.
• Headaches: Headaches, including migraines, can occur as a side effect of Ortho Tri-Cyclen. If you experience severe or persistent headaches, it is advisable to consult your healthcare provider.
• Breast Tenderness: Breast tenderness or enlargement may occur in some individuals. This side effect is generally temporary and tends to improve over time.
• Breakthrough Bleeding: During the first few months of taking Ortho Tri-Cyclen, some individuals may experience breakthrough bleeding or spotting between periods. This is usually temporary and should resolve as your body adjusts to the medication.
• Mood Changes: Hormonal contraceptives can sometimes affect mood and emotions. Some individuals may experience mood swings, irritability, or changes in libido. If these changes are severe or significantly affect your daily life, it’s recommended to consult your healthcare provider.
• Other Possible Side Effects: Other less common side effects of Ortho Tri-Cyclen may include changes in weight, bloating, changes in appetite, changes in menstrual flow, vaginal discharge, and skin changes (such as acne improvement or worsening). If you have concerns about specific symptoms or side effects, it’s best to consult your healthcare provider for personalized guidance.

It’s important to remember that these side effects are typically mild and tend to improve with continued use. However, if you experience severe or persistent side effects or have concerns about any symptoms, it is advisable to seek medical attention and discuss them with your healthcare provider. They can evaluate your specific situation and determine the best course of action.

What should I know about storage and disposal of this medication?

Storage:

• Ortho Tri-Cyclen should be stored at room temperature (between 68°F to 77°F or 20°C to 25°C) in a dry place.
• Keep the medication away from moisture, direct sunlight, and heat.
• It is important to store Ortho Tri-Cyclen out of the reach of children and pets.

Disposal:

• Do not flush Ortho Tri-Cyclen down the toilet or drain unless instructed to do so.
• If you no longer need the medication or it has expired, consult your healthcare provider, pharmacist, or local waste disposal facility for guidance on how to properly dispose of it. They can provide specific instructions based on your location.

In case of emergency/overdose

• In case of an emergency or suspected overdose, call your local emergency services or go to the nearest emergency room immediately.
• It may be helpful to take the medication packaging or any remaining pills with you to provide important information to healthcare professionals.

What other information should I know?

• Ortho Tri-Cyclen does not protect against sexually transmitted infections (STIs). If STI protection is needed, it is advisable to use barrier methods such as condoms in addition to the contraceptive pill.
• Inform your healthcare provider about any other medications or supplements you are taking, as certain medications may interact with Ortho Tri-Cyclen and affect its effectiveness.
• Attend regular check-ups with your healthcare provider while taking Ortho Tri-Cyclen to monitor your health, address any concerns, and ensure the medication’s continued suitability for you.
• If you experience any unexpected or severe symptoms while taking Ortho Tri-Cyclen, seek medical advice promptly.

It’s essential to follow your healthcare provider’s instructions regarding the use, storage, and disposal of Ortho Tri-Cyclen to ensure its safe and effective use. If you have any specific questions or concerns, consult your healthcare provider or pharmacist for further guidance.