WARNING

Trivora is a combination oral contraceptive pill that contains two hormones, ethinyl estradiol (an estrogen) and levonorgestrel (a progestin). While Trivora is generally considered safe and effective for preventing pregnancy when used as directed, like any medication, it comes with potential risks and side effects. It’s important to note that individual responses to medications can vary, and not everyone will experience these risks. Here are some common risks associated with Trivora:

• Blood Clot Formation: Birth control pills, including Trivora, may increase the risk of blood clot formation, which can lead to serious conditions such as deep vein thrombosis (DVT) or pulmonary embolism.
• Cardiovascular Risks: Women who smoke, especially those over the age of 35, and those with a history of cardiovascular disease may have an increased risk of cardiovascular events while using Trivora.
• High Blood Pressure: Trivora can cause an increase in blood pressure, and women with hypertension should be monitored closely.
• Liver Issues: Some women may experience liver-related problems while taking oral contraceptives, although this is rare.
• Migraines: Women who suffer from migraines with aura may be at a higher risk of stroke while using Trivora.
• Breast and Cervical Cancer: There may be a slightly increased risk of breast and cervical cancer associated with the use of hormonal contraceptives.
• Weight Gain and Mood Changes: Some women may experience changes in mood or notice weight gain while using Trivora.
• Decreased Libido: Some users may experience a decrease in sexual desire.

It’s crucial to discuss your medical history and any potential risk factors with your healthcare provider before starting Trivora or any other oral contraceptive. Additionally, regular check-ups with your healthcare provider are important to monitor for any adverse effects and ensure that the contraceptive method remains suitable for you. If you experience severe side effects or have concerns, consult your healthcare professional promptly.

Why is this medication prescribed?

Trivora is prescribed as an oral contraceptive, commonly known as a birth control pill. It is a combination pill containing two hormones: ethinyl estradiol (an estrogen) and levonorgestrel (a progestin). The combination of these hormones works to prevent pregnancy by inhibiting ovulation (the release of an egg from the ovaries), thickening cervical mucus to impede sperm movement, and altering the lining of the uterus to make it less receptive to a fertilized egg.

How should this medicine be used?

Here are general guidelines on how Trivora is typically used:

• Starting Trivora: Trivora is usually started on the first day of your menstrual period. If you start on any other day, you may need to use an additional form of contraception (such as condoms) for the first seven days of the first cycle.
• Daily Administration: Take one tablet daily at the same time each day, with or without food. Follow the direction of the arrows on the pack, taking the pills in the correct order.
• Missed Doses: If you miss a dose, take it as soon as you remember. If you miss more than one pill, follow the specific instructions provided by your healthcare provider or the package insert. Additional contraceptive methods (e.g., condoms) may be needed if you miss pills.
• Completion of the Pack: Continue taking one pill each day until you finish the pack, even if you do not have intercourse.
• Starting a New Pack: Begin a new pack the day after finishing the last pack, regardless of whether you have had your period.
• Regular Check-ups: Visit your healthcare provider regularly for check-ups and to discuss any concerns or side effects.

It’s crucial to use Trivora exactly as prescribed by your healthcare provider. Additionally, it’s important to discuss your medical history, current health status, and any medications you are taking with your healthcare provider before starting Trivora to ensure its suitability for you.

If you have specific questions about your prescription or how to use Trivora, consult your healthcare provider or pharmacist for personalized guidance.

Other uses for this medicine

Trivora is primarily prescribed as an oral contraceptive for preventing pregnancy. It is not typically used for other medical conditions. However, healthcare providers may sometimes prescribe oral contraceptives for other purposes, such as managing irregular menstrual cycles, reducing menstrual cramps, or treating acne.

What special precautions should I follow?

Special precautions should be taken when using Trivora, and it’s essential to follow your healthcare provider’s guidance. Here are some important precautions:

• Medical History: Inform your healthcare provider about your complete medical history, including any pre-existing conditions, allergies, or a family history of certain health issues.
• Current Medications: Provide a list of all medications, supplements, and herbal products you are currently taking, as some drugs may interact with Trivora.
• Pregnancy and Breastfeeding: Trivora is contraindicated during pregnancy. If you become pregnant while taking Trivora, stop using it and contact your healthcare provider. Avoid using Trivora while breastfeeding unless advised by your healthcare provider.
• Smoking: Smoking increases the risk of serious cardiovascular side effects when using hormonal contraceptives, especially in women over 35. Women who smoke are generally advised not to use Trivora.
• Blood Clot Risk: There is an increased risk of blood clots with hormonal contraceptives. This risk is higher in women with certain conditions or risk factors, such as a history of blood clots, smoking, or obesity.
• Monitoring and Check-ups: Regularly attend check-ups with your healthcare provider to monitor your overall health and discuss any potential side effects.
• Surgery and Immobilization: Inform healthcare professionals, including surgeons, that you are taking Trivora, especially before any surgeries or if you are immobilized for an extended period.
• Side Effects and Warning Signs: Be aware of potential side effects, and seek medical attention if you experience symptoms such as severe abdominal pain, chest pain, shortness of breath, severe headaches, or vision problems.
• Missed Doses: Follow your healthcare provider’s instructions for what to do if you miss a dose. Additional contraceptive methods may be required.

Always consult with your healthcare provider if you have any concerns or questions about Trivora, and do not self-adjust the dosage or discontinue use without professional guidance. The information provided here is a general overview, and individual circumstances may vary.

What special dietary instructions should I follow?

In case of a suspected overdose or emergency, contact your local poison control center (1-800-222-1222 in the United States) or seek emergency medical attention immediately. Overdose symptoms may include nausea, vomiting, and withdrawal bleeding in females.

What should I do if I forget a dose?

If you forget to take a Trivora pill:

• Missed One Pill: Take the missed pill as soon as you remember, even if it means taking two pills in one day. Continue taking the remaining pills at the usual time. Additional contraceptive methods may be necessary for the next seven days.
• Missed Two or More Pills: Follow the specific instructions provided by your healthcare provider or the package insert. Additional contraceptive methods may be necessary for the next seven days.
• If You Had Unprotected Sex: Consider emergency contraception if you had unprotected sex around the time of the missed pills.

What side effects can this medication cause?

Trivora, like other hormonal contraceptives, can cause side effects in some individuals. It’s important to note that not everyone will experience these side effects, and some women may tolerate Trivora well. Common side effects are often mild and may improve over time as your body adjusts to the medication. However, if you experience severe or persistent side effects, it’s crucial to contact your healthcare provider. Here are potential side effects associated with Trivora:

• Common Side Effects:
  • Nausea
  • Breast tenderness
  • Headache
  • Changes in mood
  • Breakthrough bleeding or spotting
  • Changes in libido (sex drive)
• Less Common Side Effects:
  • Weight gain or fluid retention
  • Elevated blood pressure
  • Skin changes, such as melasma or darkening of facial skin
  • Changes in vaginal discharge
  • Migraines
• Serious Side Effects:
  • Blood clots: Hormonal contraceptives, including Trivora, may increase the risk of blood clots, which can lead to serious conditions like deep vein thrombosis (DVT) or pulmonary embolism.
  • Cardiovascular issues: In rare cases, hormonal contraceptives may contribute to cardiovascular problems.
  • Liver problems: Although uncommon, some women may experience liver-related issues.
• Allergic Reactions: Serious allergic reactions to Trivora are rare but can occur. Seek immediate medical attention if you experience symptoms such as rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, or difficulty breathing.
• Eye Issues: Contact your healthcare provider if you experience changes in vision or other eye-related problems.

It’s essential to be aware of potential side effects and report any unusual symptoms to your healthcare provider. Additionally, discuss your medical history and any pre-existing conditions with your healthcare provider before starting Trivora to help identify potential risk factors.

Remember that this list is not exhaustive, and individual responses to medications can vary. Always follow your healthcare provider’s instructions and attend regular check-ups to monitor your health while using Trivora. If you have concerns or questions about side effects, consult your healthcare provider for personalized advice.

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

Here are important guidelines regarding the storage and disposal information for Trivora:

Storage of Trivora:

• Room Temperature: Store Trivora at room temperature between 68°F to 77°F (20°C to 25°C). Keep it away from moisture and light.
• Avoid Extreme Conditions: Do not store Trivora in the bathroom or in the freezer. Avoid exposing the medication to excessive heat or direct sunlight.
• Keep Out of Reach of Children: Store Trivora in a location where it is inaccessible to children and pets.

Disposal of Trivora:

• Do Not Flush: Do not flush unused or expired Trivora down the toilet or drain unless specifically instructed to do so.
• Consult Guidelines: Follow local guidelines for the proper disposal of medications. Some communities have specific programs or facilities for medication disposal.
• Check Expiry Dates: Dispose of expired or unused Trivora pills according to your healthcare provider’s recommendations.

In case of emergency/overdose

In case of a suspected overdose or emergency, contact your local poison control center (1-800-222-1222 in the United States) or seek emergency medical attention immediately. Overdose symptoms may include nausea, vomiting, and withdrawal bleeding in females.

What other information should I know?

• Regular Check-ups: Attend regular check-ups with your healthcare provider to monitor your health and discuss any concerns or side effects.
• Medical Alert: Wear or carry a medical alert card indicating that you are taking Trivora, especially when seeking emergency medical care.
• Interactions with Other Medications: Inform healthcare providers about all medications, including over-the-counter drugs and supplements, that you are taking.
• Missed Doses: Follow your healthcare provider’s instructions on what to do if you miss a dose of Trivora.
• Effectiveness: Trivora is most effective when taken consistently at the same time each day. Missing doses or not following the prescribed schedule can reduce its effectiveness in preventing pregnancy.
• Medical Conditions: Inform your healthcare provider about any changes in your health status, including the development of new medical conditions.

Always follow your healthcare provider’s advice and instructions regarding the use of Trivora. If you have questions or concerns, contact your healthcare provider or pharmacist for clarification and guidance.