WARNING

TriNessa is a combination oral contraceptive, commonly known as a birth control pill, that contains ethinyl estradiol and norgestimate. While it is generally safe and effective for many women, like any medication, TriNessa 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 issues. Here are some potential risks associated with taking TriNessa:

• Blood Clots: There is a slightly increased risk of blood clots, which can lead to serious conditions such as deep vein thrombosis (DVT) or pulmonary embolism.
• Cardiovascular Issues: Some women may experience an increase in blood pressure or other cardiovascular issues.
• Cancer Risk: Long-term use of hormonal contraceptives like TriNessa may be associated with a slightly increased risk of certain cancers, such as breast and cervical cancer.
• Liver Problems: Rarely, birth control pills may cause liver problems, including liver tumors. Regular monitoring may be recommended.
• Migraines: Women with a history of migraines may experience an increase in the frequency or severity of migraines.
• Changes in Libido: Some women may experience changes in sexual desire while taking TriNessa.
• Weight Changes: While not a common side effect, some women may experience weight gain or weight loss.
• Mood Changes: Hormonal fluctuations can affect mood, and some women may experience mood swings, depression, or anxiety.
• Menstrual Irregularities: Although TriNessa is primarily used to regulate the menstrual cycle, some women may experience irregularities, such as breakthrough bleeding.
• Allergic Reactions: While rare, some individuals may be allergic to the components of TriNessa, leading to adverse reactions.

It’s crucial to discuss your medical history, including any pre-existing conditions or medications, with your healthcare provider before starting TriNessa. They can help assess whether TriNessa is a suitable contraceptive option for you based on your individual health profile and provide guidance on potential risks and benefits. Regular check-ups and open communication with your healthcare provider are essential while taking any hormonal contraceptive.

Why is this medication prescribed?

TriNessa is a prescription medication primarily prescribed as an oral contraceptive, commonly known as a birth control pill. It contains a combination of two hormones: ethinyl estradiol (an estrogen) and norgestimate (a progestin). The hormones work together to prevent pregnancy by inhibiting ovulation, thickening cervical mucus to impede sperm movement, and altering the lining of the uterus to prevent embryo implantation.

Prescription Uses of TriNessa:

• Contraception: TriNessa is primarily prescribed to prevent pregnancy by inhibiting ovulation and altering the uterine environment.
• Menstrual Cycle Regulation: It is often used to regulate menstrual cycles, reducing the severity of menstrual cramps and making periods more regular.
• Treatment of Acne: TriNessa is sometimes prescribed for the treatment of moderate acne in women who also desire contraception.

How should this medicine be used?

Here are the general guidelines on how TriNessa is typically used:

• Start Date: TriNessa is typically started on the first day of your menstrual period or on the first Sunday following the start of your period. Your healthcare provider will provide specific instructions based on your individual situation.
• Daily Administration: Take one tablet daily at the same time each day. It’s essential to establish a routine to help ensure consistent and effective use.
• 28-Day Cycle: TriNessa comes in a 28-day pack, with 21 active tablets containing hormones and 7 placebo or “reminder” tablets. Take one active tablet daily for 21 days, followed by one placebo tablet each day for the next 7 days.
• Menstrual Period: You will likely experience withdrawal bleeding during the week of placebo tablets, similar to a regular menstrual period. This is not a true menstrual period but rather a response to the hormonal changes.
• Missed Doses: If you miss a dose, follow the package instructions or consult your healthcare provider for guidance. Missing doses can reduce contraceptive efficacy, so it’s crucial to use additional contraceptive methods if you miss multiple doses.

Always follow your healthcare provider’s instructions and consult them if you have any questions or concerns. It’s important to attend regular check-ups to monitor your health and discuss any potential side effects or changes in your medical history.

Other uses for this medicine

TriNessa is primarily prescribed as an oral contraceptive, but it may also have other uses beyond contraception. Your healthcare provider may prescribe TriNessa for conditions such as:

• Menstrual Cycle Regulation: TriNessa is often used to regulate menstrual cycles, making them more predictable and reducing the severity of menstrual cramps.
• Acne Treatment: TriNessa may be prescribed to help treat moderate acne in women who also desire contraception. The hormonal components in the pill can have an effect on acne.

What special precautions should I follow?

Special Precautions for TriNessa:

• Medical History: Inform your healthcare provider about your complete medical history, including any existing health conditions, family medical history, and medications you are currently taking. Certain conditions may make the use of TriNessa less advisable.
• Smoking: Smoking increases the risk of serious cardiovascular side effects when combined with hormonal contraceptives like TriNessa. Women over 35 who smoke are generally advised not to use combination hormonal contraceptives.
• Blood Clot Risk: The use of combination oral contraceptives is associated with a small increase in the risk of blood clots. Inform your healthcare provider if you have a history of blood clots or other risk factors.
• High Blood Pressure: Regular monitoring of blood pressure is recommended while using TriNessa, as hormonal contraceptives may cause an increase in blood pressure.
• Liver Function: TriNessa can affect liver function, and it may not be suitable for women with certain liver conditions. Regular monitoring may be advised.
• Interactions with Other Medications: Some medications, including certain antibiotics and anticonvulsants, may interfere with the effectiveness of TriNessa. Inform your healthcare provider about all medications you are taking.
• Allergic Reactions: If you are allergic to any components of TriNessa, you should not use it.
• Pregnancy and Breastfeeding: TriNessa is not meant for use during pregnancy. If you become pregnant or plan to become pregnant, consult your healthcare provider. Additionally, breastfeeding women are generally advised to use alternative contraceptive methods, as the hormones in TriNessa can pass into breast milk.

Always follow your healthcare provider’s advice and attend regular check-ups to monitor your health while using TriNessa. If you experience any unusual or severe side effects, contact your healthcare provider promptly.

What special dietary instructions should I follow?

There are no specific dietary restrictions for TriNessa. However, taking the pill with food or at the same time each day can help improve absorption and reduce the likelihood of stomach upset. If you experience nausea while taking TriNessa, taking it with a meal or before bedtime may be helpful.

What should I do if I forget a dose?

If you miss a dose of TriNessa, follow these general guidelines:

• One Missed 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 your regular time.
• Two or More Missed Pills: Take the most recently missed pill as soon as you remember and discard any other missed pills. Use backup contraception (e.g., condoms) for the next 7 days, and continue taking the remaining pills at your regular time.
• Missed Placebo Pills: If you miss one or more placebo (inactive) pills, you can safely discard them. Begin the next pack as scheduled.

What side effects can this medication cause?

TriNessa, like any hormonal contraceptive, can potentially cause side effects. It’s important to note that not everyone will experience these side effects, and some individuals may tolerate the medication well. Common side effects may include:

• Nausea: Some women may experience nausea, especially when starting TriNessa. Taking the pill with food or before bedtime may help alleviate this symptom.
• Breast Tenderness: Hormonal fluctuations can lead to breast tenderness or swelling.
• Headache: Headaches are a reported side effect for some women using TriNessa.
• Weight Changes: While not universal, some individuals may experience weight gain or weight loss.
• Mood Changes: Hormonal contraceptives can impact mood, and some women may experience changes such as mood swings, depression, or anxiety.
• Breakthrough Bleeding: During the initial months of use, some women may experience breakthrough bleeding or spotting between periods.
• Changes in Libido: Some women may notice changes in sexual desire.
• Skin Changes: TriNessa may influence skin conditions, and for some women, it may contribute to improvements or exacerbations of acne.
• Menstrual Irregularities: While TriNessa is often used to regulate menstrual cycles, some women may experience irregularities initially.
• Vaginal Discharge: Changes in vaginal discharge may occur in some women.
• Eye Changes: Contact lens wearers may experience changes in tolerance or fit.

Serious side effects are rare but can include:

• Blood Clots: There is a slight increase in the risk of blood clots, which can lead to serious conditions like deep vein thrombosis or pulmonary embolism.
• Cardiovascular Issues: Some women may experience an increase in blood pressure or other cardiovascular issues.
• Liver Problems: In rare cases, hormonal contraceptives may affect liver function.
• Allergic Reactions: While uncommon, some individuals may be allergic to the components of TriNessa.

It’s crucial to promptly report any severe or persistent side effects to your healthcare provider. Additionally, if you have a history of certain medical conditions, such as blood clotting disorders or cardiovascular issues, or if you smoke, your healthcare provider may need to assess the risks and benefits of using TriNessa in your specific case. Regular check-ups with your healthcare provider can help monitor your health and address any concerns related to TriNessa use.

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

Storage and Disposal of TriNessa:

• Storage: Store TriNessa at room temperature, away from moisture and heat. Keep it in its original packaging, and protect it from direct sunlight. Do not store it in the bathroom.
• Disposal: Dispose of TriNessa properly. Do not flush unused or expired medications down the toilet. Follow any specific disposal instructions provided by your healthcare provider or local pharmacy. You may also inquire about available medication disposal programs in your community.

In case of emergency/overdose

In case of a suspected overdose or emergency, seek medical attention or contact a poison control center immediately. Symptoms of an overdose 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 while using TriNessa. These visits are essential for monitoring your health, discussing any side effects or concerns, and adjusting your treatment plan if necessary.
• Missed Doses: If you miss a dose, follow the instructions provided in the package or consult your healthcare provider. Use backup contraception if you’ve missed multiple doses.
• Medical Conditions: Inform your healthcare provider about any changes in your health, especially if you develop conditions like high blood pressure, diabetes, or migraines while using TriNessa.
• Other Medications: Inform your healthcare provider about all medications you are taking, including over-the-counter drugs, herbal supplements, and prescription medications, as some may interact with TriNessa.
• Pregnancy: If you suspect you may be pregnant or plan to become pregnant, consult your healthcare provider. Discontinue TriNessa if you become pregnant.
• Breastfeeding: If you are breastfeeding, discuss contraceptive options with your healthcare provider, as the hormones in TriNessa can pass into breast milk.
• Routine Exams: Regularly monitor your breasts and report any unusual changes to your healthcare provider. Additionally, have regular gynecological exams and screenings as recommended.
• Blood Clot Risk: Inform your healthcare provider if you have a history of blood clots or if you experience symptoms such as leg swelling, pain, or chest pain.

Always follow your healthcare provider’s advice and instructions for using TriNessa. If you have specific questions or concerns, consult with your healthcare provider for personalized guidance based on your individual health profile.