Drug Uses
Triphasil is an oral contraceptive used to prevent pregnancy, also to regulate your menstrual cycle. Some brands of birth control pills can be used for treating acne or as a pill for emergency contraception ("morning after"). Please consult your doctor or pharmacist. By using of this medication you or your partner are not protected against sexually transmitted diseases like HIV, gonorrhea etc.

How Taken
This medication is to be taken with food or immediately after a meal (to prevent stomach upset). If it is possible, try to take this medication at the same time each day, this makes easier for you to remember to take it. You should learn the proper use of your particular medication brand. Follow carefully your dosing schedule and always ask your doctor or pharmacist if you have any questions. During the first week of taking this medication you should use a supplemental form of birth control since it takes a while to be effective. If used as a "morning after" pill, please follow the directions from your doctor.

Warning
Chances of having heart problems increase if you smoke cigarettes while using this medication. Do not smoke while using this medication. The risk of heart problems is growing with frequent smoking (more than 15 cigarettes per day) and with age (in women greater than 35 years of age).

Precautions
This drug must not be used during pregnancy. Inform your doctor immediately if you become pregnant or think you may be pregnant. This medication passes into breast milk and may affect milk production (may have harmful effects on a nursing infant). Consult your doctor before breast-feeding. Before taking this medication, you should tell your doctor your entire medical history, including your family medical history, with special focus on: high blood pressure, asthma, stroke, kidney disease, liver heart disease, blood clots, heart attack, history of jaundice (yellowing skin/eyes) or high blood pressure during pregnancy, excessive weight gain or fluid retention during menstrual cycle, seizures, migraine headaches, breast cancer, high blood level of cholesterol or lipids (fats), diabetes, depression. This drug may cause a patchy, darkening of the skin on the face (melasma), depending on strength (higher strengths are more likely to cause melasma). This darkening could be intensified by sunlight, you may need to avoid prolonged sun exposure and sunlamps. Consult your doctor regarding use of sunscreens and protective clothing. After you stop taking birth control pills, it may take a long time for you to become pregnant. Consult your doctor. Do not smoke cigarettes. Birth-control pills slightly increase your risk of strokes, heart attacks, gallbladder disease, blood clots, high blood pressure, vision problems, and liver tumors. The risk of stroke, blood clots, high blood pressure and heart attacks further increases with cigarette smoking (especially 15 or more cigarettes daily) and age (women older than 35/smokers or 40/nonsmokers years of age). Ask your pharmacist or doctor for a copy of the patient labeling which explains these risks in more detail. If you have any questions please consult your doctor, including questions regarding possible use in nonsmokers over 40 years of age. You may develop vision problems if you are near-sighted or wear contact lenses and your tolerance of the lenses may decrease. Contact your eye doctor if these problems occur. Tell the doctor that you take birth control pills before having surgery, including dental surgery.

Interactions
Tell your doctor about all prescription and nonprescription drugs you are taking. Drugs such as Griseofulvin, many antibiotics (e.g., penicillins, macrolides, tetracyclines, sulfas, cephalosporins), chloramphenicol, many seizure medications (e.g., phenytoin, barbiturates, primidone, carbamazepine), dapsone, rifamycins (e.g., rifampin), modafinil, nevirapine, nelfinavir, ritonavir, St John's wort, troglitazone may decrease the effectiveness of the pill. Ask your doctor if you should use additional birth control methods while taking any of the drugs mentioned above while taking birth control pills. Also tell your doctor if you use: thyroid hormone drugs, certain benzodiazepines (e.g., diazepam, chlordiazepoxide), prednisone-like drugs, certain antidepressants (e.g., tricyclics), beta-blockers (e.g., metoprolol), "blood thinners" (anticoagulants such as warfarin), insulin. This product can affect the results of certain lab tests (e.g., thyroid). Inform all laboratory personnel that you use this drug. Birth control pills may significantly intensify the effects of alcohol. Consult your doctor or pharmacist about this. Do not start or stop any medicine without doctor or pharmacist approval.

Over Dose
Contact your local poison control center or emergency room immediately if you suspect an overdose. The symptoms of overdose could be nausea and vomiting. Females may experience vaginal bleeding.

Missed Dose
Missed dose advice depends on the brand used, the number of doses missed. Product package information should include advice on missed doses. Ask your doctor or pharmacist if you have any questions.

Possible Side Effects
This medication may cause headache, dizziness, lightheadedness, stomach upset, bloating, or nausea. Contact your doctor if these effects persist or worsen or if you experience: groin or calf pain, sudden severe headache, severe depression, 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
This medication should be stored 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.

Notes
You should keep all appointments with your doctor and the laboratory. At least once a year you should have a complete physical examination (blood pressure, breast and pelvic examinations, PAP test for vaginal cancer). Do not allow anyone else to take this medication. Follow your doctor's instructions for examining your own breasts, and report any lumps immediately. A manufacturer's fact sheet about this drug should be dispensed with each prescription. Read the information carefully. Ask your doctor or pharmacist any questions you may have.

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. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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Everyone I know is on the pill. Is it safe?
Today’s pills have lower doses of hormones than earlier birth control pills. This has greatly lowered the risk of side effects; however, there are both benefits and risks with taking birth control pills. Benefits include having more regular and lighter periods, fewer menstrual cramps; and a lower risk for ovarian and endometrial cancer, and pelvic inflammatory disease (PID). Serious side effects include an increased chance, for some women, of developing heart disease, high blood pressure, and blood clots. Minor side effects include nausea, headaches, sore breasts, weight gain, irregular bleeding and depression. Many of these side effects go away after taking the pill for a few months. Women who smoke, are over age 35, or have a history of blood clots or breast or endometrial cancer are more at risk for dangerous side effects and may not be able to take the pill. Talk with your doctor or nurse about whether the pill is right for you.

Will birth control pills protect me from HIV, the virus that causes AIDS, and other STDs?
Some people wrongly believe that if they take birth control pills, they are protecting themselves not only from getting pregnant but also from infection with HIV and other sexually transmitted diseases (STDs). Birth control pills or other types of birth control, such as intrauterine devices (IUDs), Depo-Provera, or tubal ligation will NOT protect you from HIV and other STDs.
The male latex condom is the only birth control method that is proven to help protect you from HIV and other STDs. If you are allergic to latex, there are condoms made of polyurethane that you can use. Condoms come lubricated (which can make sexual intercourse more comfortable and pleasurable) and non-lubricated (which can be used for oral sex).
It is important to only use latex or polyurethane condoms to protect against HIV and other STDs. "Natural” or “lambskin” condoms have tiny pores that may allow for the passage of viruses like HIV, hepatitis B and herpes. If you use non-lubricated condoms for vaginal or anal sex, you can add lubrication with water-based lubricants (like KY jelly) that you can buy at a drug store. Never use oil-based products, such as massage oils, baby oil, lotions, or petroleum jelly, to lubricate a condom. These will weaken the condom, causing it to tear or break.
It is very important to use a condom correctly and consistently – which means every time you have vaginal, oral, or anal sex. If you do not know how to use a condom, talk with your doctor or nurse. Don’t be embarrassed. Also, do not assume that your partner knows how to use a condom correctly. Many men have never had anyone show them how. The biggest reason condoms fail is due to incorrect use. Male condoms can only be used once. Research is being done to find out how effective the female condom is in preventing HIV and other STDs.

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