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Usage:
Birth control pills contain a combination of hormones that is used to prevent ovulation (the release of an egg from an ovary). Triphasil contain a form of estrogen and a form of progesterone, which are both female hormones involved in conception. Birth control pills also have other effects that inhibit pregnancy. They cause the cervical mucous to thicken, which makes it harder for sperm to move toward the uterus, and they prevent the attachment of an egg to the uterus. Birth control pills are used to prevent pregnancy.

Directions:
Take your birth control pills exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you. Take the first pill in a package on the first Sunday after your period begins (unless otherwise directed by your doctor). Take one pill every day, no more than 24 hours after your last dose. Try to take Triphasil at a time that you will remember every day--for example just before bed, with a meal, or first thing in the morning. Taking your pill at night may help to reduce any nausea or headache that you may experience because of the hormones. If you are on a 28-day cycle, take one pill every day. When the pack runs out, throw it away. Begin a new pack the following day. The 28-day cycle contains seven pills that are either placebos (with no active ingredients) or iron supplements. These are "reminder" pills to keep you on your regular cycle. They are taken while you are menstruating. If you are on a 21-day cycle, take one pill every day for 21 days, then do not take any pills for 7 days. You should have your period during the 7 days with no pills. Resume your pills on the 8th day with a new package. Follow your doctor's instructions about using a second form of birth control when you first start taking birth control pills, when you are taking antibiotics, or if you miss a pill. If you are unsure what to do in any of these cases, talk to your pharmacist, nurse, or doctor about how to ensure that you will not become pregnant.

Side Effects:
If you experience any of the following serious side effects, stop taking your birth control pills and seek emergency medical attention: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); a blood clot in the lung (shortness of breath or pain in the chest); a blood clot in an arm or leg (pain, redness, swelling, or numbness of an arm or leg); high blood pressure (severe headache, flushing, blurred vision); or liver damage (yellowing of the skin or eyes, nausea, abdominal pain or discomfort, unusual bleeding or bruising, severe fatigue). Other, less serious side effects may be more likely to occur. Continue to take your birth control pills and talk to your doctor if you experience headache or dizziness; nausea, vomiting, or diarrhea; breakthrough bleeding; or breast tenderness. These side effects may disappear or be less noticeable after 3 to 6 months of birth control use. Ask your doctor or pharmacist for advice if you find any side effect very bothersome. The side effects listed below generally occur very rarely and are not considered serious. If you experience any of the following, talk to your doctor: depression, changes in weight or appetite, vaginal yeast infection, changes in your menstrual cycle, oily skin or acné, changes in your sex drive, lethargy or fatigue, bloating, changes in your skin color, or changes in your blood sugar. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

Precautions:
Avoid smoking. Smoking greatly increases your risk of a heart attack, stroke, or blood clot formation. Birth control pills do not protect you from sexually transmitted diseases--including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases.

Interactions:
Some drugs may decrease the effectiveness of birth control pills, which may result in pregnancy. Use a second form of birth control if you are taking a penicillin antibiotic such as amoxicillin (Amoxil, Polymox, Trimox, Wymox, Utimox, A-Cillin, Larotid, Augmentin, others), ampicillin (Principen, Omnipen, Penamp, Polycillin, Amplin, Amcill, Totacillin, others), bacampicillin (Spectrobid), carbenicillin (Geocillin), cloxacillin (Cloxapen, Tegopen), dicloxacillin (Dynapen, Dycill, Pathocil), nafcillin (Nafcil, Nallpen, Unipen), oxacillin (Bactocill, Prostphlin), or penicillin (Veetids, Pen Vee K, Bicillin, Permapen, others); a tetracycline antibiotic such as demeclocycline (Declomycin), doxycycline (Doryx, Doxy, Vibramycin, Vibra-Tabs, others), minocycline (Minocin), or tetracycline (Sumycin, Teracyn, Achromycin, Robitet, Panmycin, others); a barbiturate such as amobarbital (Amytal), butabarbital (Butisol), mephobarbital (Mebaral), secobarbital (Seconal), or phenobarbital (Luminal, Solfoton); rifampin (Rifadin); phenytoin (Dilantin); carbamazepine (Tegretol); or griseofulvin (Grisactin, Grifulvin V, Fulvicin PG). Drugs other than those listed here may also interact with birth control pills. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

If you take too much:
Death is not likely to occur from an overdose of birth control pills. Consult a doctor, an emergency room, or a poison control left for advice. Symptoms of an overdose include nausea, vomiting, and menstrual bleeding.

Missed Dose:
Missing a pill increases the risk of becoming pregnant. Follow the exact directions on your package information insert concerning missed doses. If you do not have a package information insert, call your pharmacist, doctor, or nurse to find out what to do.

Storage:
Store birth control pills at room temperature away from moisture and heat.


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