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Triphasil Prescription

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TRIPHASIL DESCRIPTION:
ORAL CONTRACEPTIVES

COMMON TRIPHASIL BRAND NAME(S)
Brevicon, Demulen, Lo/Ovral, Loestrin, Modicon, Nordette, Norinyl, Ortho-Novum, Ovcon, Ovral, Tri-Phasil

HOW TO USE TRIPHASIL:
Take Triphasil with food or immediately after a meal to prevent stomach upset. Try to take this medication at the same time each day. This may help you to remember to take it. Learn proper use of your particular brand of medication. Follow your dosing schedule carefully. Be sure to ask your doctor or pharmacist if you have any questions. Use a supplemental form of birth control during the first week of taking this medication since it takes a while to be effective. Follow the doctor's directions exactly if this drug is being used as a "morning after" pill.

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

TRIPHASIL DRUG INTERACTIONS:
Tell your doctor what prescription and nonprescription drugs you are taking. Drugs that may decrease the effectiveness of the pill include: 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. 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 TRIPHASIL-21. 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.

TRIPHASIL OVERDOSE:
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include nausea and vomiting. Females may experience vaginal bleeding.

MISSED TRIPHASIL DOSE:
Missed dose advice differs and depends on the brand used, and the number of doses missed. Refer to the product package information for advice on missed doses. Ask your doctor or pharmacist if you have any questions.

TRIPHASIL STORAGE:
Store 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.



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