Liver Tumors Tri-Sprintec is contraindicated in women with benign and malignant liver tumors [see Contraindications 4 ]. Amenorrhea and Oligomenorrhea Women who use Tri-Sprintec may experience amenorrhea. There is substantial evidence that COCs do not increase the incidence of breast cancer.
Although some past studies have suggested that COCs might increase the incidence of breast cancer, more recent studies have not confirmed such findings. Some studies suggest that COC use has been associated with an increase in the risk of cervical cancer or intraepithelial neoplasia. However, there continues to be controversy about the extent to which such findings may be due to differences in sexual behavior and other factors.
The following serious adverse reactions with the use of COCs are discussed elsewhere in labeling: Serious cardiovascular events and stroke [see Boxed Warning and Warnings and Precautions 5. No drug-drug interaction studies were conducted with Tri-Sprintec. COCs have been shown to decrease plasma concentrations of acetaminophen, clofibric acid, morphine, salicylic acid, temazepam and lamotrigine.
Significant decrease in plasma concentration of lamotrigine has been shown, likely due to induction of lamotrigine glucuronidation. This may reduce seizure control; therefore, dosage adjustments of lamotrigine may be necessary. Women on thyroid hormone replacement therapy may need increased doses of thyroid hormone because the serum concentration of thyroid-binding globulin increases with use of COCs. The structural formulas are as follows:. Other possible mechanisms may include cervical mucus changes that inhibit sperm penetration and endometrial changes that reduce the likelihood of implantation.
Acne Acne is a skin condition with a multifactorial etiology, including androgen stimulation of sebum production. While the combination of ethinyl estradiol and norgestimate increases sex hormone-binding globulin SHBG and decreases free testosterone, the relationship between these changes and a decrease in the severity of facial acne in otherwise healthy women with this skin condition has not been established.
NDC: Counsel patients about the following information: Cigarette smoking increases the risk of serious cardiovascular events from COC use, and that women who are over 35 years old and smoke should not use COCs [see Boxed Warning ]. Tri-Sprintec is not to be used during pregnancy; if pregnancy occurs during use of Tri-Sprintec instruct the patient to stop further use [see Warnings and Precautions 5.
Take one tablet daily by mouth at the same time every day. Instruct patients what to do in the event tablets are missed [see Dosage and Administration 2.
Use a back-up or alternative method of contraception when enzyme inducers are used with Tri-Sprintec [see Drug Interactions 7. COCs may reduce breast milk production; this is less likely to occur if breastfeeding is well established [see Use in Specific Populations 8. Women who start COCs postpartum, and who have not yet had a period, should use an additional method of contraception until they have taken an active tablet for 7 consecutive days [see Dosage and Administration 2.
Amenorrhea may occur. Consider pregnancy in the event of amenorrhea at the time of the first missed period. Rule out pregnancy in the event of amenorrhea in two or more consecutive cycles [see Warnings and Precautions 5. North Wales, PA Rev. What is Tri-Sprintec? Tri-Sprintec is a birth control pill oral contraceptive used by women to prevent pregnancy.
How does Tri-Sprintec work for contraception? Take the pills in the order directed on your blister pack tablet dispenser. Do not skip your pills, even if you do not have sex often.
If you miss pills including starting the pack late you could get pregnant. The more pills you miss, the more likely you are to get pregnant. If you have trouble remembering to take Tri-Sprintec, talk to your healthcare provider. When you first start taking Tri-Sprintec, spotting or light bleeding in between your periods may occur.
Contact your healthcare provider if this does not go away after a few months. You may feel sick to your stomach nauseous , especially during the first few months of taking Tri-Sprintec. If you feel sick to your stomach, do not stop taking the pill. The problem will usually go away. If your nausea does not go away, call your healthcare provider. Missing pills can also cause spotting or light bleeding, even when you take the missed pills later.
On the days you take 2 pills to make up for missed pills see What should I do if I miss any Tri-Sprintec pills? It is not uncommon to miss a period. However, if you miss a period and have not taken Tri-Sprintec according to directions, or miss 2 periods in a row, or feel like you may be pregnant, call your healthcare provider. If you have a positive pregnancy test, you should stop taking Tri-Sprintec.
If you have vomiting or diarrhea within 3 to 4 hours of taking your pill, take another pill of the same color from your extra tablet dispenser. If you do not have an extra tablet dispenser, take the next pill in your tablet dispenser.
Continue taking all your remaining pills in order. Start the first pill of your next blister pack tablet dispenser the day after finishing your current tablet dispenser. This will be 1 day earlier than originally scheduled. Continue on your new schedule. If you have vomiting or diarrhea for more than 1 day, your birth control pills may not work as well.
Use an additional birth control method, like condoms and a spermicide, until you check with your healthcare provider. Stop taking Tri-Sprintec at least 4 weeks before you have major surgery and do not restart after the surgery without asking your healthcare provider.
Be sure to use other forms of contraception like condoms and spermicide during this time period. Before you start taking Tri-Sprintec: Decide what time of day you want to take your pill. It is important to take it at the same time every day and in the order as directed on your tablet dispenser. Have backup contraception condoms and spermicide available and if possible, an extra full pack of pills as needed.
When should I start taking Tri-Sprintec? If you start taking Tri-Sprintec and you have not used a hormonal birth control method before: There are 2 ways to start taking your birth control pills. Your healthcare provider should tell you when to start taking your birth control pill. If you use the Sunday Start, use non-hormonal back-up contraception such as condoms and spermicide for the first 7 days that you take Tri-Sprintec.
You do not need back-up contraception if you use the Day 1 Start. If you start taking Tri-Sprintec and you are switching from another birth control pill: Start your new Tri-Sprintec pack on the same day that you would start the next pack of your previous birth control method. Do not continue taking the pills from your previous birth control pack. If you start taking Tri-Sprintec and previously used a vaginal ring or transdermal patch: Start using Tri-Sprintec on the day you would have reapplied the next ring or patch.
If you start taking Tri-Sprintec and you are switching from a progestin-only method such as an implant or injection: Start taking Tri-Sprintec on the day of removal of your implant or on the day when you would have had your next injection. If your IUD or IUS is removed on any other day, use non-hormonal back-up contraception such as condoms and spermicide for the first 7 days that you take Tri-Sprintec.
Sunday Start: You will use a Sunday Start if your healthcare provider told you to take your first pill on a Sunday. Take pill 1 on the Sunday after your period starts. Take 1 pill every day in the order on the tablet dispenser at the same time each day for 28 days.
After taking the last pill on Day 28 from tablet dispenser, start taking the first pill from a new pack, on the same day of the week as the first pack Sunday. Take the first pill in the new pack whether or not you are having your period. Use non-hormonal back-up contraception such as condoms and spermicide for the first 7 days of the first cycle that you take Tri-Sprintec. Day 1 Start: You will use a Day 1 Start if your doctor told you to take your first pill Day 1 on the first day of your period.
Take 1 pill every day in the order of the blister pack tablet dispenser, at the same time each day, for 28 days. After taking the last pill on Day 28 from the pill dispenser, start taking the first pill from a new pack, on the same day of the week as the first pack. Pick the Days of the Week Sticker that starts the first day of your period. This is the day you begin bleeding or spotting, even if it is midnight when bleeding begins. When you have picked the right sticker, throw away the others and place the sticker on the blister card over the pre-printed days of the week and make sure it lines up with the pills.
Your blister package consists of three parts, the foil pouch, wallet, and a blister pack containing 28 individually sealed pills. Note that the pills are arranged in four numbered rows of 7 pills, with the pre-printed days of the week printed above them. Refer to the sample of the blister card below:.
See enclosed package insert for full prescribing information. To the Dispenser: This carton contains one combination labeling piece of information intended for the patient. Informational pieces are to be provided to the patient with each prescription. Version Files Nov 14, 13 current download Apr 18, 12 download Jul 26, 11 download Sep 27, 10 download Jun 9, 9 download Oct 4, 8 download Sep 20, 7 download Aug 30, 6 download Jun 30, 5 download Jan 15, 4 download Jul 5, 3 download Aug 8, 2 download Jan 31, 1 download.
NDC 1 Starting COCs in women not currently using hormonal contraception Day 1 Start or Sunday Start Important: Consider the possibility of ovulation and conception prior to initiation of this product. Sunday Start: Take first active tablet without regard to meals on the first Sunday after the onset of menses. Start Tri-Sprintec:. Transdermal patch. On the day when next application would have been scheduled. Vaginal ring. On the day when next insertion would have been scheduled.
On the day when next injection would have been scheduled. Intrauterine contraceptive. On the day of removal. If one active tablet is missed in Weeks 1, 2, or 3. If two active tablets are missed in Week 1 or Week 2. If two active tablets are missed in the third week or three or more active tablets are missed in a row in Weeks 1, 2, or 3. C max.
AUC h. Product Information. Quantity of Parts. Part 1 of 4. Inactive Ingredients. Product Characteristics.
Marketing Information. Part 2 of 4. Part 3 of 4. Part 4 of 4. Sprintec is a combination birth control pill, meaning it contains two different hormones, estrogen and progestin the other kind of pill is the mini-pill, which only contains progestin. Specifically, Sprintec contains the hormones norgestimate and ethinyl estradiol. Sprintec is a monophasic pill, which just means that every active pill has the same level or amount of hormones in it you can think of it as having 1 "phase" of hormones.
You can think of Tri-Sprintec as having 3 "phases" of hormones throughout the month. Why would you choose one over the other Sprintec vs. Both types are equally good at preventing pregnancy. Your best bet is to consult your doctor on this one. The multiphasic versions were originally developed to reduce the total dosage of progestin your body would get during one cycle, but without an increase in breakthrough bleeding. A review of the research by the reputable Cochrane Library, however, concluded that there just wasn't enough evidence to say that multiphasic was any better than monophasic for bleeding patterns.
There is some evidence that triphasic pills are better at treating acne, which we'll discuss below. There is also a version called Tri-Lo-Sprintec , which contains lower doses of hormones. The biggest benefit that makes Sprintec stand out from other combination birth control pills is that Tri-Sprintec is FDA approved for use specifically against acne. Researchers published results in the Journal of Drugs in Dermatology that found that triphasic pills, with the three "phases" of progestin across the cycle, had a positive effect on acne.
Sprintec and Tri-Sprintec have other benefits that they share with most other combination birth control pills:. If you decide you want to become pregnant, you can easily stop taking Sprintec. Its effects are fully reversible, and you can become pregnant again shortly after you stop taking it. Because it's so easy to start and stop taking Sprintec, you can try it out if you're trying to find a birth control pill that causes the fewest side effects for you.
It's possible to skip your period when taking Sprintec; you can talk to your doctor about that. Even if you don't have insurance, it won't cost a ton compared to some other birth control pills. Much like its benefits, Sprintec shares the same potential side effects as other combination birth control pills.
Because hormones will react your body in a way that's unique to you, you might experience none of these side effects, some minor side effects, or side effects that you find so unpleasant you may want to try a different pill, one that uses different synthetic hormones. The chance of serious side effects from taking birth control is very small in healthy women.
In fact, the risks are smaller than the health risks associated with getting pregnant. However, you'll always want to talk to your doctor before taking birth control pills. But if you are obese, smoke, have diabetes, or high blood pressure, these factors drastically increase your risk of encountering cardiovascular side effects with birth control pills.
It's important to talk to your doctor about your personal risk factors before making a decision on which birth control pill to use. Other more common side effects might include:. Hormones affect different women in different ways, so it's impossible to know which side effects will be a problem for you or how bad they'll be. Some women experience spotting while on Sprintec, while others report lighter, less painful periods.
It's good to know that there are some fixes to the side effects, like taking the pill before you go to bed to help prevent nausea. You may opt-out of e-mail communications at any time by clicking on the Unsubscribe link in the e-mail. Our Housecall e-newsletter will keep you up-to-date on the latest health information.
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