Triphasil 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.

Triphasil 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).

Triphasil 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.

Triphasil 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.

Triphasil 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.

Triphasil 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.

Triphasil 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.

Triphasil 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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Birth Control for Women with Epilepsy Is there any way to be sure that I don't get pregnant? All available birth control methods can be used by persons with epilepsy. These include: * barriers: diaphragms, spermicidal vaginal creams, intrauterine devices (IUDs) and condoms; * timing: the "rhythm method" where intercourse is avoided during a woman's ovulation period or withdrawal by the man prior to ejaculation; * hormonal contraception: birth control pills, hormone implants, or hormone injections. Of these, hormonal contraception is the most reliable method for most women, but it is not 100% effective, especially in women with epilepsy. Keep in mind that even in the general population there is always a slight chance of an unwanted pregnancy despite appropriate use of contraceptives. If you have decided that you never want to have children, you can talk to your doctor about an operation called a tubal ligation. This procedure is the most secure way to ensure that you will never become pregnant. If you are in a monogamous relationship (only one male partner) he can have a similar operation, a vasectomy. This would not protect you from pregnancy with other male partners. These are serious decisions, and you need to think about them carefully before choosing either of these procedures. How do I know which method is best for me? You need to work with your gynecologist and your neurologist to choose the birth control method that is most appropriate for you. It is possible that your antiepileptic drug (AED) may make your hormonal birth control less reliable, resulting in an unwanted pregnancy. You and your physicians may consider different combinations of hormonal birth control and seizure medications to find the one that works best for you. How will my seizure medication affect my hormonal birth control? There are complex interactions between the hormones (estrogen and progesterone) contained in birth control pills or devices, and some of the medications used to control seizures. Some of these medications increase the breakdown of contraceptive hormones in the body, making them less effective in preventing pregnancy. The seizure medications that have this effect are often called "liver enzyme-inducing" drugs because the liver is the organ that breaks down these hormones. They are carbamazepine (Tegretol, Carbatrol), oxcarbazepine (Trileptal), phenytoin (Dilantin), phenobarbital (Luminal), primidone (Mysoline), and topiramate (Topamax). Valproate (Depakote) and felbamate (Felbatol) do not increase breakdown of hormones, and may even increase hormonal levels, which may require an adjustment in the dose of your birth control. Gabapentin (Neurontin), lamotrigine (Lamictal), levetiracetam (Keppra), and tiagabine (Gabitril) have no effect on this system and do not interfere with the effectiveness of hormonal birth control. Are there special concerns about "the pill" for women with epilepsy? Yes, there are. The popular low-dose combined oral contraceptive pill has a relatively small amount of estrogen (less than 35 micrograms). That's not enough to protect women with epilepsy who take enzyme-inducing AEDs from becoming pregnant. You may need contraceptive pills with higher doses of estrogen, and even then, there is a risk of unexpected pregnancy. It is a good idea to use barrier methods (a diaphragm, spermicidal cream or a condom) in addition to the contraceptive pill, if you are taking one of the seizure medications that speed up the breakdown of the hormones in birth control pills. Are there problems with other forms of hormonal birth control? Hormonal implants, like levonorgestrel (Norplant) which is placed under the skin, may not provide effective birth control protection if you are taking certain epilepsy drugs. The medications that cause the most problems with Norplant are the "liver enzyme-inducing" seizure medications such as carbamazepine (Tegretol, Carbatrol), oxcarbazepine (Trileptal), phenytoin (Dilantin), phenobarbital (Luminal), primidone (Mysoline), and topiramate (Topamax). These antiepileptic drugs increase the rate of breakdown of birth control hormones. Medroxyprogesterone (Depo-Provera) is a hormonal injection used for birth control and it may need to be given more frequently in women with epilepsy taking medications such as those mentioned earlier. If you are using one of these forms of birth control, and you take one of the liver enzyme-inducing medications, it is a good idea to use a second barrier method of contraception in addition, such as a diaphragm, a spermicidal cream, or have your partner use a condom. Are there any warning signals if my contraception is not working? Breakthrough bleeding while you're on hormonal contraception, for example during the middle of your cycle, could be a sign that you are ovulating and may become pregnant. If you are using birth control pills, bleeding at any other time than when you switch from the active to the inactive pills may indicate that the pills are not working. If bleeding occurs, ask your doctor to help you select an additional form of contraception such as a diaphragm, spermicidal vaginal cream, or condom. It is important for you to know that hormonal contraception can fail without signs of breakthrough bleeding. Does it matter that my periods aren't regular? Yes, because it may make hormonal birth control and timing methods more complicated. Usually, irregular menstrual cycles mean that hormones are out of balance in some way. It is important for your gynecologist and your neurologist to know if your periods are irregular so that they can help you choose the best method of contraception. It may be necessary to consult with an endocrinologist, a doctor who specializes in diagnosing and treating hormonal problems. Will my seizure pattern change if I use hormonal birth control? Current research does not indicate changes in seizure frequency when women with epilepsy use hormonal birth control, but individual reports suggest they may change. Some women have reported more seizures, some have reported less. If you notice a change in your seizure pattern when you use hormonal birth control, contact your physician.

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