Tri Femynor (Page 8 of 9)

Instructions For Use


Tri Femynor™ (trye feh’ mi nore)

( norgestimate and ethinyl estradiol tablets, USP)

Important Information about taking Tri Femynor

  • Take 1 pill every day at the same time. Take the pills in the order directed on your blister pack.
  • 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 takeTri Femynor, talk to your healthcare provider. When you first start takingTri Femynor, 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 takingTri Femynor. 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 Femynor pills ? below), you could also feel a little sick to your stomach.
  • It is not uncommon to miss a period. However, if you miss a period and have not taken Tri Femynor 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 takingTri Femynor.
  • 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 blister pack. If you do not have an extra blister pack, take the next pill in your blister pack. Continue taking all your remaining pills in order. Start the first pill of your next blister pack the day after finishing your current blister pack. 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 Femynor 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 Femynor :

  • 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 blister pack.
  • Have backup contraception (condoms and spermicide) available and if possible, an extra full pack of pills as needed.


When should I start taking Tri Femynor ?

If you start taking Tri Femynor and you have not used a hormonal birth control method before:

  • There are 2 ways to start taking your birth control pills. You can either start on a Sunday (Sunday Start) or on the first day (Day 1) of your natural menstrual period (Day 1 Start). 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 takeTri Femynor. You do not need back-up contraception if you use the Day 1 Start.

If you start taking Tri Femynor and you are switching from another birth control pill:

  • Start your new Tri Femynor 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 Femynor and previously used a vaginal ring or transdermal patch:

  • Start using Tri Femynor on the day you would have reapplied the next ring or patch.

If you start taking Tri Femynor and you are switching from a progestin-only method such as an implant or injection:

  • Start taking Tri Femynor on the day of removal of your implant or on the day when you would have had your next injection.

If you start taking Tri Femynor and you are switching from an intrauterine device or system (IUD or IUS):

  • Start taking Tri Femynor on the day of removal of your IUD or IUS.
  • You do not need back-up contraception if your IUD or IUS is removed on the first day (Day 1) of your period. 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 takeTri Femynor.

Keep a calendar to track your period: If this is the first time you are taking birth control pills, read, “When should I start taking Tri Femynor ?” above. Follow these instructions for either a Sunday Start or a Day 1 Start.

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.
  • If your period starts on a Sunday, take pill “1 ” that day and refer to Day 1 Start instructions below.
  • Take 1 pill every day in the order on the blister pack at the same time each day for 28 days.
  • After taking the last pill on Day 28 from the blister pack, 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 takeTri Femynor.

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 pill blister pack, at the same time each day, for 28 days.
  • After taking the last pill on Day 28 from the blister pack, start taking the first pill from a new pack, on the same day of the week as the first pack. Take the first pill in the new pack whether or not you are having your period.

Tri Femynor comes in a blister pack. Read the instructions below for using your blister pack.

Instructions for using your blister pack:

Each blister pack contains 28 pills:

  • 7 light pink pills with hormone, for Days 1 to 7
  • 7 light red pills with hormone, for Days 8 to 14
  • 7 red pills with hormone, for Days 15 to 21
  • 7 white pills (without hormones), for Days 22 to 28.

Step 1. SET THE DAY

  • Sunday Start: Take the first pill of the first blister pack on the Sunday after your period starts, even if you are still bleeding. If your period begins on Sunday, start the blister pack that same day.
  • Day 1 Start: Take the first pill of the first blister pack during the first 24 hours of your period.
blister-pic
(click image for full-size original)

Step 2. Remove the first pill of the blister pack (SUN or Day 1) by pressing the pill through the back of the blister foil.

Step 3. Swallow the pill. You will take 1 pill every day, at the same time each day.

Step 4. Wait 24 hours to take your next pill. Continue to take one pill each day until all pills have been taken.

Step 5. Take your pill at the same time every day. It is important to take the correct pill each day and not miss any pills.
To help you remember, take your pill at the same time as another daily activity, like turning off your alarm clock or brushing your teeth.

What should I do if I miss any Tri Femynor pills ?

If you miss 1 light pink, light red or red “active” pill in Weeks 1, 2, or 3, follow these steps:

  • Take it as soon as you remember. Take the next pill at your regular time. This means you may take 2 pills in 1 day.
  • Then continue taking 1 pill every day until you finish the pack.
  • You do not need to use a back-up birth control method if you have sex.

If you miss 2 light pink or light red “active” pills in Week 1 or Week 2 of your pack, follow these steps:

  • Take the 2 missed pills as soon as possible and the next 2 pills the next day.
    • Then continue to take 1 pill every day until you finish the pack.
  • Use a non-hormonal birth control method (such as a condom and spermicide) as a back-up if you have sex during the first 7 days after missing your pills.

If you miss 2 red “active” pills in a row in Week 3, or you miss 3 or more light pink, light red or red “active” pills in a row during Weeks 1, 2, or 3 of the pack, follow these steps:

  • If you are a Day 1 Starter:
    • Throw out the rest of the pill pack and start a new pack that same day.
    • You may not have your period this month but this is expected. However, if you miss your period 2 months in a row, call your healthcare provider because you might be pregnant.
    • You could become pregnant if you have sex during the first 7 days after you restart your pills. You MUST use a non-hormonal birth control method (such as a condom and spermicide) as a back-up if you have sex during the first 7 days after you restart your pills.
  • If you are a Sunday Starter:
    • Keep taking 1 pill every day until Sunday. On Sunday, throw out the rest of the pack and start a new pack of pills that same day.
    • Use a non-hormonal birth control method (such as a condom and spermicide) as a back-up if you have sex during the first 7 days after you restart your pills.

If you have any questions or are unsure about the information in this leaflet, call your healthcare provider.

This Patient Information and Instructions for Use have been approved by the U.S. Food and Drug Administration.

Distributed by:

Amneal Pharmaceuticals LLC

Bridgewater, NJ 08807

Rev. 08-2016-00

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