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Tarina 24 Fe
Tarina 24 Fe is a combination oral contraceptive pill that contains ethinyl estradiol (an estrogen) and norethindrone acetate (a progestin), along with ferrous fumarate (iron) in the inactive pills. It is used primarily for preventing pregnancy, but it also helps regulate menstrual cycles, treat acne, and reduce symptoms of premenstrual dysphoric disorder (PMDD). The 24-day active pill regimen with 4 days of iron pills helps to maintain more stable hormone levels and reduce the length of the menstrual cycle.
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Frequently Asked Questions
What should I do if I miss a pill?
If you miss one active pill, take it as soon as you remember and take the next pill at your regular time (even if it means taking two pills in one day). If you miss two or more active pills, follow the instructions in the package insert and use backup contraception for the next 7 days.
Can I use Tarina 24 Fe to skip my period?
Yes, some women choose to skip their periods by skipping the iron tablets and starting a new pack immediately. However, you should consult your healthcare provider before doing this.
Will Tarina 24 Fe help with acne?
Yes, Tarina 24 Fe can help reduce moderate acne in females 15 years or older who also desire contraception.
Can I take Tarina 24 Fe if I am breastfeeding?
It is generally not recommended to use combination oral contraceptives while breastfeeding, as they can reduce milk production. Talk to your healthcare provider about progestin-only options.
How long does it take for Tarina 24 Fe to start working?
If you start taking Tarina 24 Fe on the first day of your period, you are protected from pregnancy immediately. If you start at any other time, use backup contraception for the first 7 days.
Comprehensive Drug Guide
How Does Tarina 24 Fe Work?
- Inhibiting ovulation: The combination of ethinyl estradiol and norethindrone acetate prevents the release of an egg from the ovaries.
- Thickening cervical mucus: This makes it more difficult for sperm to reach an egg.
- Changing the endometrial lining: This reduces the likelihood of implantation should fertilization occur.
Common Dosages
- 24 active tablets containing norethindrone acetate 1 mg and ethinyl estradiol 20 mcg.
- 4 inactive (iron) tablets containing 75 mg ferrous fumarate.
Typical Dosing
- Take one active tablet daily for 24 consecutive days, followed by one inactive iron tablet daily for 4 days.
- A new pack should be started immediately after finishing the previous one without any breaks between packs.
- It is important to take the pill at the same time every day to ensure maximum effectiveness.
Typical Dosing
FDA Approved Indications
- Contraception (preventing pregnancy)
- Regulation of menstrual cycles
- Treatment of moderate acne in females 15 years or older who desire contraception
- Management of premenstrual dysphoric disorder (PMDD) in women seeking contraception
Who Shouldn't Take Tarina 24 Fe?
- History of thromboembolic disorders (e.g., deep vein thrombosis, pulmonary embolism)
- Uncontrolled hypertension
- Known or suspected breast cancer or other hormone-sensitive cancers
- Liver disease or liver tumors
- Undiagnosed abnormal vaginal bleeding
- Pregnancy
- Smokers over the age of 35 due to an increased risk of cardiovascular events
Advice From The Pharmacist
- Take at the same time daily: For best results and to avoid breakthrough bleeding or unintended pregnancy, take the pill at the same time each day.
- Missed pills: If you miss one pill, take it as soon as you remember and take the next pill at your regular time (even if that means taking two pills in one day). If you miss two or more pills, follow the instructions in the package insert and use backup contraception (such as condoms) for 7 days.
- Store properly: Keep the pills in a cool, dry place, and away from direct sunlight or moisture.
Side Effects of Tarina 24 Fe
Common Side Effects
- Nausea
- Breast tenderness
- Headaches
- Mood changes
- Breakthrough bleeding
- Weight changes
Uncommon/Severe Side Effects
- Blood clots (increased risk of deep vein thrombosis, pulmonary embolism, stroke, or heart attack)
- Liver problems, including rare cases of benign liver tumors
- High blood pressure
- Severe migraines
Risks and Warnings of Tarina 24 Fe
- Smoking and cardiovascular risks: Women over 35 who smoke should not use Tarina 24 Fe due to an increased risk of blood clots, stroke, and heart attack.
- Blood clot risk: Tarina 24 Fe increases the risk of blood clots, especially in women with a personal or family history of blood clotting disorders.
- Hypertension: Oral contraceptives like Tarina 24 Fe can raise blood pressure, so women with high blood pressure should have their condition monitored regularly.
Interactions with Tarina 24 Fe
Common Drug Interactions
- Antibiotics: Certain antibiotics (e.g., rifampin) may reduce the effectiveness of Tarina 24 Fe. Use a backup contraceptive method during the course of antibiotics.
- Antiepileptic drugs: Some anti-seizure medications, such as carbamazepine and phenytoin, may lower the effectiveness of oral contraceptives.
- St. John’s Wort: This herbal supplement can reduce the effectiveness of hormonal contraceptives and increase the risk of breakthrough bleeding.
Alternatives to Tarina 24 Fe
- Lo Loestrin Fe: A low-dose oral contraceptive containing 10 mcg of ethinyl estradiol and 1 mg norethindrone acetate.
- Yaz: Contains drospirenone and ethinyl estradiol for contraception, acne treatment, and PMDD management.
- NuvaRing: A vaginal ring that delivers a combination of hormones for contraception.
- Depo-Provera: An injection of medroxyprogesterone given every 3 months for contraception.
- Intrauterine devices (IUDs): Hormonal (Mirena) or non-hormonal (copper) IUDs for long-term contraception.
