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Tarina FE 1/20
Tarina Fe 1/20 is an oral contraceptive containing a combination of norethindrone acetate (a progestin) and ethinyl estradiol (an estrogen). It is used to prevent pregnancy and also helps to regulate menstrual cycles, treat acne, and reduce the risk of ovarian cysts. Additionally, Tarina Fe 1/20 includes ferrous fumarate (iron), which is provided during the placebo week to help prevent iron-deficiency anemia.
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Frequently Asked Questions
Can I skip the placebo pills to avoid my period?
Yes, you can skip the placebo (inert) pills and start a new pack of active pills immediately if you want to avoid your period. However, consult your healthcare provider before doing this regularly.
What should I do if I miss a dose of Tarina Fe 1/20?
If you miss one active pill, take it as soon as you remember. If you miss two or more pills, follow the instructions in the package insert and use a backup contraceptive method (e.g., condoms) for the next 7 days.
Can Tarina Fe 1/20 help with acne?
Yes, Tarina Fe 1/20 is also used to treat acne in women who desire contraception, and it is effective at reducing acne breakouts by regulating hormone levels.
Is Tarina Fe 1/20 safe to use while breastfeeding?
Tarina Fe 1/20 is generally not recommended while breastfeeding, as it may reduce milk production. A progestin-only pill (mini-pill) or non-hormonal contraceptive is often recommended instead.
Does Tarina Fe 1/20 protect against sexually transmitted infections (STIs)?
No, Tarina Fe 1/20 does not protect against STIs. You should use condoms to reduce the risk of infections such as HIV, gonorrhea, and chlamydia.
Comprehensive Drug Guide
How Does Tarina FE 1/20 Work?
- Inhibiting ovulation: The combination of progestin and estrogen prevents the release of an egg from the ovary.
- Thickening cervical mucus: This makes it more difficult for sperm to reach the egg.
- Altering the uterine lining: This reduces the likelihood of a fertilized egg implanting in the uterus.
Common Dosages
- 1 mg norethindrone acetate / 20 mcg ethinyl estradiol
- 75 mg ferrous fumarate (in placebo tablets)
Typical Dosing
- For contraception: Take one active tablet daily for 21 days, followed by one placebo tablet daily for 7 days. Begin a new pack immediately after finishing the placebo tablets.
- For acne treatment: Follow the same dosing regimen as for contraception.
Typical Dosing
FDA Approved Indications
- Prevention of pregnancy in women of reproductive age.
- Treatment of moderate acne in women who desire contraception.
- Regulation of menstrual cycles.
Who Shouldn't Take Tarina FE 1/20?
- History of thromboembolic disorders (e.g., deep vein thrombosis or pulmonary embolism)
- Uncontrolled hypertension
- Liver disease or liver tumors
- Known or suspected breast cancer or other hormone-sensitive cancers
- Renal impairment or adrenal insufficiency
- Migraine with aura
- Smoking and age over 35: This combination significantly increases the risk of serious cardiovascular events.
Advice From The Pharmacist
- Take Tarina Fe 1/20 at the same time every day to maintain consistent hormone levels and maximize contraceptive effectiveness.
- If you miss a pill, take it as soon as you remember. If two or more active pills are missed, use a backup contraceptive method (e.g., condoms) for at least 7 days.
- Avoid smoking while taking Tarina Fe 1/20, especially if you are over 35, as smoking increases the risk of blood clots, heart attack, and stroke.
- The placebo pills in the pack contain iron to help prevent iron-deficiency anemia but do not contain active hormones. Menstrual bleeding typically occurs during the placebo days.
Side Effects of Tarina FE 1/20
Common Side Effects
- Nausea
- Headache
- Breast tenderness
- Weight gain
- Mood changes
- Breakthrough bleeding or spotting
Uncommon/Severe Side Effects
- Blood clots (deep vein thrombosis, pulmonary embolism)
- Stroke or heart attack
- Liver problems, including liver tumors or jaundice
- Severe allergic reactions, including rash, swelling, or difficulty breathing
Risks and Warnings of Tarina FE 1/20
- Cardiovascular Risks: Women over 35 who smoke should not take Tarina Fe 1/20, as it significantly increases the risk of serious cardiovascular events, including heart attack, stroke, and blood clots.
- Thromboembolism Risk: Combination oral contraceptives, including Tarina Fe 1/20, increase the risk of venous thromboembolism (VTE). Women with a history of blood clots should avoid using this medication.
- Hyperkalemia: Drospirenone, a progestin similar to norethindrone, can increase potassium levels. Women with kidney issues should be cautious with hormone therapy.
- Breast Cancer Risk: Hormonal contraceptives may slightly increase the risk of breast cancer in women with a family history or genetic predisposition.
Interactions with Tarina FE 1/20
Common Drug Interactions
- Antibiotics and anticonvulsants: Certain medications, such as rifampin and anticonvulsants (e.g., carbamazepine, phenytoin), can reduce the effectiveness of Tarina Fe 1/20, increasing the risk of pregnancy. Use a backup contraceptive method during treatment with these medications.
- St. John’s Wort: This herbal supplement may reduce the effectiveness of Tarina Fe 1/20 by increasing hormone metabolism.
- Potassium-sparing diuretics: Norethindrone may affect potassium levels, so avoid combining this contraceptive with medications that raise potassium, such as spironolactone or ACE inhibitors.
Alternatives to Tarina FE 1/20
- Yaz: A similar combination contraceptive that contains drospirenone and ethinyl estradiol.
- Ortho Tri-Cyclen: A triphasic combination oral contraceptive that includes norgestimate and ethinyl estradiol.
- Nexplanon: A long-acting progestin-only implant used for contraception.
- Mirena IUD: A hormonal intrauterine device that provides long-term birth control.
- NuvaRing: A vaginal ring that releases hormones for contraception.
