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Tarina FE 1/20 EQ
Tarina Fe 1/20 EQ is a combination oral contraceptive that contains two hormones: ethinyl estradiol (an estrogen) and norethindrone acetate (a progestin). It is used to prevent pregnancy by inhibiting ovulation, thickening cervical mucus, and altering the uterine lining, making it less suitable for implantation. In addition to contraception, Tarina Fe 1/20 EQ may also be used to regulate menstrual cycles, treat acne, and reduce symptoms of premenstrual dysphoric disorder (PMDD).
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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 pills, follow the instructions in the patient guide and use backup contraception (such as condoms) for the next 7 days.
Can I take Tarina Fe 1/20 EQ if I am breastfeeding?
It is generally not recommended to use combination oral contraceptives while breastfeeding because they can reduce milk production. Talk to your healthcare provider about progestin-only options.
Will Tarina Fe 1/20 EQ help with acne?
Yes, Tarina Fe 1/20 EQ may help treat mild to moderate acne in women who are at least 15 years old and wish to use birth control. It works by regulating hormones that can contribute to acne.
Can I skip the inactive pills to avoid having a period?
Yes, some women choose to skip the inactive pills and start a new pack immediately to avoid having a period. However, this should be done under the guidance of your healthcare provider.
How long does it take for Tarina Fe 1/20 EQ to start working?
If you start taking Tarina Fe 1/20 EQ on the first day of your period, you are protected from pregnancy immediately. If you start on any other day, use backup contraception for the first 7 days.
Comprehensive Drug Guide
How Does Tarina FE 1/20 EQ Work?
- Thickens cervical mucus, making it more difficult for sperm to enter the uterus.
- Alters the endometrial lining, reducing the likelihood of implantation.
Common Dosages
- 21 active tablets with 1 mg norethindrone acetate and 20 mcg ethinyl estradiol.
- 7 inactive (iron-containing) tablets with 75 mg ferrous fumarate.
Typical Dosing
- One active tablet should be taken once daily at the same time each day for 21 consecutive days, followed by one inactive tablet daily for 7 days.
- During the 7-day period of taking inactive tablets, you will typically have a withdrawal bleed (similar to a period).
- A new pack should be started immediately after finishing the previous one, without any breaks between packs.
Typical Dosing
FDA Approved Indications
- Contraception (prevention of pregnancy).
- Regulation of menstrual cycles.
- Treatment of acne in females 15 years or older who desire contraception.
- Management of moderate premenstrual dysphoric disorder (PMDD) in women seeking oral contraception.
Who Shouldn't Take Tarina FE 1/20 EQ?
- History of thromboembolic disorders (e.g., deep vein thrombosis, pulmonary embolism).
- Stroke or heart attack.
- Uncontrolled hypertension.
- Known or suspected breast cancer or other hormone-sensitive cancers.
- Liver disease or liver tumors.
- Undiagnosed abnormal vaginal bleeding.
- Pregnancy or suspected pregnancy.
- Smokers over the age of 35, due to increased risk of cardiovascular events.
Advice From The Pharmacist
- Take Tarina Fe 1/20 EQ at the same time every day: Consistency in timing increases its effectiveness in preventing pregnancy.
- Use a backup method of contraception: If you miss one or more pills or start a new pack late, use a barrier method (such as condoms) until you are back on track for at least 7 consecutive days.
- Take inactive pills: Even though the last 7 pills in the pack contain iron and not hormones, continue taking them to maintain your routine.
- If you vomit or have diarrhea after taking an active pill, it may not be absorbed properly. Use a backup contraception method for the next 7 days.
Side Effects of Tarina FE 1/20 EQ
Common Side Effects
- Nausea
- Breast tenderness
- Headaches
- Mood changes
- Breakthrough bleeding or spotting between periods
- 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 or hypertension.
- Severe migraines.
Risks and Warnings of Tarina FE 1/20 EQ
- Smoking and cardiovascular risks: Women over 35 who smoke should not use Tarina Fe 1/20 EQ due to the increased risk of blood clots, stroke, and heart attack.
- Blood clot risk: Women with a personal or family history of blood clots should avoid combination oral contraceptives due to the elevated risk.
- Hypertension: Tarina Fe 1/20 EQ can increase blood pressure, so women with high blood pressure should be monitored regularly while taking this medication.
- Breast cancer: Oral contraceptives may slightly increase the risk of breast cancer, particularly in women with a family history of the disease.
Interactions with Tarina FE 1/20 EQ
Common Drug Interactions
- Antibiotics: Certain antibiotics (e.g., rifampin) may decrease the effectiveness of Tarina Fe 1/20 EQ. Use backup contraception during the course of antibiotics.
- Antiepileptic drugs: Medications such as carbamazepine or phenytoin can reduce the effectiveness of oral contraceptives.
- St. John’s Wort: This herbal supplement can decrease the effectiveness of hormonal contraceptives.
Alternatives to Tarina FE 1/20 EQ
- Loestrin Fe 1/20: Another combination oral contraceptive with similar hormone levels and iron-containing inactive tablets.
- Yaz: A low-dose oral contraceptive that also contains drospirenone, used for acne, contraception, and PMDD.
- NuvaRing: A combined hormonal contraceptive delivered via a vaginal ring.
- Depo-Provera: A progestin-only injection given every 3 months for contraception.
- IUDs (Intrauterine Devices): Hormonal (Mirena) or non-hormonal (copper) long-term contraception.
