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Taytulla
Taytulla is an oral contraceptive used to prevent pregnancy. It contains a combination of two hormones: norethindrone acetate (a progestin) and ethinyl estradiol (an estrogen). These hormones work together to prevent ovulation, change the cervical mucus, and alter the uterine lining to reduce the chances of sperm reaching the egg or a fertilized egg implanting in the uterus. Taytulla also contains ferrous fumarate, which is an iron supplement included in the placebo pills.
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Frequently Asked Questions
Can I skip the placebo pills to avoid my period?
Yes, you can skip the placebo (iron) pills and start a new pack of active pills immediately if you wish to avoid having a period. Consult your healthcare provider before doing so.
What should I do if I miss a dose of Taytulla?
If you miss one pill, take it as soon as you remember and continue with your regular schedule. If you miss two or more pills, follow the instructions in the package insert and use a backup contraceptive method for 7 days.
Can Taytulla help with acne?
Yes, like other combination oral contraceptives, Taytulla may help reduce acne in some women by regulating hormone levels.
Is Taytulla safe to use while breastfeeding?
Taytulla is generally not recommended during breastfeeding, as the hormones can reduce milk production. A progestin-only pill (mini-pill) or non-hormonal contraceptive is often recommended instead.
Does Taytulla protect against sexually transmitted infections (STIs)?
No, Taytulla 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 Taytulla Work?
- Preventing ovulation: The combination of progestin and estrogen inhibits the release of eggs from the ovaries.
- Thickening cervical mucus: This makes it harder for sperm to enter the uterus.
- 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 capsules, with 75 mg ferrous fumarate placebo capsules.
Typical Dosing
- Take one capsule daily at the same time each day. The pack contains 24 active capsules (with hormones) followed by 4 placebo capsules (iron supplement).
- Start a new pack immediately after finishing the last placebo pill, without skipping any days between packs.
Typical Dosing
FDA Approved Indications
- Prevention of pregnancy in women of reproductive age.
Who Shouldn't Take Taytulla?
- History of thromboembolic disorders (e.g., deep vein thrombosis or pulmonary embolism).
- Uncontrolled hypertension or cardiovascular disease.
- Liver disease or liver tumors.
- Known or suspected breast cancer or other estrogen- or progestin-sensitive cancers.
- Migraine with aura.
- Smoking and age over 35: Smoking increases the risk of serious cardiovascular side effects from oral contraceptives.
Advice From The Pharmacist
- Take Taytulla at the same time every day, preferably with a meal or snack to reduce nausea.
- If you miss a dose, take the missed pill as soon as you remember. If you miss two or more active pills, follow the instructions in the package insert and use a backup contraceptive method (e.g., condoms) for at least 7 days.
- Use backup contraception for the first 7 days if starting Taytulla for the first time.
- Do not smoke while taking Taytulla, especially if you are over 35, as this increases the risk of serious cardiovascular side effects like heart attack or stroke.
- The placebo pills contain iron but do not contain active hormones. They help maintain your routine and prevent anemia during your period.
Side Effects of Taytulla
Common Side Effects
- Nausea or vomiting
- Breast tenderness
- Headache
- Weight changes
- Mood changes or depression
Uncommon/Severe Side Effects
- Blood clots, such as deep vein thrombosis (DVT) or pulmonary embolism (PE).
- Stroke or heart attack, particularly in women who smoke or have other cardiovascular risk factors.
- Severe allergic reactions, including rash, swelling, or difficulty breathing.
- Liver problems, including liver tumors or jaundice.
Risks and Warnings of Taytulla
- Cardiovascular Risk: Women who smoke and are over the age of 35 have a higher risk of developing blood clots, stroke, or heart attack when using hormonal contraceptives. Smoking cessation is highly recommended.
- Blood Clots: Hormonal contraceptives, including Taytulla, increase the risk of developing venous thromboembolism (VTE). Women with a history of VTE should avoid using Taytulla.
- Breast Cancer: Hormonal contraceptives may slightly increase the risk of breast cancer in women with a family history or certain genetic predispositions.
- Hypertension: Taytulla can increase blood pressure, especially in women with pre-existing hypertension. Blood pressure should be monitored regularly.
Interactions with Taytulla
Common Drug Interactions
- Antibiotics and anticonvulsants: Some medications, such as rifampin and anticonvulsants (e.g., phenytoin, carbamazepine), can reduce the effectiveness of Taytulla, increasing the risk of pregnancy. Use a backup contraceptive method when taking these medications.
- St. John’s Wort: This herbal supplement may reduce the effectiveness of hormonal contraceptives and increase the risk of breakthrough bleeding or pregnancy.
- Blood pressure medications: Hormonal contraceptives can increase blood pressure. Women on antihypertensive medications should monitor their blood pressure closely.
Alternatives to Taytulla
- Loestrin Fe: Another low-dose combination oral contraceptive similar to Taytulla.
- Ortho Tri-Cyclen: A triphasic combination oral contraceptive.
- Nexplanon: A long-acting reversible contraceptive implant.
- Mirena IUD: A hormonal intrauterine device (IUD) that provides long-term birth control.
- NuvaRing: A vaginal ring that releases hormones for contraception.
