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Tilia Fe
Tilia Fe is an oral contraceptive used to prevent pregnancy. It contains a combination of norethindrone acetate (a progestin) and ethinyl estradiol (an estrogen), along with ferrous fumarate (iron). Tilia Fe works by preventing ovulation, thickening cervical mucus, and altering the uterine lining to make it harder for sperm to reach the uterus or for a fertilized egg to attach. The ferrous fumarate tablets, taken during the last seven days of the cycle, provide iron supplementation but do not contain active hormones.
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Frequently Asked Questions
How effective is Tilia Fe in preventing pregnancy?
When taken correctly, Tilia Fe is over 99% effective in preventing pregnancy. However, missing doses can significantly reduce its effectiveness.
What should I do if I miss a dose of Tilia Fe?
If you miss an active tablet, take it as soon as you remember. If you miss more than one active tablet, follow the instructions on the package and use a backup method of contraception, such as condoms, for the next 7 days.
Can Tilia Fe help with acne?
Yes, Tilia Fe can help reduce acne in women who are also seeking contraception.
Is it safe to use Tilia Fe while breastfeeding?
Tilia Fe is not recommended for breastfeeding mothers, as it may reduce milk production. Discuss other birth control options with your healthcare provider.
Can Tilia Fe cause weight gain?
Some women may experience weight gain while using Tilia Fe, though this is usually mild. Discuss any concerns with your healthcare provider.
Comprehensive Drug Guide
How Does Tilia Fe Work?
Tilia Fe prevents pregnancy by suppressing ovulation (the release of an egg from the ovary), thickening cervical mucus to block sperm, and altering the endometrial lining to prevent implantation. Together, these actions make it difficult for sperm to fertilize an egg or for a fertilized egg to attach to the uterine wall.
Common Dosages
- 21 active tablets (each containing norethindrone acetate 1 mg, ethinyl estradiol 20 mcg)
- 7 iron (ferrous fumarate) tablets (each containing 75 mg of iron)
Typical Dosing
- For contraception: Take one active tablet daily for 21 days, followed by one iron tablet daily for 7 days. After finishing the pack, start a new pack the following day, without skipping doses.
Typical Dosing
FDA Approved Indications
- Contraception (birth control)
- Regulating menstrual cycles
- Reducing menstrual pain (dysmenorrhea)
- Treatment of acne in women who also desire oral contraception
Who Shouldn't Take Tilia Fe?
- History of blood clots, stroke, or heart attack
- Severe liver disease
- Known or suspected breast cancer
- Uncontrolled high blood pressure
- Known hypersensitivity to any components of the medication
- Smoking and age over 35 (due to increased risk of cardiovascular events)
Advice From The Pharmacist
- Take Tilia Fe at the same time every day for maximum effectiveness.
- Do not skip doses: If you miss a dose, follow the instructions provided by your healthcare provider or on the medication package to reduce the risk of pregnancy.
- Avoid smoking while using Tilia Fe, especially if you are over 35, as this significantly increases the risk of serious cardiovascular events.
- Iron supplementation: The iron in the non-hormonal pills helps prevent iron deficiency during menstruation.
Side Effects of Tilia Fe
Common Side Effects
- Nausea
- Breast tenderness
- Headaches
- Changes in menstrual flow
- Weight gain
- Mood changes
Uncommon/Severe Side Effects
- Blood clots
- Stroke
- Heart attack
- Liver problems
- Severe allergic reactions (rash, swelling, difficulty breathing)
Risks and Warnings of Tilia Fe
- Blood Clot Risk: Women who smoke and are over 35 years old should not use Tilia Fe due to an increased risk of blood clots, stroke, and heart attack.
- Breast and Liver Cancer: Long-term use of oral contraceptives may slightly increase the risk of developing breast or liver cancer.
- High Blood Pressure: Tilia Fe may raise blood pressure, especially in women with pre-existing hypertension. Regular blood pressure monitoring is recommended.
Interactions with Tilia Fe
Common Drug Interactions
- Antibiotics: Certain antibiotics (e.g., rifampin) may reduce the effectiveness of Tilia Fe. Use additional non-hormonal contraception (e.g., condoms) during antibiotic treatment.
- Antiepileptic drugs: Medications such as carbamazepine or phenytoin may lower the effectiveness of Tilia Fe, increasing the risk of pregnancy.
- St. John’s Wort: This herbal supplement may reduce the effectiveness of oral contraceptives and should be avoided.
Alternatives to Tilia Fe
- Loestrin Fe: Another combination oral contraceptive that contains the same active ingredients but in different dosages.
- NuvaRing: A vaginal ring that releases hormones locally to prevent pregnancy.
- Depo-Provera: A progestin-only injectable contraceptive given every three months.
- Implanon/Nexplanon: A subdermal implant that provides long-term birth control for up to three years.
