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Trivora (28)
Trivora (28) is a combination oral contraceptive pill used to prevent pregnancy. It contains two hormones: ethinyl estradiol (an estrogen) and levonorgestrel (a progestin). These hormones work together to prevent ovulation, alter the uterine lining, and thicken cervical mucus, making it difficult for sperm to reach the egg and for a fertilized egg to implant. Trivora is a triphasic contraceptive, meaning the dosage of hormones varies in three phases over the menstrual cycle to more closely mimic the body’s natural hormone fluctuations.
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Frequently Asked Questions
Can Trivora help with acne?
Trivora is not specifically approved for the treatment of acne, but some women may notice improvements in their acne due to the hormonal regulation it provides. Other contraceptives may be more commonly prescribed for acne.
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. If you miss two or more active pills, follow the instructions provided with your pack or consult your healthcare provider for guidance.
Can Trivora cause weight gain?
Some women may experience slight weight gain due to fluid retention or hormonal changes, but significant weight gain is uncommon.
Can I stop taking Trivora whenever I want?
Yes, you can stop taking Trivora at any time. However, if you stop taking it and do not use another form of contraception, you will be at risk for pregnancy. Consult your healthcare provider for guidance on alternative contraception options.
Does Trivora protect against sexually transmitted infections (STIs)?
No, Trivora does not protect against STIs. Condoms should be used in addition to oral contraceptives to reduce the risk of STIs.
Comprehensive Drug Guide
How Does Trivora (28) Work?
- Inhibiting ovulation: Prevents the release of an egg from the ovaries.
- Thickening cervical mucus: Makes it more difficult for sperm to travel to the uterus.
- Altering the uterine lining: Reduces the likelihood of a fertilized egg implanting in the uterus.
Common Dosages
- 21 active tablets: Each tablet contains ethinyl estradiol and levonorgestrel in varying doses across the three phases of the cycle.
- 7 inactive tablets: Placebo pills taken during the last week of the cycle.
Typical Dosing
- Take one active pill daily for 21 days, followed by one inactive pill daily for 7 days.
- Begin a new pack immediately after finishing the 28-day cycle, regardless of whether menstruation has started or ended.
Typical Dosing
FDA Approved Indications
- Contraception (prevention of pregnancy)
Who Shouldn't Take Trivora (28)?
- History of blood clots, stroke, or heart attack
- Uncontrolled hypertension
- Known or suspected breast cancer or other estrogen- or progestin-sensitive cancers
- Liver disease
- Pregnancy
Advice From The Pharmacist
- Take Trivora at the same time every day to maintain consistent hormone levels and maximize its contraceptive effectiveness.
- If you miss a pill, follow the instructions provided with your pack or consult your healthcare provider for guidance.
- Trivora does not protect against sexually transmitted infections (STIs); using condoms is recommended for STI prevention.
- Store the pills at room temperature, away from moisture and heat, and ensure you begin each new pack on time to maintain contraceptive coverage.
Side Effects of Trivora (28)
Common Side Effects
- Nausea
- Breast tenderness
- Headache
- Weight changes
- Mood swings
Uncommon/Severe Side Effects
- Blood clots
- Stroke or heart attack
- High blood pressure
- Liver issues
Risks and Warnings of Trivora (28)
- Blood Clot Risk: Women over 35 who smoke are at an increased risk of developing blood clots while using Trivora. It is strongly recommended to stop smoking if using this contraceptive.
- Hypertension: Trivora may cause or worsen high blood pressure. Regular monitoring of blood pressure is recommended while taking this medication.
- Cancer Risk: Prolonged use of combination oral contraceptives may increase the risk of breast cancer or liver tumors in some women.
Interactions with Trivora (28)
Common Drug Interactions
- Antibiotics: Certain antibiotics, such as rifampin, may reduce the effectiveness of Trivora.
- Anticonvulsants: Some anticonvulsants can interfere with how Trivora works, potentially reducing its contraceptive effectiveness.
- St. John’s Wort: This herbal supplement may decrease the effectiveness of hormonal contraceptives.
- HIV medications: Certain HIV treatments may interact with Trivora, making it less effective.
Alternatives to Trivora (28)
- Levora: A similar combination oral contraceptive with the same active ingredients.
- Loestrin 24 Fe: A low-dose oral contraceptive option.
- Depo-Provera: A progestin-only injectable contraceptive given every three months.
- Intrauterine Device (IUD): A long-acting contraceptive option available in both hormonal and non-hormonal forms.
