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Triphasil

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Triphasil, Trinordiol, Logynon, Trivora, Enpresse

  • See Also
  1. Oral Contraceptive
  2. Oral Contraceptive Drug Interaction
  3. Oral Contraceptive Selection
  4. Oral Contraceptive Side Effect Management
  5. Oral Contraceptive-Related Uterine Bleeding Management
  • Preparations (Levonorgestrel / Ethinyl Estradiol - 0.05/30 - 0.075/40 - 0.125/30)
  1. Triphasil
  2. Logynon (UK)
  3. Trivora
  4. Enpresse
  • Components
  1. Levonorgestrel 0.05 to 0.125 mg (see preparation above)
  2. Ethinyl Estradiol 30 to 40 ug
  • Effect
  1. Relative Progestational Activity: 0.5 (low)
  2. Estrogenic Activity: 28 (moderate)
  3. Androgenic Activity: 0.29 (moderate)
  • Pill associated problems (Similar to Ortho-Novum 7/7/7)
  1. Indications to switch to Ortho Cyclen
    1. Acne Vulgaris (lower androgen)
    2. Increased Appetite (lower Progestin)
    3. Major Depression provoked (lower Progestin)
  2. Indications to switch to Demulen 1/35
    1. Breast Tenderness or engorgement (lower Estrogen)
    2. Headaches (lower Estrogen)
    3. Moodiness (less Estrogen or more Progestin)
    4. Weight gain (less Estrogen or more Progestin)
  3. Indications to switch to Modicon
    1. Break-through bleed days 1-9 (more Estrogen)
    2. Break-through bleed all of month (more Estrogen)
    3. Menses too light (more Estrogen, less Progestin)
  4. Indications to switch to Lo/Ovral
    1. Libido decreased (more androgen)
  5. Indications to switch to Ortho Novum 1/35
    1. Break-through bleed days 10-21 (more Progestin)
    2. Heavy Menses (more Progestin or less Estrogen)
    3. Dysmenorrhea or Menstrual Cramps (more Progestin)
  • References
  1. Cerel-Suhl (1999) Am Fam Physician 60(7):2073 [PubMed]
  2. Speroff (1993) Obstet Gynecol 81:1034-47 [PubMed]
  3. Dickey (1998) Managing Contraceptive Pill Patients