Ask a doctor now. If bleeding persists or occurs after previously regular cycles, check for causes such as pregnancy or malignancy. 546. If vomiting or diarrhea occurs within 3 to 4 hours after taking an active tablet, handle this as a missed tablet Tri-Lo-Sprintec (norgestimate and ethinyl estradiol tablets USP) is available in a blister card. If the patient has not adhered to the prescribed dosing schedule (missed one or more active tablets or started taking them on a day later than she should have), consider the possibility of pregnancy at the time of the first missed period and take appropriate diagnostic measures. Acute or chronic disturbances of liver function may necessitate the discontinuation of COC use until markers of liver function return to normal and COC causation has been excluded. PSA make sure your doctor knows of all the … Women with a tendency to chloasma should avoid exposure to the sun or ultraviolet radiation while taking Tri-Sprintec.The following serious adverse reactions with the use of COCs are discussed elsewhere in labeling:Adverse reactions commonly reported by COC users are:Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice.The safety of norgestimate and ethinyl estradiol was evaluated in 4,826 healthy women of child-bearing potential who participated in 6 clinical trials and received at least 1 dose of norgestimate and ethinyl estradiol for contraception. If... Not relevant? Steady-state concentrations of NGMN and NG are achieved by Day 21. BUT he did put the condom on upside down, realized it was not right and then flipped it over and unrolled it. Keep a list of them to show your healthcare provider and pharmacist when you get a new medicine.Serious blood clots can happen especially if you smoke, are obese, or are older than 35 years of age. This risk increases with age, particularly in women over 35 years of age, and with the number of cigarettes smoked. Alternately, your period may arrive at unscheduled times. A fertilized egg passes out of the body if it is unable to attach to the uterus.Norgestimate and ethinyl estradiol tablets might also be used for functions not listed in this medication guide.Consult with a doctor before taking Sprintec birth control tablets.Do not take Sprintec dosages if the following concerns have been or are currently apparent: uncontrolled high blood pressure, heart disease, blood clotting disorder, circulation issues, diabetic issues with eyes or kidneys, unusual vaginal bleeding, liver disease or liver cancer, acute migraine headaches, breast or uterine cancer, jaundice due to birth control pills, depression, gallbladder problems, heart issues, severe headaches or migraines.Taking Sprintec birth control pills can raise the risk of heart attack, stroke, or blood clots. Each box on the chart contains a list of birth control methods that are similar in effectiveness. However, the risk of liver cancers in COC users is less than one case per million users.During clinical trials with the Hepatitis C combination drug regimen that contains ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, ALT elevations greater than 5 times the upper limit of normal (ULN), including some cases greater than 20 times the ULN, were significantly more frequent in women using ethinyl estradiol-containing medications, such as COCs. Table 4 summarizes the changes in lesion count for each type of lesion. There were no exclusions on the basis of weight; the weight range for women treated was 80 to 310 lbs, with a mean weight of about 132 lbs. Discontinue Tri-Lo-Sprintec prior to starting therapy with the combination drug regimen ombitasvir/paritaprevir/ritonavir, with or without dasabuvir Tri-Lo-Sprintec is contraindicated in women with uncontrolled hypertension or hypertension with vascular disease An increase in blood pressure has been reported in women taking COCs, and this increase is more likely in older women with extended duration of use.