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Precautions and Warnings With Tri-Estarylla

Specific Tri-Estarylla Precautions and Warnings

Some warnings and precautions to be aware of prior to using this product include the following:
  • Combined oral contraceptives, such as Tri-Estarylla, increase the risk of life-threatening problems, such as heart attacks, strokes, and blood clots. The risk is quite small for healthy, young, nonsmoking women. Make sure to tell your healthcare provider if you have ever had a blood clot, stroke, heart attack, or chest pain.
Smoking cigarettes greatly increases the risk of these serious Tri-Estarylla side effects. This risk is particularly high for smokers over the age of 35.
  • Tri-Estarylla does not protect against HIV, AIDS, or other sexually transmitted diseases (STDs). In many cases, it is advisable to use condoms in addition to Tri-Estarylla.
  • Make sure you take the time to understand exactly how to take Tri-Estarylla, including how and when to start it and what to do if you miss pills. When taken correctly, the drug is effective in preventing pregnancy. However, it becomes much less effective if taken incorrectly. Most cases of accidental pregnancy while taking "the pill" (including Tri-Estarylla) are due to incorrect usage.
  • Combined oral contraceptives may slightly increase the risk of breast cancer or cervical cancer, although this is an unresolved and controversial issue. However, combined oral contraceptives seem to help protect women against ovarian and uterine cancer.
  • Oral contraceptives increase the risk of benign (noncancerous) liver tumors. In rare cases, these tumors can rupture and cause serious problems.
  • Hormonal contraceptives, such as Tri-Estarylla, can make gallbladder disease worse. If you have had a problem with your gallbladder, this medication may not be the best contraceptive method for you.
  • Tri-Estarylla may increase blood sugar, particularly in women with diabetes. Your healthcare provider may need to monitor you more closely. Tell him or her if you have any sudden vision changes, as this may be a sign of a blood clot in the eyes (a possible side effect of Tri-Estarylla and other hormonal contraceptives).
  • Tri-Estarylla can change your menstrual bleeding patterns. Some women have breakthrough bleeding (bleeding between periods), while others may not have a period at all. It is normal to have shorter and lighter periods while using Tri-Estarylla. However, if you notice any unusual changes in your bleeding patterns, let your healthcare provider know. If you miss a period, you should make sure you are not pregnant.
  • Sometimes, hormonal contraceptives can make depression worse. Let your healthcare provider know if you develop new or worsening depression symptoms while taking the drug.
  • Occasionally, Tri-Estarylla, as well as any other hormonal contraceptive, can cause eye changes that make it more difficult to wear contact lenses.
  • Contraceptive hormones, such as the ones in Tri-Estarylla, pass through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to taking the drug (see Ortho Tri-Cyclen and Breastfeeding). Combined hormonal contraceptives, such as Tri-Estarylla, are not usually recommended for breastfeeding women.
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