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Ortho-Tricyclen
Aka: Ortho-Tricyclen, OrthoTricyclen, Ortho Tricyclen, Ortho Tri-Cyclen, Tri-Sprintec
- See Also
- Oral Contraceptive
- Oral Contraceptive Drug Interaction
- Oral Contraceptive Selection
- Oral Contraceptive Side Effect Management
- Oral Contraceptive-Related Uterine Bleeding Management
- Preparations (Norgestimate / Ethinyl Estradiol)
- Ortho Tri-Cyclen (0.18 - 0.215 - 0.250 / 35)
- Components
- Norgestimate 0.5 to 1.0 (see preparations above)
- Ethinyl Estradiol 35 ug
- Effect
- Relative Progestational Activity: 0.3 (low)
- Estrogenic Activity: 35 (moderate)
- Androgenic Activity: 0.15 (low)
- Pill associated problems
- Indications to switch to Modicon
- Acne Vulgaris (lower androgen)
- Increased Appetite (lower Progestin)
- Break-through bleed days 1-9 (more Estrogen)
- Break-through bleed all of month (more Estrogen)
- Major Depression provoked (lower Progestin)
- Menses too light (more Estrogen, less Progestin)
- Indications to switch to Demulen 1/35
- Breast Tenderness or engorgement (lower Estrogen)
- Break-through bleed days 10-21 (more Progestin)
- Headaches (lower Estrogen)
- Heavy Menses (more Progestin or less Estrogen)
- Dysmenorrhea or Menstrual Cramps (more Progestin)
- Moodiness (less Estrogen or more Progestin)
- Weight gain (less Estrogen or more Progestin)
- Indications to switch to Lo/Ovral
- Libido decreased (more androgen)
- References
- Cerel-Suhl (1999) Am Fam Physician 60(7):2073 [PubMed]
- Speroff (1993) Obstet Gynecol 81:1034-47 [PubMed]
- Dickey (1998) Managing Contraceptive Pill Patients