Tri-Lo-Marzia is a combination birth control pill containing female hormones that prevent ovulation (the release of an egg from an ovary). Tri-Lo-Marzia also causes changes in your cervical mucus and uterine lining, making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus.
Tri-Lo-Marzia is used as contraception to prevent pregnancy. There are many available brands of this medicine.
Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.
You may need to use back-up birth control, such as condoms with spermicide, when you first start using this medicine. Follow your doctors instructions.
Take one pill every day, no more than 24 hours apart. When the pills run out, start a new pack the following day. You may get pregnant if you do not take one pill daily.
Some birth control packs contain "reminder" pills to keep you on your regular cycle. Your period will usually begin while you are using these reminder pills.
You may have breakthrough bleeding, especially during the first 3 months. Tell your doctor if this bleeding continues or is very heavy.
Use a back-up birth control if you are sick with severe vomiting or diarrhea.
If you need major surgery or will be on long-term bed rest, you may need to stop using this medicine for a short time. Any doctor or surgeon who treats you should know that you are using estradiol and levonorgestrel.
While taking birth control pills, you will need to visit your doctor regularly.
Side effects that you should report to your doctor or health care professional as soon as possible:
• breast tissue changes or discharge
• changes in vaginal bleeding during your period or between your periods
• chest pain
• coughing up blood
• dizziness or fainting spells
• headaches or migraines
• leg, arm or groin pain
• severe or sudden headaches
• stomach pain (severe)
• sudden shortness of breath
• sudden loss of coordination, especially on one side of the body
• speech problems
• symptoms of vaginal infection like itching, irritation or unusual discharge
• tenderness in the upper abdomen
• weakness or numbness in the arms or legs, especially on one side of the body
• yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
• breakthrough bleeding and spotting that continues beyond the 3 initial cycles of pills
• breast tenderness
• mood changes, anxiety, depression, frustration, anger, or emotional outbursts
• increased sensitivity to sun or ultraviolet light
• skin rash, acne, or brown spots on the skin
• weight gain (slight)
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
Do not take this medicine with the following medication:
• dasabuvir; ombitasvir; paritaprevir; ritonavir
• ombitasvir; paritaprevir; ritonavir
This medicine may also interact with the following medications:
• antibiotics or medicines for infections, especially rifampin, rifabutin, rifapentine, and griseofulvin, and possibly penicillins or tetracyclines
• ascorbic acid (vitamin C)
• barbiturate medicines, such as phenobarbital
• grapefruit juice
• medicines for anxiety or sleeping problems, such as diazepam or temazepam
• medicines for diabetes, including pioglitazone
• mineral oil
• ritonavir or other medicines for HIV infection or AIDS
• soy isoflavones supplements
• St. Johns wort
• tamoxifen or raloxifene
• thyroid hormones
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include severe nausea and vomiting, sudden/unusual vaginal bleeding.