TriRegol is a type of combined contraceptive pill containing both oestrogen and progesterone hormones to prevent unwanted pregnancy from occuring.
TriRegol works by stopping the ovaries from releasing an egg each month. This means that fertilisation cannot occur. The pill contains ethinylestradiol and levonorgestrel, synthetic versions of estrogen and progesterone. The hormones in the pill also thicken the mucus surrounding the entrance to the cervix, preventing sperm from entering. It causes the womb lining to thin, making it difficult for an egg to attach to the wall.
TriRegol is over 99% effective if it is taken correctly.
TriRegol will start to work right away if you take it on the first day of your period. If you are changing the type of pill you are taking, ensure you read the instructions carefully. If you are taking a form of the combined pill then finish your current pill strip and begin taking TriRegol the next day. You can switch from the progesterone only pill at any time but TriRegol won't start to work right away so you'll need to use an additional barrier method of contraception for the first 7 days.
TriRegol can also be used to regulate your period, easing PMS and making it lighter and less painful.
TriRegol can be used to delay your period. You can do this by skipping the pill free week between packs and starting the next one right away.
There are numerous types of contraceptive pills available and you may need to try a few different brands before finding one that works for you. If you are switching from a different form of the combined pill, wait until you have finished your current pill strip and begin TriRegol the following day. You can switch to TriRegol from the progesterone only pill at any time during the month but be aware that you will need to use condoms, or another form of contraception, for the first 7 days.
If you vomit within 3-4 hours of taking TriRegol then your contraception may not work. This is because the pill may not have been fully absorbed by your body. If you are sick, take another TriRegol pill as soon as possible. In the event that the vomiting continues, treat it as a missed pill and use additional contraceptives until you have been symptom free for 7 days.
If you stop taking the pill you can get pregnant at any time. It's recommended to wait until your natural period returns; which may be 1-2 months. Talk to your GP or family planning clinic if you are trying to get pregnant. They will be able to advise you on how to come off the pill safely and any steps you can take to ensure you have a healthy conception.
The active ingredients contained in TriRegol are ethinylestradiol and levonorgestrel.
The other ingredients are colloidal anhydrous silica, magnesium stearate, talc, maize starch and lactose monohydrate.
If you miss a pill, what you should do next depends on where you are in your cycle.
If you miss a pill in the first week of your cycle then take the missed pill as soon as you can, even if that means taking two at once. You will need to use condoms, or another barrier method of contraception, for the next 7 days as your protection will be affected
If you miss a pill during the second week of your cycle, take the missed pill right away and keep taking the rest at the usual time. Your contraception will not be affected
If you miss a pill during the third week of your cycle then take the missed pill as soon as you can. Keep taking the rest of your pills as usual. Once you reach the end of the pill pack, skip the 7 day break and start the next one right away
If you miss more than one pill, take the most recent missed pill right away and ensure you take the rest on time. If you have had sex during this time there is a chance you may be pregnant. See your GP or a pharmacist for advice
If you have taken your pill up to 12 hours later than usual, your contraception will not be affected. Ensure you take the rest of your pills on time. If it has been 12 hours or more since you were due to take it then follow the instructions for a missed pill to ensure that your contraception is not affected.
TriRegol is safe to take for as long as you need it. Taking the combined pill increases the risk of blood clots for all women. If you have a condition, or medical history, which may increase your risk of this then you will be advised that the pill is not suitable for you to take. Your doctor will assess your medical history before prescribing you with the pill.
Your natural period should return 2-4 weeks after you stop taking the pill. It could take longer than this so do not worry if you don't get a period right away.
You should start taking TriRegol on the first day of your period. If this isn't possible you can also start it on days 2-5 of your period but in this case you will need to use condoms, or another additional contraceptive, for the first seven days.
TriRegol can be taken at any time of the day but it must be taken at the same time each day. Try to choose a time which is convenient for you and that will be easy to remember. Setting an alarm or reminder on your phone may help you to get into the routine of it. Each strip of pills contains 21 tablets. When you reach the end of one strip, wait 7 days before starting the next one. This is when you will have your withdrawal bleed, similar to your period.
The pink tablets contain 30mg ethinylestradiol and 50mg levonorgestrel. The white tablets contain 40mg ethinylestradiol and 75mg levonorgestrel and the ochre tables contain 30mg ethinylestradiol and 125mg levonorgestrel.
To use TriRegol for period delay, skip the 7 day break in between pill packs. This will delay your period until the following month. It's recommended to ask your doctor for advice about delaying your period with TriRegol.
Common side effects include:
Breast pain or tenderness
Uncommon side effects may include:
Loss of side effects
High blood pressure
Rare side effects may include:
Poor tolerance of contact lenses
Red nodules or lumps on the skin
System lupus erythematosus
Do not take TriRegol if:
You are allergic to any of the ingredients
You have ever experienced a blood clot
You have a disorder which affects your blood circulation
You have ever had a heart attack or angina
You have ever had a stroke
You have a family history or blood clots or a related condition
You have diabetes with blood vessel damage
You have a disorder of the blood vessels in the eye
You have severe high blood pressure
You have heart problems
You have ever had liver disease
You have a liver tumour
You have breast, ovarian or cervical cancer
You have unexplained vaginal bleeding
You get migraines
You might be pregnant
Talk to your doctor before taking TriRegol if any of the following apply to you:
High blood pressure
Systemic lupus erythematosus
Haemolytic uraemic syndrome
Disturbed liver function
Tell your doctor if you are taking any of the following medicines as they may interfere with the way TriRegol works:
St John's wort
Always tell your doctor about any other medications you are taking, or planning to take, to ensure the combination is safe.
TriRegol differs to the mini pill as it contains two types of hormones; oestrogen and progesterone. The mini pill only has progesterone as an active ingredient. It's also referred to as the progesterone only pill. The mini pill produces less side effects and doesn't pose as many health risks as the combined pill. This means it may be suitable for women with high blood pressure or those who experience unpleasant side effects with the combined pill.
Other types of the combined pill which contain the same hormonal ingredients are:
Dr Felix stock all available types of the contraceptive pill in the UK, including the mini pill. Long term reversible contraceptives are available from your GP or family planning clinic. These include the copper IUD, hormonal IUS, implant or injection.
Patient Information Leaflet https://www.medicines.org.uk/emc/product/4215/smpc
NHS> The Combined Pill https://www.nhs.uk/conditions/contraception/combined-contraceptive-pill/