Consumer information: Tri-Jordyna®

What is Tri-Jordyna Used For?

• Tri-Jordyna® is a combination oral contraceptive (COC) used for:
  • Preventing pregnancy.
  • Treatment of moderate acne in females aged 15 and older who have no known contraindications to oral contraceptive therapy, desire contraception, and have achieved menarche.

How Does Tri-Jordyna Work?

• Prevents ovulation: Inhibits the release of an egg from the ovary.
• Thickens cervical mucus: Makes it harder for sperm to reach the egg.
• Alters the uterine lining: Reduces the likelihood of implantation of a fertilized egg.

Effectiveness:

• Perfect use: When taken exactly as directed, Tri-Jordyna is more than 99% effective at preventing pregnancy.
• Typical use: Missed or late pills may reduce effectiveness.
• Tri-Jordyna does not protect against sexually transmitted infections (STIs). Use condoms for STI protection.

Who Should Not Use Tri-Jordyna?

• Contraindications include:
  • History of or current blood clots, stroke, heart attack, or liver disease.
  • Pregnancy or suspected pregnancy.
  • Breast cancer or other estrogen-dependent cancers.
  • Uncontrolled high blood pressure, diabetes with vascular complications, or smoking over age 35.

Warnings and Precautions:

• Smoking increases the risk of serious cardiovascular side effects, especially in women over 35.
• There is a risk of blood clots, stroke, and heart attack, particularly in women with risk factors such as obesity, hypertension, and diabetes.
• Liver disease: Tri-Jordyna should not be used in women with active liver disease or liver tumors.

Possible Side Effects:

• Common side effects include:
  • Nausea, vomiting, and headaches.
  • Irregular bleeding or spotting between periods.
  • Breast tenderness or enlargement.
  • Weight changes and mood swings.
• Serious side effects (less common):
  • Blood clots (deep vein thrombosis, pulmonary embolism).
  • Stroke or heart attack.
  • Liver tumors.

When to Start Tri-Jordyna:

1. Starting after a period:
   • Begin taking Tri-Jordyna on Day 1 of your menstrual cycle for immediate contraceptive protection.
   • If starting after Day 1, use backup contraception (e.g., condoms) for the first 7 days.
2. After childbirth:
   • Non-breastfeeding women can start Tri-Jordyna 21 to 28 days after delivery. Use backup contraception for the first 7 days if starting later.
3. After miscarriage or abortion:
   • Tri-Jordyna can be started immediately after a first-trimester miscarriage or abortion for immediate protection.

Missed Pills:

1. Missed one pill:
   • Take it as soon as you remember, then take the next pill at your usual time (you may take two pills in one day). No backup contraception is required.
2. Missed two pills in a row:
   • Take two pills on the day you remember, and two pills the next day.
   • Use backup contraception for 7 days.
3. Missed three or more pills:
   • Discard the remaining pills and start a new pack.
   • Use backup contraception for 7 days.

What to Do if You Vomit or Have Diarrhea:

• If you vomit or have severe diarrhea within 3-4 hours of taking a pill, take another pill as soon as possible.
• Use backup contraception for 7 days.

Other Considerations:

• Breastfeeding: Tri-Jordyna is not recommended during breastfeeding as it may reduce breast milk production.
• Take the pill at the same time every day to maintain effectiveness.

Storage Information:

• Store Tri-Jordyna between 15°C and 30°C, protected from light and moisture.