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Taytulla (Ethinyl Estradiol , Norethindrone)
| Norethindrone/Ethinyl Estradiol 35 (Generic) Norethindrone Acetate, Ethinyl Estradiol | ||||||
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General Medication Fact Sheet for Taytulla
| Field | Information |
|---|---|
| Medication Name | Taytulla |
| Generic Name | Norethindrone Acetate and Ethinyl Estradiol |
| Boxed/Label Warning | Cigarette smoking increases the risk of serious cardiovascular events (blood clots, stroke, heart attack) from combination oral contraceptives, especially in women who are over 35 years old. Women who use oral contraceptives are strongly advised not to smoke. |
| Purpose | Oral contraceptive used to prevent pregnancy. |
| Mechanism of Action | Inhibits ovulation, alters cervical mucus, and changes the uterine lining. |
| Dosage Forms | Oral capsule |
| Available Strengths | 1 mg norethindrone acetate/20 mcg ethinyl estradiol |
| Dosage Frequency | Once daily |
| Common Side Effects | Nausea, vomiting, headache, bloating, breast tenderness, weight changes, spotting between periods. |
| Serious Side Effects | Blood clots (deep vein thrombosis, pulmonary embolism), stroke, heart attack, liver problems, high blood pressure, gallbladder disease. |
| Drug Interactions | Certain antibiotics (e.g., rifampin), antifungals (e.g., ketoconazole), anti-seizure medications (e.g., phenytoin, carbamazepine), St. John’s Wort, HIV protease inhibitors. |
| Important Notes | Take at the same time each day. Consult a doctor if you experience severe abdominal pain, chest pain, vision changes, severe headaches, or leg pain. |
| Storage | Store at room temperature away from moisture and light. |
| Missed Dose | Refer to the patient information leaflet included with the product. Generally, take the missed pill as soon as you remember, even if it means taking two pills in one day. Use backup contraception if you miss more than one pill. |
| Alternatives | Levonorgestrel/Ethinyl Estradiol (various brands), Drospirenone/Ethinyl Estradiol (Yaz, Yasmin), Norgestimate/Ethinyl Estradiol (Ortho Tri-Cyclen, Sprintec) |
Taytulla Alternatives
| Medication | Mechanism of Action | Notes |
|---|---|---|
| Levonorgestrel/Ethinyl Estradiol (various brands) | Inhibits ovulation, alters cervical mucus, and changes the uterine lining. | Commonly prescribed oral contraceptive. Various brands are available. |
| Drospirenone/Ethinyl Estradiol (Yaz, Yasmin) | Inhibits ovulation, alters cervical mucus, and changes the uterine lining; drospirenone has anti-androgenic effects. | May be helpful for women with acne or symptoms of premenstrual dysphoric disorder (PMDD). |
| Norgestimate/Ethinyl Estradiol (Ortho Tri-Cyclen, Sprintec) | Inhibits ovulation, alters cervical mucus, and changes the uterine lining. | Triphasic oral contraceptive; hormone levels vary throughout the cycle. |
| Progestin-only pills (Norethindrone) | Primarily thickens cervical mucus and thins the uterine lining. | Does not contain estrogen. Often used by women who cannot take estrogen-containing birth control. |
Taytulla Side Effects
| Common Side Effects | Serious Side Effects |
|---|---|
| Nausea | Blood clots (DVT, PE, stroke) |
| Headache | Heart attack |
| Bloating | High blood pressure |
| Breast tenderness | Liver tumors |
| Weight changes | Gallbladder disease |
| Spotting between periods | Depression |
Taytulla Dosage Guide
| Condition | Starting Dose | Maintenance Dose | Administration Notes |
|---|---|---|---|
| Contraception | One capsule | One capsule daily for 28 days (one pack). | Take one capsule daily at the same time each day. Follow the pack instructions. |
