Tri-regol. Reviews of women, doctors, instructions for use, price

Tri-regol - contraceptive, which, according to women, is well tolerated. But, in order not to harm the body, before you start taking it, you need to carefully read the instructions and features of the drug.

Composition and form of release

The Tri-regol birth control is available as an oral tablet.

The following forms of contraceptive are on sale:

• Tri-regol. The contraceptive contains 21 active tablets. They are of different colors: 6 of them are pink, 5 are white and 10 are yellow. You need to drink them 1 tablet once a day at the same time. After drinking 21 tablets, you need to take a week break, during which menstrual bleeding should open.
• Tri-regol No. 21 + 7 (28 tablets). The contraceptive contains 21 active pills and 7 pills of reddish-brown color, which contain ferrous fumarate and allow you to create an iron reserve, prevent anemia. You need to take 21 active tablets and then take 7 tablets containing ferrous fumarate, after which you need to take a new package of contraceptive.
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The contraceptive effect of a contraceptive is explained by the following main components:

Types of pills	Levonorgestrel in mg	Ethinylestradiol mg
Pink pills	0,05	0,03
White pills	0,075	0,04
Yellow pills	0,125	0,03

Pink tablets have a round convex shape on 2 sides; they are white at the break.

Tri-regol tablets contain the following inactive ingredients:

• aerosil;
• E-572;
• E-553b;
• maize starch;
• milk sugar;
• sucrose;
• titanium white;
• E-170;
• copovidone;
• E-1521;
• E-1201;
• cellulose gum;
• E-172.

White tablets have a round convex shape on 2 sides, they are white on a longitudinal section:

• E-551;
• E-572;
• E-553b;
• milk and cane sugar;
• cellulose gum;
• E-170;
• E-171;
• copovidone;
• PEG;
• E-1201;
• maize starch.

Yellow tablets are round, convex on 2 sides in shape, they have a white core.

They contain the following substances as additional components:

• maize starch;
• E-551;
• E-172;
• E-572;
• milk sugar;
• cellulose gum;
• E-553b;
• sucrose;
• E-171;
• calcium carbonate;
• copovidone;
• polyethylene glycol;
• polyvinylpyrrolidone.

Placebo pills contain iron fumarate as the main component. They are round biconvex in shape. From above, they are covered with a reddish brown shell, and at the fracture you can see a light brown core.

They include the following inactive components:

• maize and potato starch;
• milk sugar;
• aerosil;
• cellulose gum;
• E-572;
• E-553b;
• sucrose;
• PEG;
• E-1201;
• copovidone;
• calcium carbonate;
• titanium dioxide.

Tri-regol (reviews of women indicate that it can be purchased at a pharmacy with a prescription from a doctor) in different cities of Russia it costs about the same:

City	Tri-regol No. 21 (price rub.)	Tri-regol No. 21X3 (cost rub.)
Moscow	288	765
St. Petersburg	296	754
Nizhny Novgorod	291	766
Kazan	294	752
Ufa	297	750
Ekaterinburg	292	753
Vologda	294	752

Pros and cons

Tri-regol has the following advantages:

• relatively low price;
• effectively protects against the onset of conception;
• noticeably reduces pain during menstruation.

Of the minuses of an oral contraceptive, it is worth noting the following:

• failures of menstruation (if you read reviews for the drug, then in them you can find information that the delay is more than 3 days);
• you need to take a contraceptive strictly according to the scheme;
• when switching to other dosages of hormones, there may be nausea;
• oral contraception can cause a number of adverse reactions.

Mechanism of action

Tri-regol is a high-dose, combined three-phase contraceptive that contains levonorgestrel and ethinyl estradiol as active ingredients and is taken orally. The contraceptive contains different dosages of hormones, which are approximately the same as in the natural menstrual cycle.

The contraceptive effect of an oral contraceptive is explained by several ways of regulating the monthly cycle:

• The medication suppresses ovulation.
• It increases the viscosity of mucus in the vagina, which interferes with the movement of sperm inside the female body and their connection with the egg.
• It suppresses the release of sex hormones, luteotropin, follitropin in the pituitary gland.
• It changes the inner layer of the uterus, as a result of which the embryo does not attach to the endometrium.

Indications for use

Tri-regol is used to prevent conception.

Contraindications and side effects

Tri-regol (reviews of women indicate that there is little to read before taking a contraceptive instructions for the tool, you still need to make sure that there are no contraindications) has a number of restrictions to use.

You can not take it during gestation and breastfeeding, as well as if you have the following health problems:

• allergy to the composition of the contraceptive;
• serious liver pathologies, its tumors;
• the presence of Gilbert's syndrome;
• colitis and other nonspecific inflammatory bowel pathologies;
• diseases of the biliary tract;
• severe pathologies of the cardiovascular system, regardless of the timing of the course;
• vascular pathology of the brain;
• migraine;
• blockage of blood vessels by a thrombus;
• hormone-dependent oncological processes in the chest and small pelvis;
• acute and chronic thrombophlebitis;
• high lipid levels;
• cystic drift;
• hypertonic disease;
• pancreatitis of all etiologies;
• extensive wounds;
• jaundice triggered by steroids;
• bleeding from the genital tract for unknown reasons;
• decompensated diabetes mellitus;
• hemolytic anemia;
• otosclerosis, accompanied by hearing loss when carrying a child;
• cholestatic hepatosis of pregnant women;
• unbearable itching of the skin or herpes infection during gestation;
• nicotine addiction;
• deficiency of an enzyme that breaks down lactose;
• hypersensitivity to milk sugar;
• malabsorption of galactose and dextrose.

Tri-regol is prohibited for women over 40 years old, as well as for patients undergoing surgery and prolonged immobilization.

Reviews of obstetricians-gynecologists on the practice of using the drug indicate that with extreme caution, oral contraceptives should be drunk by adolescents before menstruation becomes regular, as well as with the following pathologies:

• diabetes mellitus without vascular changes, in which blood glucose is close to normal and the risk of complications is minimal;
• epilepsy;
• hypertension, when the pressure is below 160/100 mm Hg. Art .;
• phlebeurysm;
• multiple sclerosis;
• tuberculosis;
• the dance of St. Vitus;
• fibrocystic disease;
• porphyrin disease;
• involuntary muscle contraction;
• bronchial asthma;
• fibroids;
• depression.

Tri-regol (reviews of women speak of a good tolerance of the drug) can sometimes cause the following health problems:

• nausea, vomiting, indigestion, stool retention, irritation of the mucous membrane of the digestive tract, jaundice;
• weakening of sexual desire;
• headache;
• weight gain;
• engorgement of the mammary glands;
• bleeding from the vagina that is not associated with menstruation;
• deterioration in mood;
• swelling of the eyelids and the connective membrane of the eye, blurred vision, discomfort when using contact lenses, and the discomfort disappears after the cancellation of the contraceptive;
• rise in blood pressure;
• inflammation and adenoma of the liver;
• pathology of the gallbladder, including the appearance of stones in it, its inflammation;
• hair loss;
• decreased sensitivity to glucose;
• rashes;
• fast fatiguability;
• vaginal candidiasis;
• stool staining black;
• chloasma;
• blood clots;
• increased discharge from the genital tract.

Tri-regol (reviews of women give information that contraceptive sometimes causes an increase in lipid and glucose levels in body) must be taken only after an appropriate examination in the antenatal clinic and once every 3 months to visit gynecologist.

Reception scheme

You need to swallow the tablets whole with a glass of water. It is necessary to drink them at the same time, it is better in the evening hours.
Start

You need to start taking contraceptives on the 1st day of your monthly cycle. You need to drink it 1 tablet a day. If the package contains 21 tablets, then after taking it, you need to interrupt for a week and then start drinking a new package. When there are 28 of them in the package, then after taking it, and immediately the next package of Tri-regola is accepted.

If a woman has previously taken another hormonal contraceptive, then Tri-regol should be taken from the 1st day of menstruation in the same way.

After an artificial termination of pregnancy, the start of the contraceptive should coincide with the day of the surgical intervention. If, after delivery, the woman in labor does not breastfeed, then taking Tri-regol should be started no earlier than the 1st day of menstruation.

In order not to get confused on the packaging with a contraceptive, there is a numbering of each pill and an arrow showing in what order to drink them.

Skipping a pill

If the pill is missed, then it must be drunk within 12 hours. When 1.5 days have passed since the next dosage was skipped, then it is necessary to use another non-hormonal method of preventing conception. But so that bleeding from the genital tract does not begin, it is necessary to continue taking Tri-regol from the already started packaging, just do not drink forgotten pills.

If a placebo is missed, additional contraception is not needed.

Cancellation

You can stop taking Tri-regol at any time, for example, due to the fact that the contraceptive did not fit or the need for it has disappeared.

special instructions

Before you start taking a contraceptive, you need to make sure that there is no pregnancy, undergo an examination, including:

• exclude hypertension;
• assess the condition of the liver;
• determine the sugar content in the body;
• assess the condition of the breast;
• make an analysis of a vaginal smear for cytology.

While taking a hormonal agent, such examinations need to be done every six months.

If a woman has suffered an inflammation of the liver of viral genesis, then it is possible to take a contraceptive only six months later and after making sure that the hepatic function is completely normalized.

If during the reception of Tri-regol there are abdominal pains, symptoms of bleeding from the abdominal cavity and an enlarged liver, then this may indicate a neoplasm on the liver and requires immediate withdrawal of the hormonal agent and seeking medical attention help.

If symptoms of liver dysfunction appear while taking a contraceptive, you need to talk to your doctor about the advisability of this method of preventing conception. If acyclic bleeding has appeared, then it is possible to continue taking contraceptives only when organic pathology is excluded.

In case of vomiting and indigestion, at the same time it is necessary to use non-hormonal methods of preventing conception. In cases of conception planning, the reception of the drug stops at least 3 months.

Due to being a part of estrogen, pills can cause changes in the function of the liver, kidneys, adrenal glands, and thyroid gland. They can change blood clotting, lipoprotein content and transport proteins.

It is necessary to interrupt the reception of Tri-regol if there is:

• migraine that appeared for the first time or worsened;
• severe headaches for the first time;
• rapid drop in visual acuity;
• the formation of blood clots in the vessels;
• heart attack;
• hypertensive crisis;
• progression of epilepsy;
• the onset of conception;
• the appearance of jaundice or inflammation of the liver without it;
• generalized itching;
• 1.5 months before the planned surgical intervention;
• prolonged immobilization of the body.

Tri-regol does not adversely affect the ability to drive a car and work with units that can cause injury.

Drug interactions

When taking a contraceptive, it must be borne in mind that it can interact with other medications:

• Sulfanilamide drugs, antibiotics can weaken the effect of an oral contraceptive tetracycline, anxiolytics, phenylbutazone, rifampicin, ampicillin, neomycin, polymyxin B, chloramphenicol. Therefore, if a woman receives treatment with these medicines, she needs to use more non-hormonal methods of protection.
• With the simultaneous administration of hormonal pills and anticoagulants, the risk of bleeding increases. Therefore, it is necessary to determine the prothrombin index from time to time and it may be necessary to change the dosage of the anticoagulant.
• The hormonal agent can increase the bioavailability and toxicity of tricyclics, β-blockers, maprotiline.
• If a woman is being treated with insulin and oral hypoglycemic drugs, then due to the use of a contraceptive, their dosage may have to be changed.
• Tri-regol weakens the effect of bromocriptine.
• With caution, in combination with a contraceptive, you need to take medications that have a toxic effect on the liver, especially for women over 35 years old. The most dangerous is the combination with dantrolene.

Storage conditions and periods

So that the hormonal agent does not lose its effect, it is necessary store at temperatures up to 25 degrees for 24 months from the date of issue. Keep birth control pills out of reach of children.

Analogs

There are no complete analogues of the drug Tri-regol on sale, there are only its substitutes for the pharmacological group:

• Rigevidon 21. It is a monophasic contraceptive that contains levonorgestrel: 0.150 mg and ethinylestradiol: 0.030 mg as active substances. Its price for 1 course of admission is 275 rubles, and for three courses 678 rubles. In addition to him, Rigevidon 21 + 7 is on sale. In this case, 21 tablets also contain levonorgestrel and ethinyl estradiol as active ingredients, and 7 placebo tablets contain iron fumarate. The price of a medication for 1 course is 315 rubles.
• Microginon. As the main components, the contraceptive contains ethinyl estradiol: 0.030 mg and levonorgestrel: 0.150 mg. The drug is produced in pills, of which there are 21 pieces in the package. and they cost 418 rubles.

Tri-regol belongs to the prescription list, so women should not drink them without a doctor's prescription. after reading only the reviews of the contraceptive and the instructions for it, otherwise it may be harmful health.

Video about the drug and contraception

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