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Combined hormonal birth control pill

FDA Approved Drugs
3 months (84 pills) ($49.99)
$49.99 Including Rx and delivery
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Tri-Lo-Estarylla FAQs

What is Tri-Lo-Estarylla?

Tri-Lo-Estarylla is a combined hormone pill that’s used to prevent pregnancy. It contains two different hormones, norgestimate and ethinyl estradiol, that work to stop you from getting pregnant. When used correctly, combined oral contraceptive pills (COCP) are over 99% effective at preventing pregnancy.

Tri-Lo-Estarylla contains three different doses of pills in each pack, it is known as triphasic birth control. This means that the dosage of hormones can rise and fall as needed throughout your cycle. This follows the hormone fluctuations in your natural cycle more closely.

How does Tri-Lo-Estarylla work?

The hormones in Tri-Lo-Estarylla (norgestimate and ethinyl estradiol) work in three different ways to prevent pregnancy:

  • It stops your body from releasing an egg by preventing ovulation.
  • It stops the lining of your womb from thickening so that an egg can’t implant itself.
  • It makes your cervical fluid thicker so that sperm can’t get through to reach an egg.
Graphic showing how Tri-Lo-Estarylla works to prevent pregnancy

These combined effects make pregnancy less likely.

Tri-Lo-Estarylla can also help to regulate your period and make it lighter. It can even help with PMS symptoms that many women experience during their menstrual cycle.

How should Tri-Lo-Estarylla be taken?

For immediate protection from pregnancy, you should start taking the first active Tri-Lo-Estarylla pill on the first day of your period. If you use this method, you will not need to use any additional methods of contraception.

If you use the ‘Sunday Start’ (i.e. you start taking Tri-Lo-Estarylla on a Sunday, and it’s not the first day of your period), you should use additional barrier methods of contraception such as condoms for the following 7 days that you take Tri-Lo-Estarylla.

Graphic of Tri-Lo-Estarylla pill pack

To ensure you are taking this medicine correctly, you should:

  • Take 1 pill every day at the same time each day.
  • Take the pills in the correct order as directed on each blister pack.
  • Do not skip your pills, continue to take them even if you do not have sex often. If you miss pills (or start the next pack late) you could increase the risk of getting pregnant.

What should I do about a missed pill?

Here are the instructions you should follow if you miss 1 or more pills:

If you miss 1 active pill in weeks 1, 2, or 3:
  • Take the pill as soon as you remember and take your next pill at your usual time. This means you may take 2 pills in 1 day.
  • Continue taking 1 pill every day until you finish the rest of the pack.
  • You do not need to use a back-up birth control method if you have sex.
If you miss 2 active pills in week 1 or week 2 of your pack:
  • Take the 2 missed pills as soon as possible and the next 2 active pills the next day.
  • Then continue taking 1 pill every day until you finish the pack.
  • Use an additional birth control method (such as a condom) as a backup if you have sex during the first 7 days after missing your pills.
If you miss 2 active pills in week 3
If you miss 3 or more active pills in a row in weeks 1, 2, or 3:

Day 1 start (you started taking the pill on the FIRST day of your period): Throw out the rest of the pack and start a new pack that same day.

Sunday start (you started taking the pill on the Sunday after your period starts): Continue taking one pill each day until Sunday, then throw out the rest of the pack and start a new pack that same day.

Use an additional method of contraception (such as a condom) as a backup if you have sex within 7 days after missing pills.

What dosages are available?

Every pack of Tri-Lo-Estarylla has 21 active birth control pills and 7 inactive pills. The ‘inactive’ pills don’t have any hormones in them. Having a break from the hormones means you can have your period, while still taking the inactive pills helps you remember to take them every day.

Each blister card contains coated tablets in the following order:

  • 7 white pills each containing 0.18mg of norgestimate and 0.025mg of ethinyl estradiol (taken from days 1 to 7).
  • 7 light blue pills each containing 0.215mg of norgestimate and 0.025mg of ethinyl estradiol (taken from days 8 to 14).
  • 7 blue pills each containing 0.25mg of norgestimate and 0.025mg of ethinyl estradiol (taken from days 15 to 21)
  • 7 green pills without any hormones (taken from days 22 to 28)

Who can and cannot use Tri-Lo-Estarylla?

Tri-Lo-Estarylla is safe for most women to use as a daily contraceptive. However, it may not be suitable for some women due to an existing health condition or medication interaction.

Women who may not be able to use this contraceptive include those who:

  • Smoke and are over 35 years old
  • Have or have had blood clots in their arms, legs, lungs, or eyes
  • Have or have had problems with their blood that make it clot more than normal
  • Have certain heart valve problems or an irregular heartbeat
  • Have had a stroke or heart attack
  • Have high blood pressure that cannot be controlled by medicine
  • Have diabetes with damage to their kidneys, eyes, nerves, or blood vessels
  • Have certain kinds of severe migraine headaches
  • Have liver problems
  • Take medicine for Hepatitis C
  • Have any unexplained vaginal bleeding
  • Are pregnant or breastfeeding
  • Have had breast cancer or any cancer that is sensitive to female hormones

What interactions are there?

Tri-Lo-Estarylla may affect how some medicines work and vice versa. Inform your healthcare provider if you use any of the following:

  • Epilepsy medicines (e.g. phenytoin, carbamazepine)
  • Certain antibiotics (e.g. rifampicin)
  • St. John's wort
  • Cholesterol medication
  • HIV medicines

Grapefruit juice can interact with the birth control pill and can lead to higher blood levels of the medication. This could increase the risk of experiencing side effects of this medicine.

This is not a complete list of potential interactions. For the full list, refer to the patient package insert included with your order.

What precautions should I take?

Before starting this medication, you must consider the precautions associated with it.

Tri-Lo-Estarylla pills don't protect you against sexually transmitted infections (STIs). This means that extra protection (e.g. condoms) may still be required during sex.

You should talk to a doctor if you intend to use this medicine during a long journey, or when you are due to have surgery. This is because Tri-Lo-Estarylla may increase the risk of blood clots during these events.

What are Tri-Lo-Estarylla's side effects?

Like all medicines, Tri-Lo-Estarylla can cause side effects. You may experience spotting or light bleeding in between your periods when you first start taking it.

You may also feel sick (nauseous), especially during the first few months of treatment. This will usually go away with time. Contact your healthcare provider if these symptoms do not go away.

Other common side effects include:

  • Headache
  • Breast tenderness
  • Stomach pain
  • Pain with your periods
  • Mood changes
  • Acne
  • Bloating
  • Weight changes
  • Feeling tired

These are not all the possible side effects. For a full list, refer to the patient package insert included with your order.

Please be aware that if you miss a period and have not taken Tri-Lo-Estarylla as directed, or you miss 2 periods in a row or feel like you may be pregnant, call your healthcare provider. If you have a positive pregnancy test, you should stop taking Tri-Lo-Estarylla.

What are the benefits of Tri-Lo-Estarylla?

Apart from preventing unwanted pregnancy, Tri-Lo-Estarylla has other benefits. These include regulating your periods and potentially making them less painful. It may also help with acne.

Can I buy Tri-Lo-Estarylla online?

You can buy Tri-Lo-Estarylla contraceptive pills online from SpeedyHealth. You will first need to complete a quick and simple online consultation. One of our doctors will check your consultation and make sure you are suitable to use this treatment.

If approved, your prescription will be sent to our pharmacy. Here, we will pack your order and send it to you with speedy delivery. This will arrive in discreet packaging.