To prevent pregnancy, always take Trinovum as instructed, consult the Patient Information Leaflet.

Trinovum comes in a strip of 21 pills, each marked with a day of the week.

• Take your pill at the same time every day.

• Start by taking a white pill marked with the correct day of the week.

• Follow the direction of the arrows on the strip. Take one white pill each day, until you have finished all of them.

• Then take a light peach-coloured pill marked with the correct day of the week.

• Follow the direction of the arrows on the strip. Take one light peach-coloured pill each day, until you have finished all of them.

• Then take a peach-coloured pill marked with the correct day of the week.

• Follow the direction of the arrows on the strip. Take one peach-coloured pill each day, until you have finished all of them.

• Swallow each pill whole, with water if necessary. Do not chew the pill.

Then have seven pill-free days - after you have taken all 21 pills in the strip, you have seven days when you take no pills. So if you take the last pill of one pack on a Friday, you will take

the first pill of your next pack on the Saturday of the following week.  Within a few days of taking the last pill from the strip, you should have a withdrawal bleed like a period. This bleed may not have finished when it is time to start your next strip of pills.

You don’t need to use extra contraception during these seven pill-free days – as long as you have taken your pills correctly and start the next strip of pills on time.

Start taking your next strip of Trinovum after the seven pill-free days – even if you are still bleeding. Always start the new strip on time. As long as you take Trinovum correctly, you will always start each new strip on the same day of the week.

Active substances: each white pill contains 500 micrograms norethisterone and 35 micrograms

ethinylestradiol.  Each pale peach-coloured pill contains 750 micrograms norethisterone and 35

micrograms ethinylestradiol. Each peach-coloured pill contains 1milligram norethisterone and 35

micrograms ethinylestradiol.

Other ingredients: Trinovum also contains anhydrous lactose (a type of sugar), magnesium

stearate and pregelatinised starch. The coloured tablets also contain a dye called FD&C yellow No 6 (E110).

Always consult the Patient Information Leaflet to understand the possible risks and side effects of taking Trinovum.

Do not take Trinovum:

• If you are breast feeding and your baby is less than 6 weeks old

• If you have breast or liver cancer

• If you have an irregular heartbeat (atrial fibrillation), problems with heart valves or heart failure

• If you have ever had a problem with your blood circulation. This includes blood clots, for example in the legs (deep vein thrombosis) or lungs (pulmonary embolism), or a heart attack or stroke

• If you have any conditions which make you more at risk of a blood clot such as having an operation and being off your feet for a long time

• If you have very high blood pressure

• If you smoke 15 or more cigarettes a day and you are 35 years old or more

• If you have migraines which affect your vision

• If you have had diabetes for more than 20 years or have diabetes with secondary problems

• If you have or have recently had a severe liver disease

• If you have the disease Systemic Lupus Erythematosus (SLE) with or without Raynaud’s disease

• If you are allergic (hypersensitive) to any of the ingredients in Trinovum.

If you suffer from any of these, or get them for the first time while taking Trinovum, contact your doctor as soon as possible.

Some of the conditions listed below can be made worse by taking Trinovum.You may still be able to take Trinovum but you need to take special care and have check-ups more often.

• Tell your doctor or family planning nurse if any of these apply to you:

• If you have problems with your heart, circulation or blood clotting, such as high blood pressure

• If you have diabetes without secondary problems

• If you have gall bladder problems

• If you have porphyria

• If you have a history of migraines

• If you have brown patches on your face or body (chloasma) as you may need to keep out of the sun

• If you have had any of the following problems while pregnant or during previous Pill use, such as itchy skin or blister-like rash, yellowing of skin or eyes, hearing problem, systemic lupus erythematosus (SLE), severe headaches

Allways tell your doctor, pharmacist or dentist that you’re taking Trinovum if you’re taking other medicines:

• some medicines used to treat epilepsy(such as topiramate, carbamazepine, phenytoin, oxcarbazepine, felbamate, eslicarbazepine acetate, rufinamide)

• bosentan (for high blood pressure in the blood vessels of the lungs)

• rifampicin and rifabutin (for treatment of TB)

• anti-HIV medicines

• boceprevir and telaprevir (for treatment of Hepatitis C infections)

• aprepitant and fosaprepitant (for prevention of nausea and vomitingcaused by certain cancer drug treatments)

• griseofulvin (for fungal infections)

• modafinil (for excessive daytime sleepiness)

• certain sedatives (called ‘barbiturates’)

• St. John’s Wort (a herbal remedy)

• colesevelam (to treat high cholesterol levels)

• etoricoxib (to help with pain and inflammation of arthritis)

Trinovum can also affect other medicines for example:

• ciclosporin (to prevent transplant rejection and for rheumatoid arthritis or some skin problems)

• lamotrigine (for epilepsy)

• prednisolone (a steroid to reduce inflammation)

• selegiline (for Parkinson’s disease)

• theophylline (for asthma, bronchitis and emphysema)

• tizanidine (used to relax muscles)

Trinovum contains lactose, if you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before using Trinovum.