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Trivora Coupon - Trivora 28 tablets package

trivora

Generic Triphasil
Used for Birth Control
Used for Birth Control

Trivora is a type of combined oral contraceptive (COC), or birth control, that's taken by mouth every day to prevent pregnancy. It's a triphasic birth control, meaning it has three different phases of hormones that tries to mimic (are similar to) the rise and fall of hormones in the menstrual cycle. Some people find triphasic birth controls, like Trivora, more complicated to take, especially if they need to make up for a missed dose.

Last reviewed on June 21, 2022
basics-icon

What is Trivora?

What is Trivora used for?

  • To prevent pregnancy

How Trivora works

Trivora is a combination medication that contains two hormones, levonorgestrel (a progestin) and ethinyl estradiol (an estrogen). Both hormones work together to prevent pregnancy by:

  • Suppressing ovulation (release of an egg from the ovary)

  • Changing cervical mucus to block sperm movement

  • Creating an unfriendly environment for the fertilized egg by changing the lining in the uterus (womb)

Drug Facts

Common BrandsTrivora, Enpresse, Levonest
Drug ClassEstrogen / Progestin combined contraceptive
Controlled Substance ClassificationNot a controlled medication
Generic StatusLower-cost generic available
AvailabilityPrescription only
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$85.67(save 73.53%)
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$22.68
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basics-icon

What are the side effects of Trivora?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Nausea
  • Vomiting
  • Stomach cramps and bloating
  • Bleeding between periods
  • Spotting
  • Change in the flow of period
  • Missing periods

Other Side Effects

  • Unable to have a baby temporarily after stopping the medication
  • Swelling
  • Skin condition that causes brown spots or patches
  • Breast changes (tenderness, enlargement)
  • Weight changes
  • Headache
  • Allergic rash
  • Mental depression
  • Vaginal yeast infection
  • Discomfort with contact lenses

Serious Side Effects

Contact your healthcare provider immediately if you experience any of the following.
  • Blood clots: sharp chest pain, coughing up blood, sudden shortness of breath, pain in the calf, sudden partial or complete loss of vision
  • Heart attack: crushing chest pain, heaviness in the chest, stomach discomfort, sweating, nausea, dizziness
  • Stroke: sudden severe headache, vomiting, dizziness, fainting, changes in vision or speech, weakness or numbness in the arms or legs
  • Pulmonary embolism (blood clot in the lung): cough, chest pain, trouble breathing, racing heart
  • Liver problems: yellowing of the skin or the whites of the eyes, tiredness, stomach pain

Source: DailyMed

The following side effects have also been reported

Side effects that you should report to your care team as soon as possible:

  • Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
  • Blood clot—pain, swelling, or warmth in the leg, shortness of breath, chest pain
  • Gallbladder problems—severe stomach pain, nausea, vomiting, fever
  • Increase in blood pressure
  • Liver injury—right upper belly pain, loss of appetite, nausea, light-colored stool, dark yellow or brown urine, yellowing skin or eyes, unusual weakness or fatigue
  • New or worsening migraines or headaches
  • Stroke—sudden numbness or weakness of the face, arm, or leg, trouble speaking, confusion, trouble walking, loss of balance or coordination, dizziness, severe headache, change in vision
  • Unusual vaginal discharge, itching, or odor
  • Worsening mood, feelings of depression

Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):

  • Breast pain or tenderness
  • Dark patches of skin on the face or other sun-exposed areas
  • Irregular menstrual cycles or spotting
  • Nausea
  • Weight gain
pros-and-cons

Pros and cons of Trivora

thumbs-up

Pros

Chance of becoming pregnant is less than 1% if taken as directed

Can regulate period cycle

Might have less breakthrough bleeding compared to other birth control pills

Hormones provided by the pill every week are similar to your body's natural hormone production

thumbs-down

Cons

Different colored pills might be confusing

Dosing is complicated if you're trying to make up for missed pills

Not recommended for women who smoke cigarettes

Risk of heart attacks, blood clots, and stroke

pharmacist-tips

Pharmacist tips for Trivora

pharmacist
  • Before taking Trivora, let your provider know all of your health conditions to see if this medication is safe for you. Depending on your health condition, you might need to follow up with your provider regularly while you're taking Trivora.

    • Let your provider know all of your current medications. Certain medications can interact with Trivora and make it work less well in preventing pregnancy. Some medications can also raise your risk of breakthrough bleeding.

      • Take Trivora at the same time every day. If you miss your pills, there's a chance that you can become pregnant. Talk to your provider about what you should do if you miss your pills.

        • Check with your provider if you don't have a regular period after completing a pack of Trivora to make sure you're not pregnant. Studies haven't shown a risk of birth defects in females who've used birth control pills before pregnancy or during early pregnancy, but it's no longer necessary to take them once you're pregnant.

          • You might experience swelling when you take Trivora. Follow up with your provider regularly if you have health conditions that might get worse with additional fluid and swelling in your body. If you have a rare, swelling condition called hereditary angioedema, medications with estrogens, such as Trivora, might cause or worsen the symptoms of swelling in your body.

            • Talk to your provider if you experience symptoms of depression or worsening depression while taking Trivora. Your provider might take you off this medication if you have serious depression.

              faqs

              Frequently asked questions about Trivora

              When should Trivora be taken?
              Trivora should be taken at the same time each day, preferably after the evening meal or at bedtime. When taking Trivora for the first time or switching from another oral contraceptive, you can start it on the first day of your period. If Trivora is taken later than the first day of your menstrual (period) cycle, use a back-up method of birth control, such as condoms, for 7 days. Don't skip your medication when you're bleeding between your periods or when you don't have sex very often. Missing your pills can raise the chance of becoming pregnant.
              Is it ok to start the Trivora pack late after my period?
              When you finish one pack of Trivora, you should take the first tablet of a new pack on the day after you took the last tablet of your old pack, even if you currently have your period or haven't gotten your period. Starting the next pack of Trivora late can raise your chance of getting pregnant, so you should use another method of birth control for 7 days if this happens.
              Why is Trivora called a triphasic birth control?
              Trivora is called a triphasic birth control because it contains three different phases of hormone levels throughout the first three weeks. This can mimic your natural hormone levels more closely. Your provider can help you determine if this is the right medication for you based on the amount of hormones that your body might need.
              Why are the Trivora pills different colors?
              As mentioned above, Trivora has three different combinations of hormone levels. The first three weeks are "active" pills, which means that they contain hormones. The fourth week is made up of "inactive" pills, which don't have hormones. Trivora is made up of four different sets of colored pills, each with different dosages of hormones. It's important for you to take the tablets in the correct order so your body can follow the appropriate hormone levels.
              Can I take Trivora during breastfeeding?
              Small amounts of Trivora can pass into your breast milk and affect your baby. This can lead to side effects in your baby, such as yellowing of the skin and eyes (jaundice) and large breasts. This medication can also lower the amount and quality of your breast milk, so it's not recommended to use until after you've stopped breastfeeding. It's best to speak to your provider to see which form of birth control is safe for you and your baby while you're breastfeeding.
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              warings-icon

              What are the risks and warnings for Trivora?

              Trivora can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

              risk-warning

              Heart problems and strokes

              • Risk factors: Women over 35 years old who smoke | Nonsmoking women over 40 years old | Heavy smoking | High blood pressure | High cholesterol | Obesity | Diabetes

                Smoking cigarettes while taking Trivora can raise the risk of serious heart problems. The risk gets higher as you get older, especially if you're over 35 years old, and if you smoke 15 or more cigarettes per day. Women who are taking oral contraceptives, such as Trivora, shouldn't smoke because of this risk.

                Trivora can worsen certain health problems and raise the risk of heart attacks and strokes. These serious problems can lead to death or temporary or permanent disability. Speak to your provider before starting Trivora if you have heart problems or any of the risk factors listed above that would put you at a risk for heart problems or strokes. Your provider can help you determine if this medication is safe for you. Let your provider know right away if you experience crushing chest pain, heaviness in the chest, sudden severe headache, vomiting, dizziness, fainting, changes in vision or speech, or weakness or numbness in the arms or legs.

                risk-warning

                Blood clots

                • Risk factors: Women over 35 years old | High blood pressure | Smoking | Surgery | Not walking | Within 4 weeks of childbirth

                  Trivora can raise your risk of blood clots. This risk is not determined by how long you take Trivora, and will disappear once you stop taking the medication. You're at a higher risk for blood clots if you're going in for surgery, unable to walk for a long period of time, or recently delivered a baby. Talk to your provider about stopping Trivora at least 4 weeks before and for 2 weeks after your surgery or during bed rest. If you recently delivered a baby, you shouldn't start Trivora until at least 4 to 6 weeks after delivery if you're not breastfeeding your child. Let your provider know right away if you experience sharp chest pain, coughing up blood, shortness of breath, or pain in your legs, as these could be a sign of a clot.

                  Although rare, Trivora can raise the risk of getting a blood clot in the veins of your eye, which can lead to eye problems. Stop taking Trivora and let your provider know right away if you experience any vision changes or vision loss. Get your eyes checked if you have vision changes while wearing contacts or if your eyes can no longer tolerate your contacts.

                  risk-warning

                  High blood pressure

                  • Risk factors: Older age | Long-term use | High blood pressure | Kidney problems

                    Trivora can raise your blood pressure, so make sure you monitor your blood pressure while you're taking this medication. The risk is higher in people who are older and have been taking birth control for a long period of time. Speak to your provider if you have high blood pressure and they can help you pick a different method of birth control that's safer for you. Your blood pressure can return to normal after stopping your birth control pill.

                    risk-warning

                    High blood sugar and cholesterol

                    • Risk factors: Prediabetes or diabetes | High triglycerides

                      Trivora can raise your blood sugar levels and cholesterol levels. Speak with your provider before starting oral contraceptives if you have diabetes, prediabetes, or high cholesterol. If you choose to take Trivora with those health conditions, your provider will monitor you regularly.

                      risk-warning

                      Irregular bleeding

                      People who take Trivora can sometimes experience irregular bleeding and spotting, especially during the first 3 months of taking this medication. Irregular bleeding can vary from slight staining to bleeding similar to a regular period. This problem might be temporary, so continue taking your medication as directed. Let your provider know if the bleeding is a problem for you and they can change your birth control. If you're missing your periods, make sure you get a pregnancy test or contact your provider to make sure you're not pregnant.

                      risk-warning

                      Headache

                      Let your provider know if you experience new or worsening migraines or headaches while taking Trivora. Your provider might have you stop your birth control pill if your migraine or headache doesn't go away or becomes severe.

                      risk-warning

                      Breast and cervical cancer

                      • Risk factors: History of breast cancer | Long-term use | History of cervical cancer

                        People who currently have or have had breast cancer shouldn't take Trivora because some breast cancers are sensitive to hormones. The risk of developing breast cancer is slightly higher in women who currently take COCs, have taken them within the past 6 months, or have been taking them for a long time (8 years or more). Ask your provider to show you how to examine your breasts regularly, and let them know if you have any new or abnormal lumps in your breast.

                        Trivora might raise the risk of cervical cancer. Make sure you follow up with your provider to get proper screenings, and to report any signs of vaginal bleeding or discharge that's not normal.

                        risk-warning

                        Liver problems

                        • Risk factors: Liver problems or infection in the liver | Taking COCs with 50 mcg of estrogen or higher

                          Though rare, Trivora can cause liver problems, such as liver damage and liver tumors. These problems are linked more with earlier formulations of COCs that contained higher levels of estrogen (50 mcg of higher), and less so with Trivora since it contains at most 30 mcg of estrogen. Don't use this medication if you already have liver problems. Call your provider right away if you experience symptoms of liver problems, such as tiredness, stomach pain, or yellowing of the skin or whites of the eyes.

                          risk-warning

                          Interactions with other medications

                          Certain medications can make Trivora get broken down faster in your body, making it less effective and can lead to pregnancy. Some examples include carbamazepine (Tegretol) and phenytoin (Dilantin). Use a back-up method or other form of birth control for at least 28 days after stopping any of these medications. Other medications can raise the amount of Trivora in your body, which can lead to more side effects. Make sure to tell your provider or pharmacist all of your medications so they can make sure they don't interact with Trivora.

                          If you have hepatitis C and need to be treated with Viekira Pak (dasabuvir / ombitasvir / paritaprevir / ritonavir), let your provider know right away that you're taking a COC. You'll need to stop Trivora before starting Viekira Pak because taking them together can cause liver problems. You can start Trivora again 2 weeks after you stop Viekira Pak.

                          dosage

                          Trivora dosage forms

                          The average cost for 3 packages of 28 tablets of Trivora is $22.68 with a free GoodRx coupon. This is 73.53% off the average retail price of $85.67.
                          package
                          Package
                          DosageQuantityPrice as low asPrice per unit
                          28 tablets3 packages$22.68$7.56

                          Typical dosing for Trivora

                          Trivora (and its branded generics) comes in a 28-day pack. Your medication might look different depending on which branded generic your provider prescribes. Please take the medication as instructed by your provider or following the directions on the package. In general:

                          • Day 1 through 6: 0.05 mg levonorgestrel and 30 mcg ethinyl estradiol

                          • Day 7 through 11: 0.075 mg levonorgestrel and 40 mcg ethinyl estradiol

                          • Day 12 through 21: 0.125 mg levonorgestrel and 30 mcg ethinyl estradiol

                          • Day 22 through 28: Placebo tablets (hormone-free)

                          The typical dose is 1 tablet by mouth at the same time every day for 28 days, following the order as instructed on the package.

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                          How much does Trivora cost?

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                          contraindications-icon

                          Trivora contraindications

                          Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Trivora will not be safe for you to take.
                          • Current or history of blood clots

                          • A history of heart attack or stroke

                          • Current or history of breast cancer

                          • Tumors that require estrogen for growth

                          • Unexplained vaginal bleeding that hasn't been diagnosed

                          • Yellowing of the whites of the eyes or skin (jaundice) during pregnancy or during previous use of birth control pills

                          • Liver tumors or liver cancer

                          • Pregnancy

                          • Taking hepatitis C medication with ombitasvir, paritaprevir, and ritonavir, with or without dasabuvir

                          alternatives

                          What are alternatives to Trivora?

                          There are a number of medications that your doctor can prescribe in place of Trivora. Compare a few possible alternatives below.
                          Trivora
                          Used for:
                          • To prevent pregnancy

                          $22.68 Lowest GoodRx priceView Prices
                          Used for:
                          • To prevent pregnancy

                          $40.01 Lowest GoodRx priceView Prices
                          Used for:
                          • To prevent pregnancy

                          $35.64 Lowest GoodRx priceView Prices
                          images

                          Trivora images

                          Peach Round P1 And Watson - Trivora 28-Day Triphasic 0.05mg-0.03mg / 0.075mg-0.04mg / 0.125mg-0.03mg Regimen Tablet
                          This medicine is Peach, Round Package Imprinted With "P1" And "Watson".Peach Round P1 And Watson - Trivora 28-Day Triphasic 0.05mg-0.03mg / 0.075mg-0.04mg / 0.125mg-0.03mg Regimen Tablet

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