2.2 How to Take Tri-Lo-Marzia
Starting Tri-Lo-Marzia after Abortion or Miscarriage
First-trimester:
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• After a first-trimester abortion or miscarriage, Tri-Lo-Marzia may be started immediately. An additional method of contraception is not needed if Tri-Lo-Marzia is started immediately. • If Tri-Lo-Marzia is not started within 5 days after termination of the pregnancy, the patient should use additional non-hormonal contraception (such as condoms and spermicide) for the first seven days of her first cycle pack of Tri-Lo-Marzia.
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Second-trimester:
• Do not start until 4 weeks after a second-trimester abortion or miscarriage, due to the increased risk of thromboembolic disease. Start Tri-Lo-Marzia, following the instructions in Table 1 for Day 1 or Sunday start, as desired. If using Sunday start, use additional non-hormonal contraception (such as condoms and spermicide) for the first seven days of the patient’s first cycle pack of Tri-Lo-Marzia. [see CONTRAINDICATIONS (4), WARNINGS AND PRECAUTIONS (5.1), and FDA-APPROVED PATIENT LABELING.]
Starting Tri-Lo-Marzia after Childbirth
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• Do not start until 4 weeks after delivery, due to the increased risk of thromboembolic disease. Start contraceptive therapy with Tri-Lo-Marzia following the instructions in Table 1 for women not currently using hormonal contraception. • Tri-Lo-Marzia is not recommended for use in lactating women [see USE IN SPECIFIC POPULATIONS (8.3)]. • If the woman has not yet had a period postpartum, consider the possibility of ovulation and conception occurring prior to use of Tri-Lo-Marzia. [see CONTRAINDICATIONS (4), WARNINGS AND PRECAUTIONS (5.1), USE IN SPECIFIC POPULATIONS AND (8.1 AND 8.3), and FDA-APPROVED PATIENT LABELING].
Wallet Pack:
SET THE DAY
• Sunday Start: Each wallet has been preprinted with the days of the week, starting with Sunday, to facilitate a Sunday-Start regimen. • Day 1 Start: • Six different day label strips of the week have been provided with this pack in order to accommodate a Day-1 Start regimen. • Pick the day label strip that starts with the first day of your period. Place this day label strip over the area that has the days of the week (starting with Sunday) pre-printed on the wallet (Refer figure below). • Remove pill “1” by pushing down on the pill. The pill will come out through a hole in the back of the strip. • The patient should wait 24 hours to take the next pill. Continue to take one pill each day until all the pills have been taken. • When your wallet is empty, you will start a new wallet on the day after pill “28.” The first pill in every refill will always be taken on the same day of the week, no matter when the patient’s next period starts.
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