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Tarina 24 Fe (birth control)

Generic name: ethinyl estradiol and norethindrone (birth control) [ETH-in-il-ess-tra-DYE-ole-and-nor-ETH-in-drone]
Names of brands: Alyacen 1/35, Alyacen 7/7/7, Aranelle Aurovela 1.5/30, Aurovela 1/20, etc.
Drug class: contraceptives

What is Tarina 24 Fe?

Tarina 24 Fe is an all-in-one birth control pill with women's hormones that block the process of ovulation (the release of eggs from the ovary). The medication can also cause changes in the cervical mucus and uterine lining, making it more difficult for sperm to enter the uterus and for fertilised eggs to connect to your uterus.

Tarina 24 Fe is used as a contraceptive to avoid pregnancy. Tarina 24 Fe is also used to treat moderate acne in women who are at least 15 years old, are beginning their menstrual period, and want to take birth control pills to control their periods. There are a variety of brands of ethinyl estradiol as well as norethindrone. The brands mentioned are not all available in this leaflet.

Side effects of Birth control pills

See a doctor immediately. If you are experiencing symptoms that indicate an allergic reaction, like hives, trouble breathing, or swelling of your lips, face, or tongue,

This medication could cause severe adverse reactions. Take this medicine off and contact your doctor immediately if you suffer from:

  • Indications of symptoms of a stroke—sudden weakness or numbness, extreme headache, or slurred speech issues with balance or vision;
  • Symptoms of a blood clot inside the lung, such as chest pain, rapid and loud coughing or breath shortness, nausea, and bleeding from the chest
  • Symptoms of a blood clot inside the body: pain, swelling, or warmth within one leg.
  • Heart attack symptoms include chest pressure or pain, pain expanding to your shoulder or jaw, nausea, sweating,
  • Liver issues: swelling around the midsection area; left-sided stomach discomfort; weight loss; dark urine; black stool; jaundice (yellowing of the eyes or skin);
  • High blood pressure, a severe headache, blurred vision, and pounding in your ears or neck;
  • Depression: mood changes, feelings of self-worth devaluation, a loss of enthusiasm for things you previously liked, sleep problems thoughts about self-harm;
  • Swelling in your ankles, hands, or feet, or an enlargement of your breast;
  • A change in the frequency, intensity, or severity

Common adverse consequences of Tarina 24 Fe may include:

  • Nausea, vomiting;
  • Breast tenderness or bleeding that is bursting or
  • Headaches, issues, or problems with contacts lenses.

This isn't a complete list of all the side effects. Other side effects could be present. Contact your doctor for advice regarding medical adverse effects. You can report any adverse reactions to the FDA at 1-800-FDA-1088.


Do not take birth control pills if you are pregnant or have recently had a child. It is not recommended to take birth control pills if you suffer from high blood pressure that is not controlled, coronary artery diseases, circulatory problems (especially those with diabetes), undiagnosed vaginal bleeding or liver disease, cancer, or severe migraine headaches when you are also taking certain hepatitis C medications, if you're scheduled to undergo major surgery, if you smoke, are over 35 years old, or have ever suffered an attack of the heart, stroke, blood clot, or jaundice that is caused by birth pills, or breast cancer vagina, cervix, or uterus.

Smoking, particularly in the case of those who are older than 35 or are using birth control medications, could increase the chances of developing blood clots, strokes, and heart attacks.

Before you start take this medicine

The use of birth control pills could increase the risk of stroke, blood clots, and heart attacks. There is a higher risk if you suffer from diabetes, high blood pressure, high cholesterol, or are obese. The risk of having a stroke or blood clot is greatest in the first year of using birth control pills to control your weight. The risk increases when you start taking your birth control medication after not taking it for 4 weeks or more.

Smoking increases the chances of developing blood clots, strokes, or heart attacks that are caused by birth control drugs, specifically for those over 35 years old.

Do not take it if you're expecting. Stop using Tarina 24 Fe and notify your doctor immediately if you are pregnant or if you have missed two menstrual cycles in a row. If you've recently had an infant and are waiting at least 4 weeks before you start taking birth medication to control your pregnancy,

It is not recommended to take contraceptives if you are:

  • Untreated or uncontrolled high blood pressure as well as heart problems (chest pain or coronary artery disease as an aetiology of the heart attack, stroke, or blood clots);
  • a higher risk of getting blood clots as a result of a heart condition or hereditary blood disorder
  • issues with circulation (especially when related to the condition of diabetes);
  • A history of cancer related to hormones as well as cancers of the breast, vagina, or uterus;
  • unusual vaginal bleeding that hasn't been examined by the doctor;
  • Cancer of the liver;
  • extreme migraine headaches (with an aura, numbness,visual changes, or weakness) Particularly those who are over 35 years old;
  • the history of jaundice triggered by birth medication to control it;
  • If you are a smoker and over 35,
  • if you take any hepatitis C medication containing ombitasvir, paritaprevir, or ritonavir with or without dasabuvir.

Inform your doctor if you have ever suffered from:

  • Heart conditions and high blood pressure, or if you're susceptible to developing blood clots.
  • Triglycerides or high cholesterol, or if you're obese;
  • Depression;
  • A seizure or migraine headache;
  • Diabetes, gallbladder disease, underactive thyroid;
  • Kidney or liver disease, or
  • Irregular menstrual cycle, or the fibrocystic breast disorder lumps and nodules, as well as an unusual mammogram.

Consult your doctor to determine whether it is safe to breastfeed while taking this medication.

How to take birth control pills?

Follow the directions on the prescription label and read the medication guide or instructions sheets. Follow the medication exactly as prescribed. It is possible to require an additional birth control method, like condoms that contain spermicide, when you first begin taking this medication. Follow the directions of your doctor. You should take a pill each day, with no more than 24 hours between. If the pills are empty and you are unable to take another, begin a new one the next day. It's possible that you will become pregnant if you don't take one pill a day. Certain birth control kits include "reminder" pills to keep you on your cycle. The beginning of your period is usually after you take these pills to remind you of your period.

Make sure you have a backup birth control plan if you're sick with severe vomiting or diarrhoea. It is possible that you have bleeding that has ruptured. Contact your doctor if it persists or is extremely heavy. If you require major surgery or are being placed on night or bed rest for a long period of time, you could have to discontinue this medication for a short period of time. Any surgeon or doctor who cares for you must know the medication you're using: Tarina 24 Fe. When you are taking birth control pills, you'll have to visit your doctor often. Keep at room temperature, away from heat and moisture.

What happens if I miss a dose?

Follow the instructions on your prescription label and go through all medication guides or instructions. In the event of missing a dose, you increase the chance of becoming pregnant.

If you don't remember taking one active pill, you should take two pills the next day that you can remember. Take 1 pill a day throughout the remainder of the package. If you do not take two active tablets in one row during weeks 1 and 2, you can take two pills daily for two days. Then, take one tablet per day for the remainder of the pack. Make sure to use a backup birth control plan for a minimum of 7 days after the missing pills. If you fail to take two active pills within Week 3, toss away the remainder of the pack and start a fresh pack on the same day, in case you are a day 1 starter. If you're the Sunday starter, continue taking a dose throughout the day up to Sunday. When you are done, take away the remainder of your pack and start a fresh one for the day.

If you do not take three active pills in a row during weeks 1, 2 or 3, you should throw away the remainder of your pack and begin a new pack the next day if you're one of the day 1 starters. If you're a Sunday-based starter, you should continue taking a pill each day through Sunday. On Sunday, toss away the remainder of the pack and begin a fresh pack the following day. If you have missed two or more active pills, you might not experience ovulation during the month. If you don't have two consecutive months, contact your doctor, as it could be that you're pregnant.

If you don't remember a pill, discard it and continue to take one daily reminder pill until you have a full pack.

What happens if I overdose?

For medical emergencies, seek emergency attention or contact the Poison Help line at 1-800-222-1222. The overdose can cause nausea and vaginal bleeding.

Avoid this

Avoid smoking when you are taking birth control medication, especially if you are over 35 years old.

Birth control pills do not safeguard you from sexually transmitted illnesses, including HIV or AIDS. The use of a condom is your only method to safeguard yourself from the aforementioned diseases.

Interaction with other drugs

Discuss with your doctor any other medications you take, including:

  • Rifampin;
  • Troglitazone;
  • Atorvastatin;
  • Glecaprevir/pibrentasvir; or
  • Anticonvulsants (antiepileptics) like phenobarbital, phenytoin, and carbamazepine.

This list isn't exhaustive. Other medications can affect Tarina 24 Fe, including prescription and over-the-counter medicines, vitamins, and herbal products. There are many possible interactions between drugs that are included here.