Medically the review by Susan J. Bliss, R.Ph., MBA — written by university of Illinois — update on December 16, 2016


MonoNessa and TriNessa are two share birth control pills. MonoNessa is a generic variation of the brand-name medicine Ortho-Cyclen. TriNessa is a generic version of the brand-name medicine Ortho Tri-Cyclen. This article describes just how MonoNessa and TriNessa space alike and how castle different. This info can aid you decision if among these birth regulate pills would be a good choice for you.

You are watching: Mononessa birth control side effects


MonoNessa and also TriNessa are comparable in your dosage and also storage needs. They have actually one distinction in what they’re offered for. TriNessa is approved by the Food and also Drug administration (FDA) for two uses, if MonoNessa is approved for only one.

Preventing pregnancy

MonoNessa and TriNessa are mainly used to assist prevent pregnant in ladies of childbearing age. Both of these drugs contain two female hormones: ethinyl estradiol (an estrogen) and also norgestimate (a progestin). This hormones aid prevent pregnant by:

stopping ovulation (the release of one egg from one of your ovaries)causing changes in her cervix and also uterus the make it harder for pregnancy to occurTreating acne

TriNessa is likewise approved to assist treat middle acne in females 15 years of age or older. MonoNessa is no approved for this use.

MonoNessa and also TriNessa carry out not protect versus infection with HIV. They likewise do not protect against other sexually transmitted diseases.


MonoNessa and also TriNessa space tablets the you take by mouth. Lock come in blister packs with 28 tablet computers per pack, one for each job of the monthly cycle. In every pack, twenty-one tablets contain hormones and the rest execute not. The amount of hormone in MonoNessa and also TriNessa are different.


Every hormone tabletcontains the same amounts of estrogen and also progestin. This is referred to as a monophasic pill (it has one step only). Because that each monthly cycle, friend take:

one blue tablet with hormones daily for 21 days, and also thenone green tablet without hormones daily for 7 daysTriNessa

Each hormone tablet contains the exact same amount of estrogen, however the quantity of progestin in the pills changes. The lot of progestin in the tablets rises each mainly for three weeks the the cycle. This is called a triphasic pill (it has three phases). For each monthly cycle, girlfriend take:

one white tablet with hormones day-to-day for 7 days, thenone irradiate blue tablet computer with hormones everyday for 7 days, then one blue tablet with hormones daily for 7 days, and also thenone dark green tablet without hormones daily for 7 days


You must store the blister packs of MonoNessa or TriNessa at room temperature.

Because they’re generic drugs, you will do it probably uncover MonoNessa and also TriNessa at lower prices than your brand-name versions. Your neighborhood pharmacy most likely carries them together well.

Insurance companies might cover much more generic drugs 보다 brand-name drugs. This is because generics are typically less expensive. MonoNessa and also TriNessa are much more likely come be spanned than your brand-name versions, Ortho-Cyclen and also Ortho Tri-Cyclen.

The cash price (what you would certainly pay without insurance) for generic drugs may additionally be less than because that brand-name drugs. So, v or there is no insurance, MonoNessa and TriNessawould most likely be cheaper than their brand-name versions.

MonoNessa, TriNessa, and all birth regulate pills can reason side effects. Few of these are much more common and also may walk away ~ a few days. Rather are much more serious and can require medical care. You should consider all side results when deciding if a drug may work because that you.

Common side results

MonoNessa and TriNessa have comparable common next effects. This include:

nausea or vomitingbleeding between menstrual periodsweight gainbreast tendernessheadachetrouble wearing contact lenses (hormone assets may adjust the method lenses fit)

Serious next effects

MonoNessa and TriNessa likewise have similar serious side effects. They’re rarely in healthy women. These significant side impacts include:

blood clotshigh blood pressuregallbladder an illness liver tumors (rare; may or might not be cancerous)

When a substance changes the means a medicine works, the adjust is dubbed an interaction. One interaction deserve to be harmful or keep the drug from working well.

Certain drugs may communicate with all birth manage pills, including MonoNessa and also TriNessa. Examples of drugs that may connect with MonoNessa or TriNessa include:

tuberculosis drugs such together rifabutin or rifampinlevothyroxine (a thyroid medication)HIV drugs such as nelfinavir or ritonaviranti-seizure drugs such as phenytoin, carbamazepine, or lamotrigineantibiotics such together clarithromycin or erythromycincholesterol drugs such as atorvastatin or rosuvastatinantifungal drugs such as itraconazole, voriconazole, or fluconazolepain drugs such as morphine or acetaminophendrugs to prevent organ transplant rejection such as mycophenolateprescription potassium supplements

Some of this drugs may make the birth control pills less efficient in staying clear of pregnancy. If friend take any kind of of this drugs, you may need come use secondary birth control method. Few of these medicine may likewise increase breakthrough bleeding (bleeding between your periods).

To uncover out if MonoNessa or TriNessa might connect with one more drug you’re taking, talk with your doctor. Be sure to tell your doctor around all medications, vitamins, or herbs you’re taking.

Your as whole health is a element when you and also your physician are deciding if a drug is a an excellent choice because that you. For instance, if you have a problem or disease, a certain drug may make that worse. MonoNessa and also TriNessa would have the same effects on any medical conditions you have.

Many women deserve to use one of two people of this pills safely. However, you have to avoid them in part cases.

See more: D&Amp;D 5E Knight Of The Order, Symptoms And Health Risks Of Vitamin D Deficiency

Don’t use MonoNessa or TriNessa if:

you’re pregnant or think you might be pregnant you smoke and are older 보다 35 year of age

Also prevent MonoNessa or TriNessa if girlfriend have:

a history of blood clots a background of strokea background of love attackcertain heart valve difficulties or love rhythm troubles that can cause blood clots to type in her hearta blood clotting trouble that runs in your family high blood push that’s not regulated by medicationdiabetes that has caused kidney, eye, nerve, or blood vessel damagea background of severe migraine headachesa background of chest cancer or any type of cancer that’s affected by woman hormonesliver disease, including liver tumorskidney diseaseadrenal disease

Birth control pills might not be a good choice because that you if you have or have actually had:

cholestasis of pregnancy (jaundice led to by pregnancy)chloasma gravidarim (darkening of the skin during pregnancy)hereditary angioedema (a rare but serious immune system difficulty that’s passed under in families)

If you have actually a history of depression, talk with your medical professional to check out if MonoNessa or TriNessa is safe for you. If your medical professional prescribes you among these birth manage pills, watch your symptoms. If your depression comes back or gets worse, stop taking the pill and also call her doctor.