Triclofem Special Precautions

The health care provider will ask about the patient and her family's medical problems, check her blood pressure and exclude the likelihood of her being pregnant. The patient may also need a breast examination or other checks if she has any special concerns.
The patient should tell the health care provider if she is using medicines such as steroids, antiepileptics and thyroid hormones. It is important that the patient tells the health care provider if she has or has had in the past any of the following conditions. The health care provider will then discuss with the patient whether Triclofem is suitable for her or recommend a more suitable method of contraception: Migraine headaches; Diabetes or a family history of diabetes; Severe pain or swelling in the calf; Blood clotting disorders such as blood clot in the legs, lung or a stroke; Problems with eyesight for example a sudden partial or complete loss of vision or double vision; Depression; Problems with the liver or liver disease; Problems with the kidneys or kidney disease; Heart disease or cholesterol problems including any family history; Abnormal pregnancy; Asthma; Epilepsy.
Undesirable Events: Intramuscular Injection: Potential injection site reactions (injection site necrosis and atrophy).
Psychiatric disorders: Some women using hormonal contraceptives including Triclofem have reported depression or depressed mood. Depression can be serious and may sometimes lead to suicidal thoughts. If the patient experiences mood changes and depressive symptoms, she should contact the health care provider for further medical advice as soon as possible.
Cervical smear testing: The results of a cervical smear and some laboratory tests could be affected if the patient is using Triclofem so it is important that she tells the health care provider.
Protection against sexually transmitted infections: Triclofem does not protect against HIV infection, e.g. AIDS and other sexually transmitted infections. Safer sex practices, including correct and consistent use of condoms, reduce the transmission of sexually transmitted infections through sexual contact, including HIV. The patient should seek advice from the health care provider on how to decrease the risk of catching sexually transmitted infections including HIV.
Triclofem contains methyl paraben, propyl paraben and sodium: Each vial contains methyl paraben and propyl paraben which may cause allergic reactions (possibly delayed), and exceptionally bronchospasm (difficulty breathing caused by narrowing of the airways).
This medicinal product also contains less than 1 mmol sodium, i.e., is essentially 'sodium-free'.
Driving and using machines: Triclofem may cause headaches and dizziness. The patient should not operate machines or drive if she feels dizzy after taking Triclofem.