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Reviewed on June 05, 2025. by
Dr Alexandra Cristina Cowell
Writer & Clinical Content Reviewer
Next review due on June 05, 2028.
Last updated on Jul 01, 2025.
Birth control pill with phased hormone doses.
Tri-Sprintec is a birth control pill with changing hormone levels that can help to manage acne and menstrual symptoms. It comes in a 28-day pack and is more than 99% effective when used correctly.
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Tri-Sprintec is a combined birth control pill that contains synthetic versions of progesterone and estrogen. It delivers a changing hormone dose across three weeks, followed by a week of inactive pills. Itโs taken daily with no break between packs.
How does Tri-Sprintec work for birth control?
Tri-Sprintec works to prevent pregnancy by stopping ovulation, thickening cervical mucus, and thinning the uterine lining. This also means you might get lighter, more regular periods. Youโll take gray, light blue, and blue pills for 21 days, followed by 7 white placebo pills.
Whatโs the difference between Sprintec and Tri-Sprintec?
Tri-Sprintec is a multiphasic pill, so the hormone levels change throughout the pack. It has three different phases of hormones. Some people find multiphasic pills help reduce side effects as they mimic your natural cycle more closely.
Sprintec is monophasic, so it has the same dose of hormones throughout.
This page was written by The Treated Content Team.
This page was medically reviewed by Dr Alexandra Cristina Cowell on June 05, 2025. Next review due on June 05, 2028.
How we source info.
When we present you with stats, data, opinion or a consensus, weโll tell you where this came from. And weโll only present data as clinically reliable if itโs come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
Tri-SprintecNorgestimate/Ethinyl Estradiol
How to take Tri-Sprintec tablets
Take one pill each day, at the same time every day, in the order shown on the pack. If you start taking it on day one of your period, youโll be protected. If you start later, use backup protection (like condoms) for seven days.
What if I miss a Tri-Sprintec pill?
If you miss two pills in the first two weeks of the cycle, take two pills for two days, then continue as usual. You should use a barrier method of protection for the next week.
If you miss three or more active pills in a row, start a new pack and use a barrier method of protection for the next week.
If you miss any inactive pills, you can just throw them away and carry on as usual.
This page was written by The Treated Content Team.
This page was medically reviewed by Dr Alexandra Cristina Cowell on June 05, 2025. Next review due on June 05, 2028.
How we source info.
When we present you with stats, data, opinion or a consensus, weโll tell you where this came from. And weโll only present data as clinically reliable if itโs come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
Tri-SprintecNorgestimate/Ethinyl Estradiol
There are some things you need to watch out for when taking Tri-Sprintec, and not everyone can use it.
Hereโs theย official safety info. If thereโs something youโre not sure about, let us know.
Tri-SprintecNorgestimate/Ethinyl Estradiol
Tri-Sprintec: FAQ
Have something specific you want to know? Search our info below, or ask our experts a question if you canโt find what youโre looking for.
How effective is Tri-Sprintec?
Answer:
When taken correctly (every day at the same time), itโs over 99% effective at preventing pregnancy.
With typical use (missing a pill occasionally), the effectiveness lowers to around 91%.
How is Tri-Lo-Sprintec different?
Answer:
Tri-Lo-Sprintec has less estrogen than Tri-Sprintec, so it can be a better option if you're sensitive to estrogen. If you get side effects on Tri-Sprintec, a doctor might suggest switching to the โLoโ version.
Can I get Tri-Sprintec through private health insurance?
Answer:
Yes, most private health insurance plans cover birth control like Tri-Sprintec, but coverage can vary between plans. Itโs best to check with your provider to make sure both the treatment and pharmacy are covered, before you order your treatment.
What do Tri-Sprintec pill colors mean?
Answer:
The different color pills in the pack correspond with different phases:
Days 1-7: Gray
Days 8-14: Light blue
Days 15-21: Blue
Days 22-28: White (placebo)
What is the generic name for Tri-Sprintec?
Answer:
Tri-Sprintec is technically a branded generic of Ortho Tri-Cyclen, which was the original drug approved by the FDA. Other branded generics containing the same combination of active ingredients in the same amounts include Tri-Linyah, Tri-Estarylla, Tri-Mili, Tri-Femynor, and Tri-VyLibra. A non-branded generic, called Norgestimate and Ethinyl Estradiol, is also available.
These pills work in the same way, but they might differ in how the pills look, packaging, manufacturer, and price.
Can you take Tri-Sprintec for acne?
Answer:
Yes, Tri-Sprintec can help with acne.[1] It's FDA approved as an acne treatment, but only for people who also need birth control. If you're not using it for contraception or canโt take the combined pill, talk to a doctor about other acne treatments.
Can I skip a period with Tri-Sprintec?
Answer:
You can, but check with a doctor first. To skip your period, start a new pack after three weeks of blue active pills, skipping the week of white inactive pills. This isnโt the standard way to take Tri-Sprintec, so get medical advice before doing it.
Does Tri-Sprintec cause weight gain?
Answer:
Around 2.5% of users report weight changes when taking the combined pill, but itโs unclear if thatโs due to the pill itself. Thereโs little evidence that Tri-Sprintec causes weight gain or loss, but if you notice changes, speak to a doctor.[2]
Does Tri-Sprintec cause depression?
Answer:
Hormonal birth control can cause mood swings or low mood in some people. If you feel depressed or notice ongoing mood changes while taking Tri-Sprintec, talk to a doctor.
Will I get breast growth with Tri-Sprintec?
Answer:
Itโs possible, some people do experience breast-related side effects. These usually settle after a few months. If you have breast swelling, pain, or tenderness that persists - or if you notice a lump or tissue changes - contact a doctor right away.
How is Tri-Lo-Sprintec different?
Answer:
There is a Tri-Sprintec Lo dosage for women who have a slight estrogen sensitivity. The pills are very similar, but the active pills in Tri-Lo-Sprintec have a little less estrogen. Women who use Tri-Sprintec but get mild estrogenic side effects may be recommended the โLoโ version by a doctor instead.
Estrogenic side effects are symptoms like nausea, swollen or tender breasts, or heavy menstrual bleeding.
Treated trusted source:
Jaisamrarn, U., Et al. (2014). A comparison of multiphasic oral contraceptives containing norgestimate or desogestrel in acne treatment: a randomized trial. Contraception, 90(5), pp.535โ541.
Lindh, I, Et al. (2011). The long-term influence of combined oral contraceptives on body weight. Human Reproduction. 26(7), pp.1917โ1924.
Last updated on Jul 01, 2025.
How we reviewed this page:
Our experts continually monitor new findings in health and medicine, and we update our articles when new info becomes available.
Why this page was updated on Jul 01, 2025
We reviewed the content on this page and made some structural changes to make it more reader-friendly and accessible.
Current version (Jul 01, 2025)
Edited by: The Treated Content Team.Medically reviewed by: Dr Alexandra Cristina Cowell, Writer & Clinical Content Reviewer
Aug 01, 2022
Published by: The Treated Content Team.Medically reviewed by: Dr Alexandra Cristina Cowell, Writer & Clinical Content Reviewer
How we source info.
When we present you with stats, data, opinion or a consensus, weโll tell you where this came from. And weโll only present data as clinically reliable if itโs come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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Dr Alexandra Cristina Cowell
Writer & Clinical Content Reviewer
Cristina writes content for Treated, and reviews content produced by our other writers to make sure itโs clinically accurate.
When we present you with stats, data, opinion or a consensus, weโll tell you where this came from. And weโll only present data as clinically reliable if itโs come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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