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Tilia Fe: Uses, Side Effects and Dosage

Updated:
Facts
Status:
Prescription (Rx) Boxed warning
Strength:
1 mg, 0.02 mg, 0.03 mg, 0.035 mg
Other brand names:
Drug class:
Active ingredients:
Similar drugs:

Source: FDA drug labeling via NLM DailyMed · About this document

Patient information: uses, side effects, how to take - Tilia Fe

INSTRUCTIONS TO PATIENT

TABLET DISPENSER

The Tilia Fe tablet dispenser has been designed to make combined oral contraceptive dosing as easy and as convenient as possible. The tablets are arranged in four rows of seven tablets each, with the days of the week appearing above the first row of tablets.

Each pale yellow, biconvex, round tablet debossed with "H2" on one side contains 1 mg norethindrone acetate and 20 mcg ethinyl estradiol.

Each light yellow, biconvex, round tablet debossed with "H3" on one side contains 1 mg norethindrone acetate and 30 mcg ethinyl estradiol.

Each light brown, biconvex, round tablet debossed with "H4" on one side contains 1 mg norethindrone acetate and 35 mcg ethinyl estradiol.

Each brown, biconvex, round tablet debossed with "F" on one side and "N" on the other side contains 75 mg ferrous fumarate and is intended to help you remember to take the tablets correctly. These brown tablets are not intended to have any health benefit.

DIRECTIONS

To remove a tablet, press down on it with your thumb or finger. The tablet will drop through the back of the tablet dispenser. Do not press with your thumbnail, fingernail, or any other sharp object.

HOW TO TAKE THE PILL

IMPORTANT POINTS TO REMEMBER

BEFORE YOU START TAKING YOUR PILLS:

  1. 1. BE SURE TO READ THESE DIRECTIONS:

Before you start taking your pills.

Anytime you are not sure what to do.

  1. 2. THE RIGHT WAY TO TAKE THE PILL IS TO TAKE ONE PILL EVERY DAY AT THE SAME TIME. If you miss pills you could get pregnant. This includes starting the pack late. The more pills you miss, the more likely you are to get pregnant.
  2. 3. MANY WOMEN HAVE SPOTTING OR LIGHT BLEEDING, OR MAY FEEL SICK TO THEIR STOMACH, DURING THE FIRST 1-3 PACKS OF PILLS. If you do have spotting or light bleeding or feel sick to your stomach, do not stop taking the pill. The problem will usually go away. If it doesn't go away, check with your doctor or clinic.
  3. 4. MISSING PILLS CAN ALSO CAUSE SPOTTING OR LIGHT BLEEDING, even when you make up these missed pills. On the days you take 2 pills to make up for missed pills, you could also feel a little sick to your stomach.
  4. 5. IF YOU HAVE VOMITING OR DIARRHEA, for any reason, or IF YOU TAKE SOME MEDICINES, including some antibiotics, your birth control pills may not work as well. Use a back-up birth control method (such as condoms or spermicide) until you check with your doctor or clinic.
  5. 6. IF YOU HAVE TROUBLE REMEMBERING TO TAKE THE PILL, talk to your doctor or clinic about how to make pill-taking easier or about using another method of birth control.
  6. 7. IF YOU HAVE ANY QUESTIONS OR ARE UNSURE ABOUT THE INFORMATION IN THIS LEAFLET, call your doctor or clinic.

BEFORE YOU START TAKING YOUR PILLS

  1. 1. DECIDE WHAT TIME OF DAY YOU WANT TO TAKE YOUR PILL. It is important to take it at about the same time every day.
  2. 2. LOOK AT YOUR PILL PACK.

The pill pack has 21 "active" (with hormones) pills (pale yellow, light yellow and light brown) to take for 3 weeks, followed by 1 week of "reminder" brown pills (without hormones).

  1. 3. ALSO FIND:
  2. 1) where on the pack to start taking pills,
  3. 2) in what order to take the pills (follow the arrows), and
  4. 3) the week numbers as shown in the following pictures:

Each Tilia Fe tablet dispenser contains five pale yellow tablets, seven light yellow tablets, nine light brown tablets, and seven brown tablets. These tablets are to be taken in the following order: one pale yellow tablet each day for five days, then one light yellow tablet each day for seven days, followed by one light brown tablet each day for nine days, and then one brown tablet each day for seven days.

Tilia Fe will contain: 21 ACTIVE PILLS for Weeks 1, 2, and 3. Week 4 will contain BROWN PILLS ONLY .

  1. 4. BE SURE YOU HAVE READY AT ALL TIMES:

ANOTHER KIND OF BIRTH CONTROL (such as condoms or spermicide) to use as a back-up in case you miss pills.

An EXTRA, FULL PILL PACK.

WHEN TO START THE FIRST PACK OF PILLS

You have a choice of which day to start taking your first pack of pills. Decide with your doctor or clinic which is the best day for you. Pick a time of day which will be easy to remember.

DAY-1 START:

  1. 1. Pick the day label sticker that starts with the first day of your period. (This is the day you start bleeding or spotting, even if it is almost midnight when the bleeding begins.)
  2. 2. Place this day label sticker on the tablet dispenser over the area that has the days of the week (starting with Sunday) printed on the plastic.
  3. 3. Take the first pale yellow pill of the first pack during the first 24 hours of your period.
  4. 4. You will not need to use a back-up method of birth control, since you are starting the pill at the beginning of your period.

SUNDAY START:

  1. 1. Take the first pale yellow pill of the first pack on the Sunday after your period starts, even if you are still bleeding. If your period begins on Sunday, start the pack that same day.
  2. 2. Use another method of birth control as a back-up method if you have sex anytime from the Sunday you start your first pack until the next Sunday (7 days). Condoms or spermicide are good back-up methods of birth control.

WHAT TO DO DURING THE MONTH

1. TAKE ONE PILL AT THE SAME TIME EVERY DAY UNTIL THE PACK IS EMPTY.

Do not skip pills even if you are spotting or bleeding between monthly periods or feel sick to your stomach (nausea).

Do not skip pills even if you do not have sex very often.

2. WHEN YOU FINISH A PACK OR SWITCH YOUR BRAND OF PILLS:

21 pills : Wait 7 days to start the next pack. You will probably have your period during that week. Be sure that no more than 7 days pass between 21-day packs.

28 pills : Start the next pack on the day after your last "reminder" pill. Do not wait any days between packs.

WHAT TO DO IF YOU MISS PILLS

If you MISS 1 "active" pill:

  1. 1. Take it as soon as you remember. Take the next pill at your regular time. This means you may take 2 pills in 1 day.
  2. 2. You do not need to use a back-up birth control method if you have sex.

If you MISS 2 "active" pills in a row in Week 1 OR Week 2 of your pack:

  1. 1. Take 2 pills on the day you remember and 2 pills the next day.
  2. 2. Then take 1 pill a day until you finish the pack.
  3. 3. You COULD GET PREGNANT if you have sex in the 7 days after you miss pills. You MUST use another birth control method (such as condoms or spermicide) as a back-up method of birth control until you have taken an "active" pill every day for 7 days.

If you MISS 2 "active" pills in a row in THE 3rd WEEK:

1. If you are a Day-1 Starter:

THROW OUT the rest of the pill pack and start a new pack that same day.

If you are a Sunday Starter:

Keep taking 1 pill every day until Sunday. On Sunday, THROW OUT the rest of the pack and start a new pack of pills that same day.

  1. 2. You may not have your period this month, but this is expected. However, if you miss your period 2 months in a row, call your doctor or clinic because you might be pregnant.
  2. 3. You COULD GET PREGNANT if you have sex in the 7 days after you miss pills. You MUST use another birth control method (such as condoms or spermicide) as a back-up method of birth control until you have taken an "active" pill every day for 7 days.

If you MISS 3 OR MORE "active" pills in a row (during the first 3 weeks):

1. If you are a Day-1 Starter:

THROW OUT the rest of the pill pack and start a new pack that same day.

If you are a Sunday Starter:

Keep taking 1 pill every day until Sunday. On Sunday, THROW OUT the rest of the pack and start a new pack of pills that same day.

  1. 2. You may not have your period this month, but this is expected. However, if you miss your period 2 months in a row, call your doctor or clinic because you might be pregnant.
  2. 3. You COULD GET PREGNANT if you have sex in the 7 days after you miss pills. You MUST use another birth control method (such as condoms or spermicide) as a back-up method of birth control until you have taken an "active" pill every day for 7 days.

REMINDER

IF YOU FORGET ANY OF THE 7 BROWN "REMINDER" PILLS IN WEEK 4:

THROW AWAY THE PILLS YOU MISSED.

KEEP TAKING 1 PILL EACH DAY UNTIL THE PACK IS EMPTY.

YOU DO NOT NEED A BACK-UP METHOD.

FINALLY, IF YOU ARE STILL NOT SURE WHAT TO DO ABOUT THE PILLS YOU HAVE MISSED:

Use a BACK-UP METHOD anytime you have sex.

KEEP TAKING ONE "ACTIVE" PILL EACH DAY until you can reach your doctor or clinic.

Based on his or her assessment of your medical needs, your doctor or healthcare provider has prescribed this drug for you. Do not give this drug to anyone else.

Keep this and all drugs out of the reach of children.

Rx only

Store at 20° to 25°C (68° to 77°F). [See USP Controlled Room Temperature]. Protect from light.

About this document

Source: FDA drug labeling via NLM DailyMed · Application number: ANDA 202962 · View the label on DailyMed

Revision date stated in the text: October 2023

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The information on this site does not replace the advice of a doctor or pharmacist.

Drug information for Tilia Fe

Rx or OTC
Prescription (Rx)?
  • This drug is available only with a prescription from a licensed healthcare provider.
  • Rx
Boxed warning Yes – this drug has a boxed warning (also called a black box warning), the strongest warning of the FDA.
Drug class Estrogen, Progestin
Active ingredients Norethindrone acetate 1 mg, Ethinyl estradiol 0.02 mg / 0.03 mg / 0.035 mg
Dosage form Kit
Marketing status listed in the FDA NDC Directory
Company (applicant) NOVAST LABS
FDA approval ANDA 202962Abbreviated New Drug Application (ANDA) – generic drug Approved April 15, 2020
Therapeutic equivalence (TE) code ABCodes starting with A mean the FDA rates the drug therapeutically equivalent to its reference drug (Orange Book).
Generics Alyacen, Alyacen 1/35, Alyacen 7/7/7, Aranelle, Aurovela Fe, Aurovela Fe 1/20, Balziva, Blisovi 24 Fe, Blisovi Fe 1.5/30, Blisovi Fe 1/20, Briellyn, Charlotte 24Fe with the same TE code
Manufacturers 2 labelers list this drug on DailyMed
Packages (NDC)
Package
1 mg, 0.02 mg, 0.03 mg, 0.035 mg – 1 in 1 blister pack / 1 in 1 packet NDC 75907-086-28
1 mg, 0.02 mg, 0.03 mg, 0.035 mg – 1 in 1 blister pack / 3 in 1 carton NDC 75907-086-32

Source: FDA drug labeling via NLM DailyMed, data as of October 31, 2026. FDA data (DailyMed, Orange Book, Drug Shortages, enforcement reports). Not a substitute for the advice of a doctor or pharmacist.