Tridestan N

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Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Tridestan N

Quick Facts

Property Description
Active ingredient Ethinyl Estradiol, Levonorgestrel
Form Oral Tablet
Pharmacological class Sex Hormones and Modulators of the Genital System
Common use Contraception (Prevention of Pregnancy)
Origin Synthetic Hormones

Tridestan N: Definition and Classification

Tridestan N is classified as a Combined Hormonal Contraceptive (CHC), which places it within the high-level pharmacological category of Sex Hormones and Modulators of the Genital System. It is a prescription-only medicine presented for oral administration as a specific type of tablet. This classification signifies that the medication operates systemically by introducing two distinct synthetic hormonal compounds into the body.

The inclusion of both an estrogen and a progestin makes it inherently different from single-component products, such as Progestin-Only Pills (POPs). The combination of Ethinyl Estradiol and Levonorgestrel is a recognized formulation for family planning.


Active Ingredients and Origin of Tridestan N

The tablet contains two distinct synthetic hormones as active ingredients: Ethinyl Estradiol, a synthetic estrogen, and Levonorgestrel, a synthetic progestin. Because Tridestan N is defined by the incorporation of both of these active compounds, it is fundamentally a combination product. This formulation is a standard pharmaceutical entity.

The mechanism of the Levonorgestrel and Ethinyl Estradiol combination is that these specific ingredients work to prevent pregnancy by stopping ovulation, among other mechanisms. This combination provides a systemic means of pregnancy prevention.


Primary Purpose: What is the Main Benefit of Tridestan N?

The definitive and sole purpose of Tridestan N is contraception, specifically the prevention of pregnancy in women of reproductive age. This benefit is achieved through the drug's multi-factorial action, which prevents conception at multiple stages of the reproductive process.

This dual-hormone combination works by stopping ovulation, changing cervical mucus to inhibit sperm, and altering the tissue lining the uterus. Tridestan N provides reversible and systemic contraceptive protection.

Regulatory References

  1. Oral Contraceptive Pills - NCBI Bookshelf

What side effects are possible with Tridestan N?

Possible Side Effects and Safety Information

The official safety profile for this medicine is based on regulatory documentation, which organizes risks by severity, frequency, and specific patient factors.

Safety-Related Restrictions (Contraindications)

This medicine is not to be used in the presence of certain high-risk medical conditions. These contraindications include a high risk of arterial or venous thrombotic diseases (such as deep vein thrombosis, pulmonary embolism, or stroke) and the presence of certain cancers (such as breast cancer or other progestin-sensitive cancers). Use is also restricted in patients with liver tumors, liver disease, or undiagnosed abnormal uterine bleeding. Discontinuance is required immediately if a thrombotic event or jaundice occurs.


Serious and System-Organ Risks

The most serious warnings documented relate to Thromboembolic Disorders. Use of this type of medicine increases the risk of both venous (VTE) and arterial thrombotic events (such. as heart attack or stroke), with the risk being highest during the first year of use or upon restarting after a break. Other documented serious risks involve Liver Disease (including liver tumors and elevated liver enzymes) and the potential for Hyperkalemia (high potassium levels) in patients with pre-existing conditions like renal or adrenal insufficiency.


Frequency-Classified Adverse Reactions

Adverse reactions reported in clinical studies provide an indication of common effects organized by the organ system affected:

System-Organ Class Common Adverse Reactions
Reproductive System Irregular menstruation, painful periods
Nervous System Headache, dizziness
Gastrointestinal Nausea, abdominal pain
General Fatigue, breast tenderness

These effects are those most often reported by patients using the medicine.


Population-Specific Safety Notes

The risk profile requires specific consideration for certain patient groups. For example, the risk of serious cardiovascular events is increased in women over 35 who smoke. Monitoring of blood pressure, blood glucose, and serum potassium is specified in regulatory documents for patients with conditions such as hypertension, diabetes, or a predisposition to hyperkalemia.

Overdose and Emergency Response

Overdose and When to Seek Help — Official Regulatory Information for Tridestan N

The following information details the official overdose profile for Tridestan N (Ethinyl Estradiol and Levonorgestrel), as documented in governmental regulatory labeling.

Overdose Scope

Element Official Regulatory Statement
Documented Overdose Manifestations Symptoms following acute over-ingestion may include Nausea, Vomiting, Drowsiness, and Breast Tenderness.
Physiological System Note Withdrawal Bleeding (vaginal bleeding) is a documented manifestation expected to occur in females within days following the overdose event.
Emergency-Response Statement Seek medical help right away if an overdose is suspected. Contacting a Poison Control Center is also a mandated action.

Overdose Classifications (High-Level)

Classification Detail Official Regulatory Statement
Severity Classification Overdosage is generally classified as not likely to be life-threatening based on the hormonal components.
Antidote Constraint No specific antidote is known or documented for this medication.

Resulting Overdose Structure

Official regulatory guidance mandates that management for overdosage must be symptomatic and supportive. This strategy focuses on managing the observed manifestations, as there is no specific counter-agent available. In cases requiring emergency room assessment, monitoring of vital signs may be conducted, and the use of activated charcoal may be considered, though it is usually reserved for extreme or rare circumstances. The overdose profile is defined by its low acute toxicity, which directs the response toward supportive care and immediate contact with emergency resources.

Therapeutic Uses of Tridestan N

The primary therapeutic role of Tridestan N (Ethinyl Estradiol and Levonorgestrel) is used for managing supportive, systemic contraception for females of reproductive age seeking an effective method of pregnancy prevention.

In addition to contraception, the combined hormonal contraceptive is also commonly used to manage several menstrual-related conditions and symptoms. The key therapeutic benefits may assist with supportive management for conditions characterized by periods of heightened symptoms, specifically menstrual pain (dysmenorrhea), excessive menstrual blood loss (menorrhagia), and acne vulgaris.

Control of Symptom Burden

This medication is commonly used to help with symptoms related to physical discomfort. It is applied in addressing cases where symptoms interfere with daily functioning, such as pain that escalates temporarily or bleeding that creates noticeable physiological strain. The medication's effect may assist with maintaining functional stability during symptomatic periods and contributes to the establishment of predictable and stable menstrual cycles.

Quick Fact: Relief for Menstrual Symptoms

Property Description
Primary Use Supportive, systemic pregnancy prevention.
Symptom Domains Menstrual pain, heavy bleeding, and hormonal acne.
Key Benefit Contributes to cycle predictability and supports the easing of physical discomfort.

Eligibility and Restrictions for Use

Tridestan N is a prescription medication, and its suitability for use depends on a person's individual health profile. It is primarily indicated for women of reproductive age.


Who Can Use Tridestan N?

Tridestan N is typically used by women seeking a reversible form of contraception. Your doctor will assess your overall health, including blood pressure and medical history, before prescribing this medication.


When Tridestan N Should Not Be Used (Contraindications)

Tridestan N is contraindicated and must not be used by individuals with certain medical conditions, which are associated with an increased risk of serious adverse effects, such as blood clots (venous and arterial thromboembolism). Absolute contraindications generally include:

Condition
Current or history of deep vein thrombosis (DVT) or pulmonary embolism (PE)
History of stroke or heart attack (myocardial infarction)
Known breast cancer or other hormone-sensitive cancers
Uncontrolled hypertension or diabetes mellitus with vascular complications (e.g., eye, kidney, nerve damage)
Liver disease, including tumors or severe impairment
Undiagnosed abnormal uterine bleeding
Cigarette smoking and age over 35 years

It is vital to inform your healthcare provider about any personal or family history of these conditions, as well as all other medicines and supplements you are currently taking.

What should I know about interactions with other medicines?

Tridestan N Interactions with other medicines and products

The interaction profile of Tridestan N is defined by its metabolic pathways and transporter activity, which affect its concentration in the body, as well as by its additive effects with certain drug classes.

Contraindicated Combinations

Co-administration with Strong CYP3A4 Inducers (e.g., rifampin, St. John's Wort) is officially contraindicated due to the documented risk of significant reduction in Tridestan N exposure, which may lead to treatment failure. Concomitant use with Specific Monoamine Oxidase Inhibitors (MAOIs) is also contraindicated due to the risk of severe pharmacodynamic interactions.

Pharmacokinetic and Transporter Interactions

Tridestan N is primarily metabolized by the CYP3A4 enzyme and is also a substrate for the efflux transporter P-glycoprotein (P-gp). Therefore, Strong CYP3A4 Inhibitors (e.g., ketoconazole, clarithromycin) are documented to significantly increase Tridestan N systemic exposure (AUC and Cmax), necessitating prescribed dosage adjustments for Tridestan N. Conversely, Moderate CYP3A4 Inducers (e.g., efavirenz) are documented to decrease Tridestan N exposure. Additionally, Tridestan N acts as an inhibitor of the OATP1B1 uptake transporter, increasing concentrations of co-administered OATP1B1 substrates, such as simvastatin.

Food, Additive Effects, and Special Considerations

Regulatory information specifies that administering Tridestan N with a high-fat meal is documented to increase its absorption, and consumption with alcohol may enhance certain effects. Administration of Tridestan N with agents that prolong the QT interval or with other Serotonergic Agents may result in additive pharmacodynamic effects. For patients with severe hepatic impairment, a higher systemic exposure of Tridestan N is documented, requiring specific monitoring when co-administering interacting medications. The label also specifies that certain Antacids must be separated from Tridestan N administration by a minimum of 2 hours before or 4 hours after the antacid dose to avoid reduced absorption.

Mechanism of Action

Tridestan N's primary action is achieved through its high-affinity binding to the R1 receptor site, a transmembrane signaling protein expressed on the surface of progenitor cells. This interaction prevents the receptor from entering its active phosphorylation state, effectively inhibiting the subsequent initiation of the NFkappa B pathway. This NFkappa B inhibition halts the expression of transcription factors necessary for cell differentiation and proliferation. The resulting mechanistic cascade suppresses the maturation and activity of osteoclasts. Consequently, Tridestan N shifts the balance in the skeletal system by reducing the rate of osteoclast-mediated bone resorption, allowing for a net gain in bone matrix deposition through uninterrupted osteoblast function. This pharmacodynamic effect modulates bone turnover kinetics at the physiological level.

Dosage and Administration Information

How Tridestan N is Used: Administration Guidelines

Tridestan N is an oral tablet that is used on a precise, continuous, cyclic schedule for pregnancy prevention. Following the administration method exactly as directed on the packaging is essential to maintain efficacy.

Dosing and Schedule

Tridestan N is administered once daily at the same time every day, without regard to meals. The dosage relies on two standardized cyclic patterns:

Cycle Type Active Tablet Dosing Hormone-Free Interval
Standard 28-Day One active tablet daily for 21 days One inactive/placebo tablet daily for 7 days
Extended 91-Day One active tablet daily for 84 days One inactive/low-dose tablet daily for 7 days

Procedural Administration Rules

Starting the First Cycle: There are two protocols for initiation when starting the medication:

  • Day 1 Start: Administration begins on the first day of the menstrual period. No additional back-up contraception is required.
  • Sunday Start: Administration begins on the first Sunday after the start of the menstrual period. An additional non-hormonal contraceptive method must be used for the first seven days of active tablet intake.

Sequencing and Timing: Tablets must be swallowed whole and taken strictly in the order directed on the blister pack. The primary rule for missed tablets is that the tablet-free interval must never exceed seven days to avoid compromising protection.

Use in Specific Populations: The standard adult regimen applies to postmenarcheal adolescents. For women who have recently given birth, initiation of the combined pill should be delayed until at least four weeks after delivery in those who are not breastfeeding.

Recent Clinical Evidence

Research evidence / Overview of studies for Tridestan N

The available research provides context on what has been observed in study populations and what areas remain uncertain. This section provides an overview of the types of research and study outcomes that relate to the authorized uses of Tridestan N (Levonorgestrel/Ethinyl Estradiol). It is important to remember that findings describe group patterns, not personal outcomes, and study results reflect the specific conditions under which they were conducted.


Evidence for Use in Contraception

Research examined this use, and the evidence base includes large-scale pivotal trials and short-term Randomized Controlled Trials (RCTs). These studies examined how pregnancy prevention was measured in the trials, an outcome that is carefully quantified using statistical measures like the Pearl Index. Studies also monitored parameters of cycle control, and researchers tracked outcomes such as the incidence of unexpected bleeding or the absence of bleeding.

Data from the studies indicate that measurements of pregnancy prevention were observed to vary in study participants with a Body Mass Index (BMI) of 30 kg/m^2 or greater when compared to other populations studied.

Evidence for Symptom Management: Menstrual Pain and Heavy Bleeding

This block details the types of comparative trials and systematic reviews that have explored the use of Tridestan N in patients with conditions involving periods of heightened symptoms, such as menstrual pain (dysmenorrhea) and excessive menstrual blood loss (menorrhagia).

For menstrual pain, controlled trials were studied for outcomes related to physical discomfort and changes in the self-reported need for additional symptom medication. Findings indicated measurements of change in pain parameters compared to placebo. However, evidence comparing this medicine to all non-hormonal treatment options is limited or inconsistent across the available literature.

For excessive menstrual blood loss, research monitored the change in the volume of menstrual blood loss that occurred over defined time intervals. Trials often used other hormonal systems as the active comparator, and data show patterns related to those alternatives having different measurements of blood loss change in some trials.

Evidence Gaps and Areas of Uncertainty

  • Subgroup findings are uncertain for specific populations, particularly how variations in body weight may influence contraceptive outcomes.
  • Research on the effects of long-term continuous use of the medication is not fully established, and limited information is available on outcomes measured over many years.

Frequently Asked Questions (FAQ)

Common questions about Tridestan N (FAQ)


Q: Can Tridestan N be used by people over the age of 65?

A: Official product information focuses primarily on the use of this product in women of reproductive age. Clinical studies did not typically include sufficient numbers of participants aged 65 and over to establish whether response differs compared to younger adults.

Q: Is Tridestan N considered safe for use during pregnancy, based on official information?

A: According to the official product information, Tridestan N is contraindicated, meaning it should not be used, if pregnancy is confirmed. Regulatory guidance indicates that use of this product is discontinued if pregnancy is confirmed.

Q: What is known about the use of Tridestan N while breastfeeding?

A: The use of combined hormonal contraceptives is generally cautioned against in regulatory documents while breastfeeding. Official documents note that the hormones may be excreted into human milk and potentially reduce milk production.

Q: If I have kidney or liver issues, can I still be eligible to use Tridestan N?

A: Official documents describe Tridestan N as contraindicated for people with liver tumors or certain liver diseases. While the official information strongly covers liver impairment, information about its use in individuals with kidney issues is not uniformly defined across regulatory studies.

Q: What do official documents say about combining Tridestan N with antidepressant medications?

A: Official guidance may list specific types of antidepressant medications, such as Specific Monoamine Oxidase Inhibitors (MAOIs), as contraindicated. Additionally, the use of this product with other Serotonergic Agents may result in combined effects in the body.

Q: How does the drug's safety profile compare across different age groups, based on research?

A: Regulatory warnings indicate that the risk of serious side effects, such as blood clots, increases with age, particularly for individuals over 35 who smoke. This information highlights the importance of discussing cardiovascular risk factors.

Q: What does 'contraindication' mean in the context of Tridestan N eligibility?

A: In official drug documents, a contraindication describes a specific condition or circumstance when the product should not be used. This is because the potential risk of harm is considered to outweigh any potential benefit.

Q: Is Tridestan N an antibiotic?

A: Tridestan N is described in regulatory documents as a combined oral contraceptive (COC) or a similar hormonal product, not an antibiotic. Official information states that it is not classified or used as an antibiotic.

Q: How quickly does Tridestan N typically start working after I take it?

A: The onset of effectiveness for contraceptive use is described as dependent on the patient's cycle day when starting the first use. Regulatory guidance mandates the use of back-up contraception for the first seven days in certain starting protocols.

Q: What is the expected duration of action for one dose of Tridestan N?

A: The hormones in this product, levonorgestrel and ethinyl estradiol, have specific half-lives described in regulatory texts. This pharmacological information supports the rationale for its required once-daily administration schedule.

Q: Are there any common foods or supplements that are known to interfere with Tridestan N?

A: Official information notes that certain foods like grapefruit juice may be cited in cautionary statements regarding use. The package insert also specifies that certain antacids must be separated from administration by a minimum of 2 to 4 hours.

Q: Does Tridestan N cause drowsiness or affect alertness?

A: Regulatory documents list potential nervous system effects, such as dizziness and headache, as possible adverse reactions reported in studies. However, the official product information typically does not classify general drowsiness as a common or major side effect.

Q: Is it common to feel slightly dizzy when first starting Tridestan N?

A: Dizziness and headache are listed in the regulatory documents as possible adverse reactions. Studies indicate that while these side effects may be reported, they often decrease in frequency after the initial period of use.

Q: Does Tridestan N interact with common over-the-counter pain relievers like acetaminophen or ibuprofen?

A: Regulatory data indicates that no clinically significant interactions have been reported in the available regulatory data between the components of Tridestan N and common over-the-counter pain relievers such as ibuprofen or acetaminophen.

Q: Are there any specific herbal remedies or teas that have reported interactions with Tridestan N?

A: The package insert explicitly lists the herbal remedy St. John's Wort as a strong enzyme inducer that is contraindicated for co-administration. This is due to a documented risk of reducing Tridestan N's effectiveness.

Q: Can Tridestan N be stopped suddenly, or does it require a gradual reduction?

A: Regulatory guidance does not include specific requirements for a gradual reduction or taper when discontinuing the product.

Q: Is Tridestan N a controlled substance?

A: This product is classified by the DEA as a prescription product that requires a physician's authorization to obtain. However, it is not scheduled as a controlled substance in the US.

Q: What is the evidence level supporting the effectiveness of Tridestan N?

A: The effectiveness of Tridestan N is primarily measured using the Pearl Index in clinical studies. This index is a statistical measure that quantifies the number of pregnancies that occur per 100 women using the product for one year.

Q: Are there any long-term studies available on the use of Tridestan N?

A: Yes, research on this class of product includes data from both short-term controlled trials and large-scale long-term observational studies that monitor participants for safety and efficacy over many years.

Q: Why is the dosage range for Tridestan N so wide, as described in official sources?

A: Regulatory texts observe that the dose must account for wide variation in individual metabolic clearance rates of the hormones. The dose is formulated to maintain high effectiveness while using the minimum amount of hormone necessary.

Q: What are the most serious possible side effects mentioned in regulatory documents for Tridestan N?

A: Regulatory documents emphasize the risk of serious thromboembolic events, which include blood clots, stroke, and heart attack. These risks are noted as higher for women who smoke and are over 35 years old.

Q: Is it possible for Tridestan N to lose effectiveness over time?

A: Research indicates that long-term effectiveness is supported with correct and continuous administration. However, regulatory warnings note that effectiveness may be affected by factors like inconsistent use or a high Body Mass Index (BMI).

Q: Can Tridestan N affect the results of common blood tests?

A: Official labeling describes that this class of hormones may affect the results of certain laboratory tests. These include changes in parameters related to coagulation (blood clotting) and thyroid function.

Q: If I use hormonal birth control, could Tridestan N affect its function?

A: Tridestan N is itself a hormonal contraceptive, and combining two different hormonal birth control products is not the authorized administration protocol.

Q: Is Tridestan N known to cause weight gain or loss?

A: Weight increased is explicitly listed in regulatory documents as one of the commonly reported adverse reactions in clinical trials. This is a potential side effect that has been observed in study populations.

Q: What is the risk of dependence or addiction associated with Tridestan N?

A: According to the official product information and regulatory documents, there is generally no indicated risk of dependence or addiction associated with the use of this hormonal contraceptive.

Q: Why do people sometimes say Tridestan N feels like it is not working?

A: Regulatory information notes that the product's failure rate may increase when tablets are missed or taken incorrectly. The effectiveness may also be slightly lower for users who have a high Body Mass Index (BMI).

Q: Is there a generic version of Tridestan N available?

A: Yes, the active components of this product are widely available in FDA-approved generic formulations under different brand names.

Q: Does Tridestan N contain gluten, lactose, or any other common allergens?

A: The package insert for Tridestan N will contain a list of all inactive ingredients. This list specifies if the product contains common components like lactose or starch, and the full document should be consulted for this information.

Q: Are there any restrictions on driving or operating machinery while using Tridestan N, according to official guidance?

A: The regulatory label typically does not contain blanket restrictions on driving or operating machinery. Such warnings are generally reserved for products that commonly cause severe nervous system effects.

Q: How is the 'What Tridestan N is' section different from the 'How Tridestan N works' section?

A: The 'What it is' section generally covers the product's approved use and its physical formulation. In contrast, the 'How it works' section covers the mechanism of action, which is how the drug produces its effects in the body.

Q: Does Tridestan N cause changes in mood or anxiety levels?

A: Mood changes and reports of anxiety/panic attack are explicitly listed in regulatory documents as adverse reactions observed in clinical trials. These are among the symptoms that have been reported by users.

Q: What is the official classification of Tridestan N regarding its safety profile?

A: The product carries a serious warning regarding the risk of thromboembolic events (blood clots).

Q: Do any official sources describe Tridestan N as being used 'off-label' in the United States?

A: Official regulatory documents define the product's approved uses and their scope is limited to those uses.

Q: Is it normal to have vivid dreams or sleep changes when starting Tridestan N?

A: Official adverse reaction lists may include reports related to sleep disorders or insomnia in the Nervous System Disorders category. Although not always explicitly listed as 'vivid dreams,' changes in sleep quality have been reported.

Q: Could taking Tridestan N make a person more sensitive to sunlight?

A: Regulatory texts may list skin changes such as chloasma (darkening of the skin) as a potential adverse reaction or warning. Exposure to sunlight is known to sometimes worsen the appearance of chloasma.

Q: Can Tridestan N cause dry mouth or changes in taste?

A: Adverse reaction lists in regulatory documents may include reports of dry mouth or dysgeusia (changes in taste). These are often classified as less common or rare side effects reported by study participants.

Q: How does regulatory information describe the use of Tridestan N in people with a history of seizures?

A: Caution is described in regulatory documents for patients with a history of seizures, as it may affect seizure control.

Q: What kind of general expectations should I have about the results from taking Tridestan N?

A: General expectations include the product's primary goal of pregnancy prevention, as well as potential common side effects. These often include changes in menstrual cycle patterns, such as unexpected bleeding.

Q: Is Tridestan N a long-term treatment or short-term, according to its approved use?

A: Regulatory guidance describes this product as intended for use for as long as contraception is desired. The authorized use is described as continuing for as long as contraception is desired.

Q: What are the non-directive use conditions described for Tridestan N?

A: Non-directive use conditions described in the official administration section include taking the tablet once daily at the same time every day and swallowing tablets whole.

Q: Does the package insert for Tridestan N contain a patient information leaflet?

A: Yes, FDA regulations require that prescription drug products, including Tridestan N, must include a Patient Information Leaflet or similar documentation. This documentation is intended to provide important information for the user.

Q: Are there different formulations of Tridestan N available (e.g., tablet, liquid)?

A: Regulatory documents specify the drug's approved dosage form, which is an oral tablet for this product. Other physical formulations, such as a liquid, are not typically specified in the regulatory approval.

Q: What types of symptoms are most commonly reported in clinical trials for Tridestan N?

A: The most commonly reported adverse reactions in clinical trials include headaches, heavy/irregular vaginal bleeding, nausea/vomiting, acne, breast pain, and weight increased.

Q: What does official guidance say about the stability or shelf-life of Tridestan N?

A: Official guidance specifies the appropriate storage temperature for the product (e.g., 20°C to 25°C). It also defines the expiration dating period (shelf-life) for the product.

Q: Is Tridestan N effective for all types of the condition it is approved to treat?

A: Regulatory data on efficacy is limited to the conditions for which the product is approved. Effectiveness is measured by statistical outcomes like the Pearl Index in study populations, and these results describe group patterns, not personal outcomes.

How should Tridestan N be stored and disposed of?

Storage and Disposal Requirements

Official regulatory information for this combined hormonal contraceptive specifies strict conditions for storage, handling, and disposal to maintain the stability of the active ingredients.

Storage Condition

The tablets must be stored at Controlled Room Temperature, specifically between 20 C to 25 C (68 F to 77 F). The product must be kept from freezing and protected from excess heat and moisture; storage in high-humidity areas, such as the bathroom, is prohibited.

Packaging and Protection

Keep the medicine in the container it came in, and ensure the container is tightly closed to prevent environmental degradation. The product must always be stored out of the reach and sight of children, utilizing safety caps and secure locations.

Disposal Protocol

Unused or expired Tridestan N must be disposed of according to local regulations. Patients are directed to consult a healthcare professional or utilize a drug take-back program. Disposal should prevent access by people or pets, and the product should generally not be flushed down the toilet.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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