Please HELP ME PLESAE!!

Hi I started taking Trivora on 5th march this year and started having breakthrough bleeding the third week. I got my period on 28thof last month and I still have breakthrough bleeding since that. So I started taking the pills with grapefruit juice and Vitamin C to stop the bleeding (I found this soultion from internet!) and it worked!

But I don’t know if it is ok to take the pills with the juice and V C, does it affect the pills’ effectiveness?

What else can I do to stop the bleeding?

Please help me..im dying~

[Elaine Brown, MD]

Hi! Grapefruit juice interacts with cytochrome P450 which can effect the metabolism of hormones.  The better bet however would be to increase your pills to two per day until the bleeding stops, then back down to one per day.  I usually give my patients two packs to last for the month. (Ask your doctor if he/she has samples).

Once your system is used to the pills the bleeding is unlikely to recur, but if it does, you may need to changes brands or dosages of your pills.

By the way, judging from the way the grapfruit juice effects the cytochrome p450, it shouldn't lower the effectiveness of the pills, but I can't guarantee that!!!


Good luck!
Dr B