"my insurance no longer covers ortho tri-cyclen lo so i had to switch to sprintec, which i assume is the generic version. the first thing i noticed is that the pills were quite a bit larger which may have no effect on anything at all. i have been experiencing severe nausea, as well as loss of appetite and fatigue. i understand that it probably takes some time for the body to get used to the hormones. however, i am surprised at how strong my symptoms are, considering i never went off bc entirely, just switched brands. i learned early on to take bc medication before bed to ease the nausea, but this really hasn&#039;t helped with the sprintec. i look forward to the improvement in my complexion that others have reported!"