"this is not the same as ortho tri cyclyn lo!! i do not care what pharmacists or doctors say. i was on ortho tri cycling lo for 15 years and loved it and had no side effects. the &quot;generic&quot; was given to me because my insurance stopped covering birth control and obviously the generic is cheaper. within 2 weeks my moods were insane - i can&#039;t stop crying and i am just an emotional mess. my boobs are huge and hurt so bad and i have horribly painful cystic acne all over my face and chin and neck. it also made my sex drive literally non existent.this is the worst thing that i have put in my body. i  do not recommend that anyone takes this. what&#039;s more upsetting is that it is acceptable to tell people that it is comparable to the real medication."