"i was on tri-cyclen before i moved and lost health insurance. immediately after losing health insurance, my doctor moved me to trinessa, the generic for ortho tri-cyclen lo, without consenting me. i liked ortho tclo because i had no side effects and it cleared my adult acne. i cannot stand trinessa. although my acne is still clear, my mood swings are unpredictable and heavy. i am normally a strong and reliable person. i am constantly dealing with jaded, cynical thoughts, oversleeping and utter lack of positivism. i will be switching back to ortho tclo even though the costs are astronomical without health insurance."