Cilest 63 tablets
What is Cilest and what it is used
Cilest is a low-dose combined oral contraceptive containing two hormones - estrogen and progestogen. Cilest prevents pregnancy by inhibiting ovulation and changes the endometrium, thus preventing the development of a fertilized egg. In addition, the morphology of vaginal secretions to transform ratio that harder for sperm. Contraceptive effect begins after the first tablet.
Before you take Cilest
Do not take Cilest
if you are allergic (hypersensitive) to norgestimate, ethinyl estradiol or any of the other ingredients of Cilest.
If you have, you have or develop any of the following, you can not use Cilest tablets and your doctor will advise you to stop their use:
thrombosis or established tendency to thrombosis
cardiovascular diseases that may increase the risk of thrombosis
migraine with aura
significant increase in blood pressure
diabetes affect blood vessels
severe liver disease if liver function values have not recovered to the normal range
liver tumors (benign or malignant)
diagnosed or suspected cancer of the breast or vagina
thickening of the lining of the womb
unexplained vaginal bleeding.
Do not take Cilest if you are:
Take special care with Cilest
Women who use oral contraceptives should undergo regular medical examinations. The frequency of inspections depends on the potential risk contraceptives affect any condition or disease.
Like other Cilest contraceptive pill does not protect against HIV infection (AIDS) or other illnesses, sexually transmitted. Before you start taking Cilest tablets, tell your doctor if any of these apply to you because he / she must clarify whether you take oral contraceptives and may require more frequent examinations during use of Cilest tablets:
if you are smoker (especially if you are older than 35 years)
if you have diabetes
if you are overweight
if you have high blood pressure
If you suffer from valvular heart disease or cardiac arrhythmias
If you suffer from vasculitis (superficial phlebitis)
If you suffer from varicose veins
if your parents or one of your brothers / sisters have a history of blood clots, heart attack or stroke
If you suffer from migraines
if you suffer from epilepsy
If you, your parents or brothers / sisters have a history of high levels of lipids (cholesterol, triglycerides) in the blood
if you have problems with your liver or gallbladder disease
If you suffer from Crohn's disease or ulcerative colitis (chronic inflammatory bowel disease)
if you have or have had chloasma (yellowish-brown areas of skin pigmentation during pregnancy, especially in the face). If this happens, avoid exposure to sunlight and ultraviolet rays.
If any of these conditions or worsen during use Cilest should seek medical advice.
Stop using Cilest tablets and contact your doctor if you develop any of these symptoms of angioedema:
swelling of the face, tongue or throat
hives or difficulty breathing.
The following conditions may recur or be aggravated during both pregnancy and the use of oral contraceptives, but the connection with the use of the contraceptive pill is not confirmed: jaundice and itching associated with difficulty in draining bile (cholestasis) gallstones, porphyria (increased secretion of pigment in the blood), systemic lupus erythematosus (kind of connective tissue disease), haemolytic uraemic syndrome (a disease of the blood, leading to kidney failure), chorea of Sydenham, herpes gestationis (a rare skin disease that occurs during pregnancy) and otosclerosis (a type of hearing loss).
Pill and thrombosis
In some studies, the increased risk of thrombosis (DVT) associated with use of combined oral contraceptives. Deep vein thrombosis is a blood clot in a vein, which can block one of the large veins, usually in the legs. If the vein clot is formed, it can be moved by the bloodstream to the lungs, where to stay in small blood vessels. Clot usually disappears by itself, but in rare cases can lead to permanent disability or even cause death. The incidence of blood clots are rare and can occur regardless of use of combined oral contraceptives. However, the risk is greater in women taking combined oral contraceptive. The risk of developing thrombosis is higher during pregnancy than in the use of combined oral
The way Cilest affect the risk of thromboembolism compared with other oral contraceptives is not known.
In rare cases, blood clots can form in an artery (arterial thrombosis), as in the heart (heart attack) or the brain (stroke). In very rare cases, blood clots can form in the liver, intestines, kidneys or eyes.
The risk of heart attack or stroke increases o age, especially if you are a smoker. You should stop smoking if you are using the Pill, especially if you are over the age of 35 years.
If you are diagnosed with high blood pressure while taking the Pill, your doctor may advise you to stop using them.
If you suspect thrombosis, immediately contact your doctor and stop taking the Pill.
Symptoms of thrombosis can include:
sudden swelling, redness or pain in the leg
sudden severe pain in the chest that can unfold the left hand
sudden shortness of breath
sudden coughing fit
unusual, severe, prolonged headache
sudden partial or complete loss of vision
difficult or slurred speech
seizures, which may be combined with attacks
weak or strong belief that suddenly appear on one side or in one part of the body
acute abdominal pain.
The risk of thrombosis increases during surgery or a long period of recumbency. If as a result of accident, illness or any other reason you are immobilized for more than a week or if you need casting feet, you may need to stop taking the Pill. In the case of elective surgery is recommended to stop using oral contraceptives for at least 4 weeks before surgery. Tell your doctor that you are taking Cilest tablets.
Pill and cancer
The risk of breast cancer generally increases with age. The risk of breast cancer was somewhat higher in the use of oral contraceptives. Compared with the risk of breast cancer at some time in life, the increased risk associated with use of oral contraceptives is low. Excess risk of breast cancer decreases gradually over a period of 10 years after the use of oral contraceptives. Diagnosing breast cancer in women taking oral contraceptives is not more advanced than women not using any.
In rare cases, benign liver tumors in women taking oral contraceptives, and even more rarely - for malignant liver tumors. Tumors can cause life-threatening internal bleeding. If you experience sudden, severe abdominal pain, contact your doctor.
Slightly more common are cases of cancer of the cervix reported with prolonged use of oral contraceptives. This is not always due to the use of oral contraceptives may be associated with sexual behavior and other factors.
Even if your menstrual cycle is absent one month, continue using the pills as usual. If the cycle is absent two consecutive months must be investigated by a gynecologist or take a pregnancy test. If you miss a dose, contact your healthcare provider only after an absent menstrual cycle.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. Some other medicines may influence the effectiveness of treatment with Cilest Cilest or may affect the effectiveness of other drugs. Therefore, your doctor needs to know whether you are taking for the treatment of epilepsy, antibiotics, antifungals (griseofulvin) for the treatment of tuberculosis (rifabutin, rifampicin), antiretroviral drugs used to treat HIV-positive and AIDS patients (ritonavir ) or metoclopramide (used to treat nausea). The use of activated charcoal may reduce the effect of contraceptive drugs. You should also tell your doctor if you take herbal preparations containing St. John's wort, as it weakens the effect of contraceptive drugs.
Pregnancy and lactation
Ask your doctor or pharmacist before taking any medicine.
Cilest not use during pregnancy. If you become pregnant, stop using contraceptives and contact your doctor. Tell your doctor if you have used Cilest tablets during pregnancy.
It is the use of medication during breastfeeding have an effect on the baby. Therefore you should not use Cilest during breastfeeding unless your doctor has prescribed it specifically. Nursing mothers should monitor the amount of milk as Cilest may reduce its quantity.
Driving and operating machinery
There are no known effects.
Important information about some of the ingredients of Cilest
Cilest tablets contain lactose. If your doctor has told you that you have an intolerance to some sugars, contact your doctor before taking this medicine.
How to take Cilest
Always take Cilest, exactly as the doctor tells you. If you're not sure, ask your doctor or pharmacist.
Contraceptive effect begins after the first tablet. Each calendar contains 21 tablets.
First cycle of treatment. Start taking the drug in the first day of your menstrual cycle. Return to taking one tablet daily (tablets should be taken in sequential order to be able to track whether taking tablets every day). Tablets should be taken around the same time every day, as evening.
When taken all the tablets from the container, do pause of 7 days, during which usually occurs menstruation. Even in the absence of menstruation after the 7-day period without treatment, you can start a new treatment cycle with 21 new tablets.
Second and subsequent cycles of therapy. Start the next cycle of treatment / calendar pack on the same day of the week and the previous cycle. If after the second treatment cycle, no menstrual periods, contact your doctor.
Delayed menstruation. After taking all the tablets from the pack, start a new pack for the required number of days. Then do the 7-day break, followed by a new pack of 21 tablets with a new starting day.
Breakthrough bleeding. In the event of breakthrough bleeding or spotting treatment should continue. This bleeding often disappear after a few cycles. If breakthrough bleeding persists, contact a physician / health professional.
What should I do in case of vomiting or severe diarrhea? If vomiting occurs within 3 hours after taking the pill or in case of severe diarrhea lasting more than 24 hours, the effectiveness of contraception may not be adequate and you should use an additional non-hormonal method of contraception (eg condoms) for 7 days after recovery. If vomiting or diarrhea persist, you should contact your doctor or another healthcare professional. ^
If you take an overdose of Cilest
If you take an overdose of Cilest or if a child has swallowed as medicine by accident, contact your doctor, hospital, center for emergency medical care or call 112, to assess risks and to get instructions on what to take .
If you forget to take Cilest
Do not take a double dose to make up for a single dose.
If you were to take it less than 12 hours
The contraceptive effect is decreased. Take the missed dose as soon as you remember and then continue on the next tablet at the usual time.
If you were to take it more than 12 hours, contraceptive protection may be reduced. The more tablets you miss, the greater the risk of reduced contraceptive effect. The risk of pregnancy is particularly great if you miss a tablet at the beginning or end of a calendar pack. So you should do the following:
Missed more than 1 tablet calendar pack:
Consult with your doctor.
1 tablet missed in week 1
Take the missed dose as soon as you remember, even if this means taking two tablets at the same time. Take the next tablet at the usual time and be sure to use an additional method of contraception (non-hormonal contraceptive such as a condom) for the next 7 days. If you had intercourse in the past week, you may be pregnant, you should immediately contact your doctor.
1 tablet missed in week 2
Take the missed dose as soon as you remember, even if this means taking two tablets at the same time. Take the next tablet at the usual time. If you take the tablets correctly in the 7 days preceding the tablet, contraceptive tablets has not decreased, and not having to use an additional contraceptive method.
1 tablet missed in week H
You can select one of the following options:
1. Take the missed dose as soon as you remember, even if this means taking two tablets at the same time. Take the next tablet at the usual time. Do not pause between the two packages and immediately start taking the tablets of the following calendar pack. Less likely to receive regular intermediate bleeding before the end of the second calendar pack. However, it may have spotting or breakthrough bleeding while taking the second tablet calendar pack.
2. Stop taking this tablet calendar pack and start a new pack after the 7-day break without taking tablets (including the day on which you miss tablets).
If you forget to take tablets in a calendar pack and you have not received an intermediate bleed in the first normal range without a tablet, you might be pregnant. You should consult with your doctor before continuing use of the new tablet calendar pack.
If you stop taking Cilest
If you have any further questions on the use of this product, ask your doctor or pharmacist.
Possible side effects
Like all medicines, Cilest can cause side effects, although not everybody gets them.
In Cilest the following side effects:
Very common (affects more than 1 in 10 patients): headache, nausea, vomiting, diarrhea, vaginal bleeding between menstrual periods, painful menstruation, abnormal bleeding, intermediate (eg, early menstruation).
Common (affects more than 1 in 100 patients): Urinary tract infection, vaginal infection, allergic reaction, swelling due to retention of too much water (fluid retention), mood disorders such as depression, mood swings, difficulty sleeping, nervousness , migraine, mild dizziness, abdominal pain, flatulence, constipation, bloating, acne, rash, muscle cramps, pain in extremity, back pain, one or more missed menstrual cycles, vaginal discharge, breast pain, chest pain chest, swelling, feeling of tiredness or weakness, weight gain.
Uncommon (affects more than 1 in 1,000 patients): an abnormal Pap smear, weight gain or weight loss, decreased or increased appetite, anxiety, changes in libido, loss of consciousness, sensation, numbness or tingling of the skin problems vision, dry eyes, palpitations, formation of blood clots in the lung or leg veins in other parts of the body, high blood pressure or increase in blood pressure, flushing, shortness of breath, hair loss, increased body hair, itching with or without rash, redness, discoloration of skin, muscle pain, leakage of fluid from the chest, breast enlargement, ovarian cysts, vaginal dryness and skin around it, losing weight.
Rare (affects less than 1 in 10,000 patients) breast lump filled with fluid, problems with appetite, loss of libido. feeling dizzy, like I was turning in a circle, rapid heartbeat, inflammation of the pancreas, liver inflammation, excessive sweating, increased sensitivity to sunlight, vaginal discharge.
Unknown: breast cancer, benign liver tumors, benign breast lump, abnormal changes in breast tissue, abnormal levels of blood fats (such as cholesterol), stroke, intense involuntary contractions of the muscles of the arms, legs and head and body, a blood clot in a blood vessel in the eye, difficulty wearing contact lenses, heart attack, blood clot in leg, blood clot in the lungs, swelling of the face, tongue or throat which may cause difficulty in swallowing and respiration and is accompanied by a rash, painful red bumps on arms and legs, night sweats, reduced milk production.
If any of the side effects gets serious, or you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.
How to store Cilest
Keep out of reach of children.
Do not store above 25 ° C.
Do not use Cilest after the expiry date stated on the carton. The expiry date refers to the last day of that month.
Do not use Cilest if you notice visible signs of deterioration of the product.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
The active substances are: norgestimate 250 micrograms and 35 micrograms ethinylestradiol
The other ingredients are lactose monohydrate, magnesium stearate, pregelatinized shieste, indigo carmine (E132)
Cilest looks like and contents of pack
Blue, round tablets marked with 250 on both sides. Cilest comes in a cardboard box with 1 or 3 blisters, which contain 21 tablets.