What is Cerelle?
Cerelle is a type of birth control pill that contains a small amount of progestogen desogestrel, a female sex hormone. Every blister pack contains 28 round white tablets. Each tablet contains 75 microgram of desogestrel. It is also known as mini-pill or progestogen only pill. (POP) This type of birth control does not contain oestrogen hormone.
What are the normal functions of progesterone?
Progesterone hormone is in charge of regulating the inner lining of the uterus. It is produced by the ovaries, placenta and adrenal glands.
Progesterone is a hormone produced after ovulation. It regulates the inner lining of the uterus so that when an egg has been fertilized it will prepare the uterus for a pregnancy. It is produced 14 days after ovulation and will decrease if there is no pregnancy. Progesterone decreases the cell growth of breasts which is important in the prevention of cancer. It also will act producing new bone cells to replace the old ones. Progesterone also plays an important role in the brain. It decreases symptoms of insomnia and depression acting as a natural antidepressant.
What other substances does Cerelle contain?
The other substances other than progesterone that Cerelle contain are:
- Stearic Acid
- Macrogol 3000
- Titanium dioxide E171
- Poly(vinyl alcohol)
- Colloidal anhydrous
- Lactose monohydrate
- Potato starch
- Povidone K-30
- All rac-a-tocopherol
How does Cerelle prevent pregnancy?
When Cerelle is taken in the correct form without missing any tablet it will diminish the chances of getting pregnant. Just like other mini birth control pills, it will make the lining of the uterus thinner so that there is a lower probability of a fertilized egg to be able to be implanted in your womb and grow. Just like combined pills, it will also prevent the egg cells from ripening preventing an unwanted pregnancy.
How effective is Cerelle?
If taken correctly, Cerelle is over 99% effective at preventing an unwanted pregnancy. Meaning that less than 1% of women who use this contraceptive pill will get pregnant in one year.
Who should consider other alternatives over Cerelle?
People who have or suffer:
- History of thrombosis: thrombosis are blood clots that are formed preventing the proper passage of blood through blood vessels. Mostly of the legs called deep venous thrombosis or affecting the lungs called pulmonary embolism.
- Women who have or ever had breast cancer
- Women who suffer from epilepsy: Certain medicines have interactions with Cerelle
- Women who suffer from tuberculosis: Cerelle may interact with certain medications that treat tuberculosis and reduces its efficacy.
- Severe liver diseases
- Sex steroid hormone dependent cancers: Cancers that need sex hormones to grow.
- If you are pregnant: Cerelle should be discontinued
- Allergic reactions to components of Cerelle
- High blood pressure
If you suffer from these conditions it is advisable for you to consider other options and consulting with a GP before taking this medication. Always remember to inform your doctor of all health issues and doubts you have before taking any new medication.
Are there medicines that have interactions with Cerelle?
There are certain medications that have interactions with Cerelle. Be sure to tell your GP every medication you take, before starting to take Cerelle. Certain medications make the efficacy of the contraceptive pill diminish, therefore if you are taking any of these medications be sure to consult your GP about it.
- St. John’s Wort herbal remedy
What are the advantages of taking Cerelle?
Some of the advantages of taking this medication are:
- It is over 99% effective against an unwanted pregnancy
- Can be used when combined pills that contain oestrogen are contraindicated
- Can be used by women over 35 years of age
- Can be used while breast feeding.
- It does not interrupt you from having sexual intercourse.
What are the disadvantages of taking Cerelle?
Like all medications, it has certain disadvantages. Some of them are:
- It does not protect you against sexually transmitted diseases such as chlamydia, herpes, genital warts, HIV or gonorrhea.
- Irregular bleeding and spotting is observed in the first months while taking Cerelle.
- It can produce unwanted side effects such as headaches or migraines, mood swings, nausea or breast tenderness or enlargement.
- It has a proven risk of increasing the chances of suffering from thrombosis and breast cancer.
- Cases of ectopic pregnancies have been reported. If you feel a strong lower abdominal pain that suggests an ectopic pregnancy, seek for medical assistance immediately.
- It may interact with your libido or sex drive.
- You need to take it every day at the same time or else the efficacy of the pill diminishes.
- It has interactions with other medicines.
Before starting any contraceptive method, it is important you visit a doctor to have gynecological exams and check-ups made to evaluate which best suits you. That way you can decide which method best suits you.
What should you do if you become pregnant?
If you are pregnant while taking this medication, be sure to stop taking it and consult immediately your doctor for evaluation. It is not recommended to use this medication while breastfeeding.
What should you do if you start Cerelle and were taking other contraceptive pills before?
If you are certain you are not pregnant and have been taken the previous contraceptive pills correctly, you can start Cerelle immediately without any worry of an unwanted pregnancy or the need to use other contraceptive precautions. If you have stopped taking it and have had a break free period, it is recommended you use an additional barrier method of contraception for at least one week of starting Cerelle.
What special precautions should you take if you suffered from either vomiting or diarrhea?
If you suffer from vomiting within two hours after taking Cerelle, it is recommended you take another pill immediately, since it may have not been absorbed correctly in your bloodstream. Take the pill the next day as usual. If you continue to feel sick and continue vomiting it is recommended to use another type of contraceptive for at least 7 days. If you’ve had over six watery stools in more than 24 hours, it is recommended to use other contraceptive options while suffering from diarrhea and two days after you’ve fully recovered to prevent an unwanted pregnancy.
Is there a difference between Cerelle and Cerazette?
Both contraceptive pills have the same amount of progestogen desogestrel. The only difference is that they are produced by different pharmaceutical companies. Therefore, both are efficient and effective if taken correctly.
When should you start the treatment?
It is important to know before starting the medication that you are not pregnant. Preferably, it is recommended that you start taking the medication the first day of your period or at least while you have your period. You may start taking it at any point of your menstrual cycle, but if you take it after your period has started, then you will have to take extra precautions during sex to prevent an unwanted pregnancy. Therefore, barrier contraceptives are recommended to be used for at least the first week while taking the pills.
How should you take this medication?
In order for the pills to work correctly, they should be taken as instructed. It is important for you to take it every day, at the same hour, orally with or without food. Each pack contains 28 tablets which corresponds to each day of the month that you should be taking it. In the back of every pack, the day of the week is printed, which will make it easier for you to know if you have been taking the pills correctly. Once you have finished a pack, you have to start a new blister the next day, without interruption or without waiting until your period begins.
What should you do if you miss a dose?
If you miss taking a pill, and are less than 12 hours late in taking the pill, take it as soon as you remember. If it is after 12 hours, take the pill as soon as you remember even if it means taking two tablets the same day. It is recommended that you take other contraceptive precautions for at least 7 seven days after you forgot taking a pill. The more you skip pills the higher the risk of having an unwanted pregnancy, therefore it is recommended to take every pill as recommended. If you have forgotten to take more than one tablet, continue taking your pills, but use other contraceptive methods such as barriers to prevent an unwanted pregnancy.
How should you start Cerelle after having a baby?
You can start taking this pill 21 to 28 days after you gave birth, but it is advisable for you to ask your doctor if this medication suits you. You will be protected against another pregnancy immediately after taking it. During this period. If you start taking it after 28 days, it is recommended you use an additional contraceptive method such as a barrier for at least a week. This medication is can be taken while breastfeeding.
Is there a risk of overdose from taking Cerelle?
There are no reports of harmful effects from taking too many pills at the same time. Thus, symptoms that may present are slight vaginal bleeding, vomiting and nausea. If you have taken too many tablets and need more information, seek for medical advice on the matter.
Are there special precautions to be taken if you want to stop taking Cerelle?
If you want to stop taking Cerelle, you can stop at any time you like. If you are planning to get pregnant, once you stop taking the medication, you may get pregnant. If you are not planning to get pregnant, change immediately to another contraceptive method to avoid an unwanted pregnancy.
Like all medicines, this medicine can cause side effects, although not everybody gets them. You should see your doctor immediately if you experience symptoms from this list:
Common (may affect up to 1 in 10 people):
- mood altered,
- decreased sexual drive (libido),
- breast pain,
- irregular or no menstruation,
- increased body weight.
Uncommon (may affect up to 1 in 100 people):
- infection of the vagina,
- difficulties in wearing contact lenses,
- hair loss,
- painful menstruation,
- ovarian cyst,
Rare (may affect up to 1 in 1,000 people):
- painful blue-red skin lumps (erythema nodosum) (these are skin conditions).
Apart from these side effects, breast secretion may occur. Please read the entire leaflet for more information.
The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine. It is written for patients and gives information about taking or using a medicine. It is possible that the leaflet in your medicine pack may differ from the PDF-version from this website because it may have been updated since your medicine was packaged or the medicine is from another brand.