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All-in-one treatment package
Simple health questionnaire
Online prescription
Original medication
Free next day delivery


All-in-one treatment package
Simple health questionnaire
Online prescription
Original medication
Free next day delivery

Cerazette Estrogen-free pills

84 pills (3X28 pills)
168 pills (6X28 pills)
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Wednesday, 30 September

Contraception with Cerazette pill

Cerazette is a contraceptive mini-pill (POP) that uses the hormone desogestrel to prevent pregnancy. Cerazette is a 28-day monophasic pill that is almost 100% effective when used correctly. Cerazette delivers a low dosage of its active hormone, reducing side effects in users. It is safe for oestrogen intolerant women and for women who are breastfeeding. If you suffer from PMS (heavy bleeding and period pains) Cerazette may be beneficial.

How DoktorABC can help

Start a consultation for your contraceptives and fill in a simple health questionnaire. Then choose your preferred medication from the list of recommended treatment options or keep the default recommended treatment. Our doctor will review your information and if suitable issue your prescription online. Our pharmacy will then send you your medication with free next day delivery.

Please note: Decisions about treatment are for both the prescriber and the person to jointly consider during the consultation. However, the final decision will always be the prescriber’s.

Product information

What is Cerazette?

Cerazette is a type of birth control pill that contains a small amount of progestagen 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 progestagen 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 Cerazette contain?

The other substances other than progesterone that Cerazette contain are:

  • Stearic Acid
  • Hypromellose
  • Macrogol 400
  • Talc
  • Titanium dioxide E171
  • Colloidal anhydrous
  • Silica
  • Lactose monohydrate
  • Maize starch
  • Povidone
  • Allrac-a-tocopherol

How does Cerazette prevent pregnancy?

When Cerazette 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 Cerazette?

If taken correctly, Cilest 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 Cerazette?

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.
  • Jaundice
  • Severe liver diseases
  • Sex steroid hormone dependent cancers: Cancers that need sex hormones to grow.
  • If you are pregnant
  • Allergic reactions to components of Cerazette

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 Cerazette?

There are certain medications that have interactions with Cerazette. Be sure to tell your GP every medication you take, before starting to take Cerazette. 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
  • Primidone
  • Phenytoin
  • Rifampicin
  • Efavirenz
  • Felbamate
  • Griseofulvin
  • Barbiturates
  • Bosentan
  • Carbamazepine
  • Oxcarbazepine
  • Topiramate
  • Rifabutin

What are the advantages of taking Cerazette?

Some of the advantages of taking this medication are:

  1. It is over 99% effective against an unwanted pregnancy
  2. Can be used when combined pills that contain oestrogen are contraindicated
  3. Can be used by women over 35 years of age
  4. Can be used while breastfeeding.
  5. It does not interrupt you from having sexual intercourse.

What are the disadvantages of taking Cerazette?

Like all medications, it has certain disadvantages. Some of them are:

  1. It does not protect you against sexually transmitted diseases such as chlamydia, herpes, genital warts, HIV or gonorrhea.
  2. Irregular bleeding and spotting is observed in the first months while taking Cerazette.
  3. It can produce unwanted side effects such as headaches or migraines, mood swings, nausea or breast tenderness or enlargement.
  4. It has a proven risk of increasing the chances of suffering from thrombosis and breast cancer.
  5. It can produce fluid-filled sacs or cysts on your ovaries.
  6. You may suffer from acne.
  7. It may interact with your libido or sex drive.
  8. You need to take it every day at the same time or else the efficacy of the pill diminishes.
  9. It has interactions with other medicines.

Before starting any contraceptive method it is important that 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 Cerazette 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 Cerazette 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 that you use an additional barrier method of contraception for at least one week of starting Cerazette.

What special precautions should you take if you suffer from either vomiting or diarrhea?

If you suffer from vomiting within two hours after taking Cerazette, it is recommended that 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. 

What is the dosage of Cerazette?

Cerazette is a contraceptive mini-pill that delivers a low dosage of synthetic progestogen hormone desogestrel. 

Desogestrel: 75 microgram

If you use Cerazette exactly as directed by a doctor, you are unlikely to experience any significant side effects from the daily 75 microgram dose of its active hormone. Desogestrel has been used in birth control pills for over half a century.

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, it is recommended that you take other contraceptive precautions for at least 7 seven days after you forgot to take 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.

How should you start Cerazette 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 that 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 Cerazette?

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 medical advice on the matter.

Are there special precautions to be taken if you want to stop taking Cerazette?

If you want to stop taking Cerazette, 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.

What are the side effects of Cerazette?

Like all medicines, Cerazette can cause side effects, although not everybody gets them. Tell your doctor if you notice any unwanted effect, especially if severe or persistent.

Please read the entire leaflet for additional information onside effects and consult your doctor at once where appropriate.

Vaginal bleeding may occur at irregular intervals while using Cerazette. This may be just slight staining which may not even require a pad, or heavier bleeding, which looks rather like a scanty period. You may need to use tampons or sanitary towels. You may also not have any bleeding at all. Irregular bleeding is not a sign that Cerazette is not working. In general, you need not take any action; just continue to take Cerazette. If bleeding is heavy or prolonged you should consult your doctor.

How often are other possible side effects seen?

Common (affecting less than 1 in 10 women): mood changes, depressed mood, decreased sexual drive (libido), headache, nausea, acne, breast pain, irregular or no periods, weight increase.

Uncommon (affecting less than 1 in 100 women) infection of the vagina, difficulties in wearing contact lenses, vomiting, hair loss, painful periods, ovarian cysts, tiredness.

Rare (affecting less than 1 in 1000 women) skin conditions such as: rash, hives, painful blue-red skin lumps (erythema nodosum)

Apart from these side effects, breast secretion or leakage may occur. You should see your doctor immediately if you experience symptoms of angioedema, such as

  • swollen face, tongue or pharynx;
  • difficulty to swallow; 
  • hives and difficulties to breathe

Leaflet info
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.

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1. Complete online consultation

Fill out a health questionnaire to get a list of recommened treatments

2. Choose your treatment

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Complete online consultation

Fill out a health questionnaire to get a list of recommened treatments

Choose your treatment

Our doctor will review the information you provide and issue a prescription if appropriate

Get your medication

Your medicine is dispatched by our pharmacy the next working day

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