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CILEST TAB; norgestimate, ethinyl oestradiol, hormonal agents .


theactive substances are norgestimate 250 micrograms and ethinylestradiol 35 micrograms .


Cilest is a low hormone combined oral contraceptive pill and is used to prevent pregnancy. Each tablet contains two types of female hormones, norgestimate and ethinyl estradiol. Cutest prevents an egg from being released from your ovaries so you can’t get pregnant. Additionally , cilest makes the fluid ( mucus) in your cervix thicker, making it more difficult for sperm to enter the womb. The contraceptive effect starts from the first tablet taken .


Follow all directions given to you by your pharmacist or doctor carefully . They may differ from the information contained in this leaflet

Ask your pharmacist or doctor for help if you do not understand the instructions on the box .

The recommended dose is : –

Always use this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. The contraceptive effect starts from the first tablets . First treatment cycle : take the first tablet on the first day of your menstruation . Continue by taking 1 tablet daily ( the tablets should be taken in consecutive order to enable you to see that you have taken a tablet each day) . The tablets should be taken at approximately the same time of the day each day , e.g. in the evening . When all the tablets have been taken from the calender strip, a break is made for 7 days during which menstruation usually occurs. Even if menstruation fails , you must start a new 21 – tablet treatment cycle after these 7 treatment – free days. Second and following treatment cycles : start the next treatment cycle / calendar strip on the same day of the week as the previous treatment cycle . If your menstruation fails also after the second treatment cycle, contact your doctor. Delaying of the menstruation : when all tablets of the strip have been taken, initiate a new strip for the number of days needed. Subsequently, a break is made for 7 days, followed by a new strip of 21 tablets with a new start day . Breakthrough bleeding : in the event of breakthrough bleeding or spotting, treatment should be continued. This type of bleeding often disappears after a few cycles. If breakthrough bleeding persists , contact a doctor / health care professional . What should be done in case of vomiting or severe diarrhoea? : if vomiting occurs within 3 hours of taking the pill, or if severe diarrhoea lasts for more than 24 hours, the effectiveness of the contraception may not be adequate, and you should use an additional non – hormonal method of contraception ( for example condom) for seven days after recovery. If vomiting or diarrhoea persists , you should contact your doctor or other health care professional .


IF YOU HAVE TAKEN TOO MUCH CILEST or if , for example , a child has accidentlly taken the mediciation , call your doctor , hospital .


You should not use cilest if you have any of the conditions listed below. If you do have any of the conditions listed below, you must tell your doctor. Your doctor will discuss with you what other form of birth control would be more appropriate. If you have ( or have ever had) a blood clot in a blood vessel of your legs ( deep vein thrombosis, DVT) , your lungs ( pulmonary embolus, PE) or other organs : if you know you have a disorder affecting your blood clotting – for instance, protein C deficiency, protein S deficiency, antithrombin -lll deficiency, factor V Leiden or antiphospholipid antibodies :if you need an operation or if you are off you feet for a long time. If you have ever had a heart attack or a stroke . If you have ( or have ever had) Angelina pectoris ( a condition that causes severe Chest pain and may be a first sign of a heart attack ) or transient ischemic attack ( TIA – temporary stroke symptoms) . If you have any of the following diseases that may increase your risk of a clot In the arteries: – severe diabetes with bloodvessel damage. – a very high blood pressure. – a very high level of fat in the blood ( cholesterol or triglycerides) . – a condition known as hyperhomocysteinaemia. If you have ( or have ever had) a type of migraine called ” migraine with aura ” . If you are allergic to norgestimate, ethinyl estradiol or any of the other ingredients of this medicine. Severe liver disease, if liver function values have not returned to normal. Liver tumours ( benign or malignant) . Know or suspected cancer of the breast or genital organs . Abnormal growth of the lining of the womb ( endometrial hyperplasia) . Unexplained vaginal bleeding. Jaundice associated with pregnancy or prior hormonal contraceptive use. Do not use cilest if you are : – pregnant or think you might be pregnant. – post -menopausal.


store between 15 ° C and 25 °C .
ech blister pack contains 21 film-coated tablets . One outer pack contains 1× 21 , 3×21 , 6 × 21 or 13 × 21 tablets .

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