Cilest Pills (replaced by Cilque or Lizinna contraceptive pills)

  • The Cilest Pill was discontinued in July 2019 after the manufacture of the drug announced they would no longer be making it. However,there are two alternatives to Cilest available at My Chemist Plus.
  • Cilque and Lizanna both contain the same active ingredients estrogen and progesterone as Cilest so will work in the same way.

 

£14.99£24.99

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Description

The Cilest Pill was discontinued in July 2019 after the manufacture of the drug announced they would no longer be making it. However,there are two alternatives to Cilest available at My Chemist Plus.

Cilest Pill Alternatives

Cilque and Lizanna both contain the same active ingredients estrogen and progesterone as Cilest so will work in the same way.

Cilest Contraceptive Pill

is a prescription medicine used for the prevention of becoming pregnant and contains two types of female sex hormones- oestrogen and progestogen. These hormones contained can stop a pregnancy from happening. They can also, in some circumstances, be used to help ease troublesome symptoms in some women who suffer from painful, heavy or irregular bleeding.

Is Cilest The Same as Cilique

Whilst it might cause some worry to have to change your contraceptive pill, changing from Cilest should not cause any problems as Cilique is the same pill, albeit with a different manufacturer. It contains the same ingredients as Cilest and is safe to use straight after you have finished the last Cilest pill in your packet. In addition to Cilique, there is another pill called Lizinna that replaced Cilest when the manufactures decided to stop making it.

Cilest Side Effects

As with any medication side effects can occur when taking Cilest but these do not affect everyone. If you experience any of the side effects, or these become severe or persistent, please consult your doctor.

Common side effects include:

  • Headache
  • Stomach problems such as nausea, vomiting and diarrhoea
  • Bleeding and spotting between your periods
  • Swollen hands, ankles or feet
  • Depression or trouble sleeping
  • Acne or a rash

If you experience any serious Cilest Side Effects such as signs of:

  • A heart attack or stroke
  • A blood Clot
  • Breast Cancer
  • Severe liver problems
  • Allergic reaction

You must contact your GP or ring NHS 111 for advice straight away.

For a full list of side effects see the Cilest Pill Leaflet

 

 

Can You Get Pregnant on Cilest Pill?

As with most contraceptive medications there is a chance of getting pregnant however the likelihood is low as Cilest can be over 99% effective when used correctly.

Cilest Missed Pill

If you miss a pill or begin taking this late, it can cause the pill to become less effective at preventing a pregnancy. The chances of pregnancy after missing a pill or pills will depend on when the pills are missed and how many are missed.

When you miss the Cilest pill you should take this as soon as you remember to, even if this results in two pills being taken in one day. If 12 hours or more has passed without taking a pill you would need an additional method of contraception (such as condoms) for the next 7 days.

Please read the Cilest Pill Leaflet for more detailed information on Cilest Missed Pill.

Cilest Pill and Acne

Acne can a factor of some contraceptive pills such as the progesterone only pill, as it can make skin produce more oil and create further acne for women who are already prone to spots.

On the other hand, combine contraceptive pills such as Cilest help improve skin for those who suffer from acne. This is caused by the combination of oestrogen and progesterone which helps alleviate hormone levels and reducing androgen activity which creates stability for breakouts.

Please note that if you suffer from acne and you are taking Cilest, you should always consult your doctor with any concerns that you have prior to beginning treatment.

Cilest Pill and Weight Gain

As with many female contraceptive pills weight gain may be a cause of concern however there is no evidence to suggest that Cilest will contribute to an increase in weight.

Please see more information on the Cilest Pill and Weight Gain.

Cilest Pill Leaflet

The Cilest Pill Leaflet has all the important information you may need but if you need any further information at all please feel free to give us a call, we are always happy to assist.

Cilest Alternatives

The most commonly used alternatives to Cilest which are available at My Chemist Plusinclude:

  • Cilque

You can view a full list of Cilest Alternatives and other female contraceptive medications that we offer at My Chemist PlusHere.

 

 

 

Combined Oral Contraceptive

The combined pill is another term for the pill, with the combined pill containing two artificial versions of the female hormones oestrogen and progesterone which are produced naturally in the ovaries. The combined pill as a prevention of becoming pregnant is effective by 99%.

The recommended way to use the pill is to take one every day for 21 days then have a break for 7 days, during which time you should have a period. After 7 days you begin to take the pill again.

It is advised to take the pill at the same time every day to form a routine, otherwise there is a risk of pregnancy, particularly if you miss a pill or vomit or have severe diarrhoea.

Please note that some medicines can affect the efficiency of the pill so you should consult your doctor before taking any other tablets.

If you suffer from heavy or painful periods, PMS (premenstrual syndrome) or endometriosis the combined pill can be an effective medication to help ease your symptoms.

Please note that the pill does not protect against sexually transmitted infections (STIs) so you would require a condom to protect against this.

How the combined pill works

  • It prevents the ovaries from releasing an egg each month (ovulation)
  • It thickens the mucus in the neck of the womb, so it is harder for sperm to penetrate the womb and reach an egg
  • It thins the lining of the womb, so there is less chance of a fertilised egg implanting into the womb and being able to grow

There are a variety of brands of pill- these are made up of three main types:

Monophasic 21-day pills

The most common type of pill which has the same amount of hormone in it. One pill is taken every day for 21 days and then a break of 7 days. Microgynon, Marvelon, Yasmin and Cilest are all examples of this type of pill.

Phasic 21-day pills

Phasic pills contain two to three sections of different coloured pills within a pack with each section containing a different level of hormones. One pill is taken every day for 21 days and then a break of 7 days. It is important that Phasic pills are taken in the right order. Logynon is an example of this type of pill.

Every day (ED) pills

With ED pills there are 21 active pills and 7 inactive (dummy) pills within each pack. The two types of pills have a different appearance with one pill taken every day for 28 days with no break between the packets. It is important that the every day pills are taken in the right order. Microgynon ED is an example of this type of pill.

Please ensure that you follow the instructions that come with your packet. If you have any questions you should consult your GP, practice nurse or pharmacist.

What to do if you miss a pill through sickness

If you miss a pill due to being sick, you should use another form of contraception until you have taken the pill again for 7 days without vomiting

Who can use the combined pill

If there are medical restrictions why you can not take the pill and you are a non-smoker, you can take the pill until the menopause. However, the pill is not the most suitable method of contraception, so you should consult your doctor, nurse or pharmacist to see if this is right for you.

You should not take the pill if you:

  • are pregnant
  • smoke and are 35 or older
  • stopped smoking less than a year ago and are 35 or older
  • are very overweight
  • take certain medicines (ask your GP or a health professional at a contraception clinic about this)

You should also not take the pill if you have (or have had):

  • thrombosis (a blood clot) in a vein, for example in your leg or lungs
  • a stroke or any other disease that narrows the arteries
  • anyone in your close family having a blood clot under the age of 45
  • a heart abnormality or heart disease, including high blood pressure
  • severe migraines, especially with aura (warning symptoms)
  • breast cancer
  • disease of the gallbladder or liver
  • diabetes with complications or diabetes for the past 20 years

Risks of taking the combined pill

There are some risks associated with the combined contraceptive pill however these are minimal and for most women, the benefits the pill can provide outweigh the risks.

These risks include:

  • Blood clots- The oestrogen in the pill may cause your blood to clot more readily. If a blood clot develops, it could cause deep vein thrombosis (clot in your leg) or pulmonary embolus (clot in your lung)
  • stroke
  • heart attack

The chances of developing a blood clot is very minimal but your doctor will check if you have certain factors that could put you at risk before they prescribe the pill.

The pill can still be taken with caution if you are identified with a risk factor but is unlikely to be prescribed if you have two or more risk factors

These include:

  • being 35 years old or over
  • being a smoker or having quit smoking in the past year
  • being very overweight (in women with a BMI of 35 or over, the risks of using the pill usually outweigh the benefits)
  • having migraines (you should not take the pill if you have severe or regular migraine attacks, especially if you get aura or a warning sign before an attack)
  • having high blood pressure
  • having had a blood clot or stroke in the past
  • having a close relative who had a blood clot when they were younger than 45
  • being immobile for a long time – for example, in a wheelchair or with a leg in plaster
  • Cancer

There is ongoing research between the link to breast cancer and the pill, it is suggested that users of all types of hormonal contraception have a slightly higher chance of being diagnosed with breast cancer compared to those that don’t use them. However, 10 years after you stop taking the pill, your risk of breast cancer goes back to normal.

Research has also suggested a link between the pill and the risk of developing cervical cancer and a rare form of liver cancer. However, the pill does offer some protection against developing womb (endometrial) cancer, ovarian cancer and colon cancer.

Additional information

Weight N/A
Pack

63 Tablets (3 months), 126 Tablets (six months)

Combined Pill

Combined pill

The combined oral contraceptive pill is usually just called “the pill”. It contains artificial versions of female hormones oestrogen and progesterone, which women produce naturally in their ovaries.

A woman can get pregnant if a man’s sperm reaches one of her eggs (ova). Contraception tries to stop this happening usually by keeping the egg and sperm apart or by stopping the release of an egg (ovulation).

At a glance: the combined pill

When taken correctly, the pill is over 99% effective at preventing pregnancy.

Other methods, such as the IUD, implant and injection, are more effective.

The usual way to take the pill is to take one every day for 21 days, then stop for seven days, and during this week you have a period-type bleed. You start taking the pill again after seven days.

You need to take the pill at around the same time every day. You could get pregnant if you don’t do this, or if you miss a pill, or vomit or have severe diarrhoea.

Some medicines may make the pill less effective. Check with your doctor if you’re taking any other tablets.

Minor side effects include mood swings, nausea, breast tenderness and headaches.

There is no evidence that the pill makes women gain weight. There’s a very low risk of serious side effects, such as blood clots and cervical cancer. The combined pill is not suitable for women over 35 who smoke, or women with certain medical conditions. The pill does not protect against sexually transmitted infections (STIs), so using a condom as well will help to protect you against STIs.

There are many different brands of pill, made up of three main types:

Monophasic 21-day pills This is the most common type. Each pill has the same amount of hormone in it. One pill is taken each day for 21 days and then no pills are taken for the next seven days. Microgynon, Marvelon, Yasmine and Cilest are examples of this type of pill.

Phasic 21-day pills Phasic pills contain two or three sections of different coloured pills in a pack. Each section contains a different amount of hormones. One pill is taken each day for 21 days and then no pills are taken for the next seven days. Phasic pills need to be taken in the right order. Logynon is an example of this type of pill.

Every day (ED) pills There are 21 active pills and seven inactive (dummy) pills in a pack. The two types of pill look different. One pill is taken each day for 28 days with no break between packets of pills. Every day pills need to be taken in the right order. Microgynon ED is an example of this type of pill.

Follow the instructions that come with your packet. If you have any questions, ask your GP, practice nurse or pharmacist.

It’s important to take the pills as instructed, because missing pills or taking them at the same time as certain medicines may make them less effective.

Starting the combined pill Most women can start the pill at any time in their menstrual cycle. There is special guidance if you have just had a baby, abortion or miscarriage.

You may need to use additional contraception during your first days on the pill – this depends on when in your menstrual cycle you start taking it.

Starting on the first day of your period

If you start the combined pill on the first day of your period (day one of your menstrual cycle) you will be protected from pregnancy straight away. You will not need additional contraception.

Starting on the fifth day of your cycle or before

If you start the pill on the fifth day of your period or before, you will still be protected from pregnancy straight away, unless you have a short menstrual cycle (your period is every 23 days or less). If you have a short menstrual cycle, you will need additional contraception, such as condoms, until you have taken the pill for seven days.

Starting after the fifth day of your cycle

You will not be protected from pregnancy straight away and will need additional contraception until you have taken the pill for seven days.

If you start the pill after the fifth day of your cycle, make sure you have not put yourself at risk of pregnancy since your last period. If you’re worried you’re pregnant when you start the pill, take a pregnancy test three weeks after the last time you had unprotected sex.

What to do if you miss a pill

If you miss a pill or pills, or you start a pack late, this can make the pill less effective at preventing pregnancy. The chance of getting pregnant after missing a pill or pills depends on:

when the pills are missed how many pills are missed

Vomiting and diarrhoea

If you vomit within two hours of taking the combined pill, it may not have been fully absorbed into your bloodstream. Take another pill straight away and the next pill at your usual time.

If you continue to be sick, keep using another form of contraception until you’ve taken the pill again for seven days without vomiting.

Very severe diarrhoea (six to eight watery stools in 24 hours) may also mean that the pill doesn’t work properly. Keep taking your pill as normal, but use additional contraception, such as condoms, while you have diarrhoea and for two days after recovering.

Speak to your GP or contraception nurse or call NHS 111 for more information, or if your sickness or diarrhoea continues.

Who can use the combined pill

If there are no medical reasons why you cannot take the pill, and you don’t smoke, you can take the pill until your menopause. However, the pill is not suitable for all women. To find out whether the pill is right for you, talk to your GP, practice nurse or pharmacist.

You should not take the pill if you:

are pregnant smoke and are 35 or older stopped smoking less than a year ago and are 35 or older are very overweight take certain medicines (ask your GP or a health professional at a contraception clinic about this) You should also not take the pill if you have (or have had):

thrombosis (a blood clot) in a vein, for example in your leg or lungs stroke or any other disease that narrows the arteries anyone in your close family having a blood clot under the age of 45 a heart abnormality or heart disease, including high blood pressure severe migraines, especially with aura (warning symptoms) breast cancer disease of the gallbladder or liver diabetes with complications or diabetes for the past 20 years After having a baby If you have just had a baby and are not breastfeeding, you can most likely start the pill on day 21 after the birth but you will need to check with your doctor. You will be protected against pregnancy straight away.

If you start the pill later than 21 days after giving birth, you will need additional contraception (such as condoms) for the next seven days.

If you are breastfeeding, you’re not advised to take the combined pill until six weeks after the birth.

After a miscarriage or abortion

If you have had a miscarriage or abortion, you can start the pill up to five days after this and you will be protected from pregnancy straight away. If you start the pill more than five days after the miscarriage or abortion, you’ll need to use additional contraception until you have taken the pill for seven days.

The combined pill with other medicines Some medicines interact with the combined pill and it doesn’t work properly. Some interactions are listed on this page, but it is not a complete list. If you want to check your medicines are safe to take with the combined pill, you can:

ask your GP, practice nurse or pharmacist read the patient information leaflet that comes with your medicine Antibiotics The antibiotics rifampicin and rifabutin (which can be used to treat illnesses including tuberculosis and meningitis) can reduce the effectiveness of the combined pill. Other antibiotics do not have this effect.

If you are prescribed rifampicin or rifabutin, you may need additional contraception (such as condoms) while taking the antibiotic. Speak to your doctor or nurse for advice.

Epilepsy and HIV medicines, and St John’s wort The combined pill can interact with medicines called enzyme inducers. These speed up the breakdown of hormones by your liver, reducing the effectiveness of the pill.

Examples of enzyme inducers are:

the epilepsy drugs carbamazepine, oxcarbazepine, phenytoin, phenobarbital, primidone and topiramate St John’s wort (a herbal remedy) antiretroviral medicines used to treat HIV (research suggests that interactions between these medicines and the progestogen-only pill can affect the safety and effectiveness of both) Your GP or nurse may advise you to use an alternative or additional form of contraception while taking any of these medicines.

Risks of taking the combined pill There are some risks associated with using the combined contraceptive pill. However, these risks are small and, for most women, the benefits of the pill outweigh the risks.

Blood clots The oestrogen in the pill may cause your blood to clot more readily. If a blood clot develops, it could cause:

deep vein thrombosis (clot in your leg) pulmonary embolus (clot in your lung) stroke heart attack The risk of getting a blood clot is very small, but your doctor will check if you have certain risk factors that before prescribing the pill.

The pill can be taken with caution if you have one of the risk factors below. It is unlikely you would be advised to take it if you have two or more risk factors. These include:

being 35 years old or over being a smoker or having quit smoking in the past year being very overweight (in women with a BMI of 35 or over, the risks of using the pill usually outweigh the benefits) having migraines (you should not take the pill if you have severe or regular migraine attacks, especially if you get aura or a warning sign before an attack) having high blood pressure having had a blood clot or stroke in the past having a close relative who had a blood clot when they were younger than 45 being immobile for a long time – for example, in a wheelchair or with a leg in plaster Cancer Research is ongoing into the link between breast cancer and the pill. Research suggests that users of all types of hormonal contraception have a slightly higher chance of being diagnosed with breast cancer compared with women who do not use them. However, 10 years after you stop taking the pill, your risk of breast cancer goes back to normal.

Research has also suggested a link between the pill and the risk of developing cervical cancer and a rare form of liver cancer. However, the pill does offer some protection against developing womb (endometrial) cancer, ovarian cancer and colon cancer.

Where you can get the combined pill Contraception is free to all women and men through the NHS. Places where you can get contraception include:

community contraception clinics some genitourinary medicine (GUM) clinics sexual health clinics – they also offer contraceptive and STI testing services some GP surgeries – talk to your GP or practice nurse some young people’s services (call the Sexual Health Line on 0300 123 7123 for more information) Find your nearest sexual health clinic.

Side Effects

What are the possible side effects of Cilest? Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. See also the important information section above. Just because a side effect is stated here does not mean that all people using this medicine will experience that or any side effect.

Nausea and vomiting. Abdominal pain. Headache/migraine. Breast tenderness and enlargement. Weight changes. Retention of water in the body tissues (fluid retention). Vaginal thrush (candidiasis). Change in menstrual bleeding, usually lighter periods or sometimes stopping of periods. Menstrual spotting or breakthrough bleeding. Depression. Decreased sex drive. Rise in blood pressure. Skin reactions. Irregular brown patches on the skin, usually of the face (chloasma). Steepening of corneal curvature, which may make contact lenses uncomfortable. Disturbance in liver function. Gallstones. Blood clots in the blood vessels (eg, DVT, pulmonary embolism, heart attack, stroke – see important information above). Talk to your doctor, nurse or pharmacist if you want any more information about the possible side effects of this medicine. If you think you have experienced a side effect, did you know you can report this using the yellow card website?

Further Information

For further information consult the patient information leaflet.