Cimizt 150/30 mcg (63 Tablets)
- Combined Oral Contraceptive
- Active Ingredients: Desogestrel And Ethinylestradiol
- Over 99% Effective Pregnancy Control Method
- Buy With Confidence From UK Registered Pharmacy
- Includes Free Prescription
Cimizt is a combined oral contraceptive pill (‘the Pill’). You take it to prevent pregnancy. This low-dose contraceptive contains two types of female sex hormones, oestrogen and progestogen. These hormones prevent an egg being released from your ovaries so you can’t get pregnant
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Cimizt Contraceptive Pill
What Cimizt Tablets are and what they are used for
Cimizt is a combined oral contraceptive pill (‘the Pill’). You take it to prevent pregnancy. This low-dose contraceptive contains two types of female sex hormones, oestrogen and progestogen. These hormones prevent an egg being released from your ovaries so you can’t get pregnant. Cimizt also makes the fluid (mucus) in your cervix thicker which makes it more difficult for sperm to enter the womb. Cimizt is a 21-day pill – you take one each day for 21 days, followed by 7 days when you take no pills.
The benefits of taking the Pill include:
• it is one of the most reliable reversible methods of contraception if used correctly
• it doesn’t interrupt sex
• it usually makes your periods regular, lighter and less painful
• it may help with pre-menstrual symptoms.
Cimizt will not protect you against sexually transmitted infections, such as Chlamydia or HIV. Only condoms can help to do this. Cimizt needs to be taken as directed to prevent pregnancy.
Before you take Cimizt Tablets
Before you start taking Cimizt you should read the information on blood clots in the patient information leaflet . It is particularly important to read the symptoms of a blood clots. It’s important that you understand the benefits and risks of taking the Pill before you start taking it, or when deciding whether to carry on taking it. Although the Pill is suitable for most healthy women, it isn’t suitable for everyone.
• Tell your doctor if you have any of the illnesses or risk factors mentioned in this leaflet. Before you start taking the Pill
• Your doctor will ask about you and your family’s medical problems and check your blood pressure. You may also need other checks, such as a breast examination. While you’re on the Pill
• You will need regular check-ups with your doctor or family planning nurse, usually when you need another prescription of the Pill
• You should go for regular cervical smear tests.
• Check your breasts and nipples every month for changes – tell your doctor if you can see or feel anything odd, such as lumps or dimpling of the skin
• If you need a blood test tell your doctor that you are taking the Pill, because the Pill can affect the results of some tests
• If you’re going to have an operation, make sure your doctor knows about it. You may need to stop taking the Pill about 4–6 weeks before the operation. This is to reduce the risk of a blood clot . Your doctor will tell you when you can start taking the Pill again
How to take Cimizt Tablets
Take one tablet of Cimizt Tablets every day, if necessary with a small amount of water. You may take the tablets with or without food, but you should take the tablets every day around the same time.
The strip contains 21 tablets. Next to each tablet is printed the day of the week that it should be taken. If, for example you start on a Wednesday, take a tablet with “WED” next to it. Follow the direction of the arrow on the strip until all 21 tablets have been taken. Then take no tablets for 7 days. In the course of these 7 tablet-free days (otherwise called a stop or gap week) bleeding should begin. This is so-called “withdrawal bleeding” usually starts on the 2nd or 3rd day of the gap week. On the 8th day after the last tablet of Cimizt (that is, after the 7-day gap week), you should start with the following strip, whether your bleeding has stopped or not. This means that you should start every strip on the same day of the week and that the withdrawal bleed should occur on the same days each month. If you use Cimizt Tablets in this manner, you are also protected against pregnancy during the 7 days when you are not taking a tablet.
When can you start with the first strip?
• If you have not used a contraceptive with hormones in the previous month Begin with Cimizt on the first day of the cycle (that is the first day of your period). If you start Cimizt on the first day of your period you are immediately protected against pregnancy. You may also begin on day 2-5 of the cycle, but then you must use extra protective measures (for example, a condom) for the first 7 days.
• Changing from a combination hormonal contraceptive, or combination contraceptive vaginal ring or patch You can start Cimizt preferably on the day after the last active tablet (the last tablet containing active substances) of your previous pill, but at the latest on the day after the tablet-free days of your previous pill (or after the last inactive tablet of your previous pill). When changing from a combination contraceptive vaginal ring or patch, follow the advice of your doctor.
• Changing from a progestogen-only-method (progestogen-only pill, injection, implant or a progestogen-releasing IUD) You may switch any day from the progestogen-only pill (from an implant or an IUD on the day of its removal, from an injectable when the next injection would be due) but in all of these cases use extra protective measures (for example, a condom) for the first 7 days of tablet-taking.
• After a miscarriage Follow the advice of your doctor.
• After having a baby You can start Cimizt between 21 and 28 days after having a baby. If you start later than day 28, use a so-called barrier method (for example, a condom) during the first seven days of Cimizt use. If, after having a baby, you have had sex before starting Cimizt (again), be sure that you are not pregnant or wait until your next period.
• If you are breastfeeding and want to start Cimizt Tablets (again) after having a baby Read the section on “Breast feeding”. Ask your doctor what to do if you are not sure when to start. If you take more Cimizt Tablets than you should There are no reports of serious harmful results of taking too many Cimizt Tablets. If you take several tablets at once then you may have symptoms of nausea or vomiting. Young girls may have bleeding from the vagina. If you have taken too many Cimizt Tablets, or you discover that a child has taken some, ask your doctor or pharmacist for advice.
Cimizt Pill Ingredients
The active substances are desogestrel and ethinylestradiol. The other ingredients are: All-rac-alpha-tocopherol, potato starch, povidone (E1201), stearic acid (E570), silica colloidal anhydrous (E551) and lactose anhydrous.
The combined oral contraceptive pill is usually just called “the pill”. It contains the female hormones oestrogen and progesterone, which women produce naturally in their ovaries.
The Combined pill is over 99% effective at preventing pregnancy.
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.
If you have heavy periods or painful periods, PMS (premenstrual syndrome) or endometriosis the combined pill may help.
The pill does not protect against sexually transmitted infections (STIs), so using a condom as well will help to protect you against STIs.
How the combined pill works
1) prevents the ovaries from releasing an egg each month (ovulation).
2)thickens the mucus in the neck of the womb, so it is harder for sperm to penetrate the womb and reach an egg
3)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 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, Yasmin 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.
What to do if you miss a pill
If you continue to be sick, keep using another form of contraception until you’ve taken the pill again for seven days without vomiting.
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:
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)
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 using the combined contraceptive pill. However, these risks are small and, for most women, the benefits of the pill outweigh the risks.
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)
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.
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
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.
Serious side effects – see a doctor straight away
Signs of deep vein thrombosis include:
• swelling of one leg or along a vein in the leg or foot especially when accompanied by:
• pain or tenderness in the leg which may be felt only when standing or walking;
• increased warmth in the affected leg;
• change in colour of the skin on the leg e.g. turning pale, red or blue.
Signs of a pulmonary embolism:
• sudden unexplained breathlessness or rapid breathing;
• sudden cough without an obvious cause, which may bring up blood;
• sharp chest pain which may increase with deep breathing;
• severe light headedness or dizziness;
• rapid or irregular heartbeat;
• severe pain in your stomach.
If you are unsure, talk to a doctor as some of these symptoms such as coughing or being short of breath may be mistaken for
a milder condition such as a respiratory tract infection (e.g. a ‘common cold’).
Signs of retinal vein thrombosis (blood clot in the eye):
• symptoms most commonly occur in one eye:
• immediate loss of vision or
• painless blurring of vision which can progress to loss of vision.
Signs of heart attack:
• chest pain, discomfort, pressure, heaviness;
• sensation of squeezing or fullness in the chest, arm or below the breastbone;
• fullness, indigestion or choking feeling;
• upper body discomfort radiating to the back, jaw, throat, arm and stomach;
• sweating, nausea, vomiting or dizziness;
• extreme weakness, anxiety, or shortness of breath;
• rapid or irregular heartbeats.
Signs of a stroke:
• sudden weakness or numbness of the face, arm or leg, especially on one side of the body;
• sudden confusion, trouble speaking or understanding;
• sudden trouble seeing in one or both eyes;
• sudden trouble walking, dizziness, loss of balance or coordination;
• sudden, severe or prolonged headache with no known cause;
• loss of consciousness or fainting with or without seizure.
Sometimes the symptoms of stroke can be brief with an almost immediate and full recovery, but you should still seek urgent
medical attention as you may be at risk of another stroke.
Signs of blood clots blocking other blood vessels:
• swelling and slight blue discolouration of an extremity;
• severe pain in your stomach (acute abdomen).
Signs of a severe allergic reaction to Cimizt
• swelling of the face, lips, mouth, tongue or throat.
Signs of breast cancer include:
• dimpling of the skin;
• changes in the nipple;
• any lumps you can see or feel.
Signs of cancer of the cervix include:
• vaginal discharge that smells and contains blood;
• unusual vaginal bleeding;
• pelvic pain;
• painful sex.
Signs of severe liver problems include:
• severe pain in your upper abdomen;
• yellow skin or eyes (jaundice).
→If you think you may have any of these, see a doctor straight away. You may need to stop taking Cimizt.
Possible side effects
Common (may affect up to 1 in 10 people):
• Putting on weight;
• Breast problems, such as painful or tender breasts;
• Depression or mood changes;
• Stomach problems, such as nausea; abdominal pain;
Uncommon (may affect up to 1 in 100 people):
• Migraine (see a doctor as soon as possible if this is your first migraine or it’s worse than usual, or if the headache is severe,
unusual or long lasting);
• Fluid retention (swollen hands, ankles or feet – a sign of fluid retention);
• Decreased sexual desire; • Vomiting;
• Skin problems, such as rash or hives;
• Breast enlargement;
Rare (may affect up to 1 in 1000 people):
• Changes in vaginal secretions–Irregular vaginal bleeding – see section 4.3, Bleeding between periods should not last long;
• Breasts producing a milky fluid from the nipples;
• Hypersensitivity reactions;
• Discomfort of the eyes if you wear contact lenses;
• Erythema nodosum (bruise-like swelling to the shins);
• Erythema multiforme (this is a skin condition);
• Decreased weight;