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Cilest 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.


What is Cilest?

Cilest is a low hormone combined contraceptive pill that contains two primary female sex hormones, widely known as progestogen and estrogen. It is used to prevent pregnancy in women. Not only does this prevent an egg from getting into your ovaries but it also thickens the fluid that is found in your cervix. As a result, sperm have a more difficult time entering the womb, therefore decreasing the chances of you getting pregnant.

While Cilest is referred to as “the pill,” which is used to protect against any unwanted pregnancy, doctors also prescribe this medication for women who have problems regarding their periods. Women experiencing irregular, heavy or painful periods are given Cilest as a way to regulate menstrual bleeding and experience a lighter, less painful period. 

In taking Cilest, the contraceptive effect is almost immediate. It contains 35 mg of ethinylestradiol and 250 mg of norgestimate. It is similar to another combined contraceptive pill, Lizinna. As a contraceptive pill, Cilest is considered as one of the most reliable reversible methods of contraception, as long as it is used properly and correctly. For it to work effectively, one needs to remember to take the pill for a long period. If they forget a dose, lose the pack, or not refill the prescription on time.

Cilest comes as round tablets with different colors: blue or green. The blue tablets are round with the words C250 engraved on either side. On the other hand, the green tablet has C-C engraved on both sides. There are 21 blue tablets and 7 green tablets. One blue tablet is said to contain corn starch, lactose, magnesium stearate, FD&C Blue No.2. The green tablet is said to contain corn starch, microcrystalline cellulose, lactose, D&C Yellow No.10 Aluminum Lake, and FD&C Blue No.2 Aluminum Lake. 


How does Cilest work?

This pill is effective in protecting against unwanted pregnancies due to the hormones that are mixed in it. The reason why pregnancies happen in the first place is that there is an ovulated egg waiting for fertilization. By properly regulating the menstrual period and thickening the mucus in the cervix with the help of estrogen and progestogen, Cliest makes it difficult for the sperm to enter the womb and find an egg waiting for it. 


What are the precautions and warnings of Cilest?

Cilest is not for everybody. For some people, taking Cilest could increase their chances of developing a blood clot in their veins and arteries. Others could also be allergic to the active ingredients found in the pill. Therefore, it’s important to know what to look out for under this medication. 

It is advised that you don’t take Cilest if you:

  • Have had a blood clot in a blood vessel
  • Have a disorder that affects your blood clotting
  • Need an operation or if you won’t be on your feet for a long time
  • Have had a heart attack or a stroke
  • Have had angina pectoris 
  • Have had severe diabetes with blood vessel damage, high blood pressure, high levels of at in the blood 
  • Have hyperhomocysteinemia 
  • Have had “migraines with aura”
  • Have liver or breast cancer
  • Have had severe liver disease recently 
  • Are being treated with antiviral drug combinations that contain ombitasvir, paritaprevir, ritonavir, or dasabuvir 
  • Are allergic to certain ingredients in Cilest

The overall dosage and prescription of Cilest are affected by several factors, all of which you need to inform your doctor of, especially before accepting the prescription and taking this medication. 

Here is the list of factors that affects your prescription of Cilest: 

  • Problems with circulation or blood clotting
  • Cardiovascular problems
  • Liver problems
  • Gallbladder disease
  • Crohn’s disease or ulcerative colitis
  • A history of migraines
  • Systemic lupus erythematosus
  • High levels of fat in the blood 
  • Recent birth 
  • Haemolytic uraemic syndrome
  • Sickle cell anemia 
  • Varicose veins 
  • Inflammation in the veins under the skin 

What other drugs interfere with Cilest? 

Cilest, like all drugs, can interfere with other medications. It’s important to inform your doctor regarding any current or past medicines you’ve taken, as this greatly affects your prescription. Below, you’ll find an incomplete list of drugs that can interfere with Cilest’s effects: 

  • Some medicines to treat epilepsy 
  • Bosentan for high blood pressure
  • Anti-HIV medicines
  • Griseofulvin for fungal infections
  • Some medicines for tuberculosis
  • Modafinil for excessive daytime sleepiness
  • Medicines to treat Hepatitis-C infections
  • Certain sedatives such as barbiturates
  • Herbal remedies such as St.John’s Wort

The aforementioned medication may cause your doctor to give you another alternative other than Cilest. Therefore, it’s important to be completely honest about current and past health issues you’re currently experiencing. This is to determine if Cilest is the best course of action for you. 


What are the benefits of taking Cilest? 

Unwanted pregnancies can be extremely stressful for women, as it means they have to take care of a child that they may or may not be prepared for. To avoid this situation, many of them turn to contraceptive methods. While men are often encouraged to engage in protective sex with condoms, women have birth control pills to protect themselves from unwanted pregnancies. 

These pills are considered as the most reliable and effective reversible methods of contraception. Other options, however, include an IUD or the morning-after pill. It should be noted that despite being on birth control, women should still ask their male partners to use condoms as a way to protect against sexually transmitted diseases. With Cilest, women can engage in safe and painless sex. 

Not only does Cilest protect against unwanted pregnancies, but it also regulates a woman’s menstrual cycle. Since this pill belongs to the combined pill, it provides hormones that are crucial in regulating menstrual cycles. As a result, women don’t have to suffer from painful, irregular, and heavy periods. 


What are the side-effects of taking Cilest?

Side-effects have been reported for people taking Cilest. You need to know what is considered common and what is uncommon. That way, if you are experiencing certain side-effects that don’t sit too well with you, you can report this back to your doctor. Not everybody taking Cilest has experienced the following side-effects but it’s fairly common. Below, you’ll find a list of it: 

  • Nausea
  • Abdominal pain
  • Headaches
  • Tender breasts
  • Breast pain
  • Slight bleeding or spotting between periods for the first few months
  • Lighter periods 
  • Periods stopping altogether
  • Mood changes 
  • Fluid retention 
  • Vaginal infections such as thrush
  • Vomiting
  • Diarrhea

If you continue to experience the aforementioned side-effects, then make sure to consult with a doctor who will determine if you should continue using Cilest or not. 

Other uncommon side-effects have also been reported, such as: 

  • Increase or decrease in appetite
  • Changes in weight
  • Changes in sex drive
  • Increase in blood pressure
  • Blood clots in veins or arteries
  • Skin discoloration
  • Hair loss
  • Redness of the skin
  • Breast enlargement
  • Breast discharge
  • Decrease in weight

Here is another list of very rare and more serious side-effects that have affected 1 in 10,000 people taking Cilest: 

  • Urinary tract infection
  • Breast cancer
  • Liver nodules
  • Benign tumors in the liver
  • Benign tumors in the breast 
  • Allergic reactions
  • Abnormal cells in the cervix
  • Abnormal changes in the breast tissue
  • Stroke
  • Insomnia
  • Anxiety
  • Seizures
  • A blood clot in the eye
  • Dry eyes
  • Heart attack 
  • Hives

While they may be very rare, these side-effects should be looked out for. Make sure to report back to your doctor regarding any side-effects you’ve experienced that you think isn’t normal. This includes other side-effects that haven’t been highlighted in the patient information leaflet that comes with the medication packet. 


How do you use Cilest?

When you’re given your prescription for Cilest, your doctor or pharmacist will give you strict instructions on how to take it. The contraceptive effect starts as soon as you take the first tablet. It also comes with a calendar strip that will help you remember to take it. The calendar strip is said to contain 28 tablets, which should be taken during the four treatment weeks. In managing your birth control medication under Cilest, you need to take 21 blue tablets during the first three weeks and then 7 green tablets for the fourth treatment week. 

Taking Cilest is fairly simple, as long as you remember to take one every day. It’s best if you take the tablet at the same time every day to make it easier to remember. The tablet should be drunk with a full glass of water. You can even take it after a full meal. However, it’s important not to take this with grapefruit juice as it can cause unwanted side-effects or interfere with the overall effect. 

You may experience bleeding while under this medication. Despite this, it’s important to continue the treatment. However, if the breakthrough bleeding continues, then you should inform a health professional to know where to go from here. 

If you forget a dosage, the following should be noted:

  • If less than 12 hours has passed since your last dosage, then the contraceptive effect is not reduced. You should take the missed dosage as soon as you remember having forgotten it. Then continue with the regular schedule of taking the other tablets.
  • If more than 12 hours have already passed since your last dosage, then the contraceptive effect is already reduced. Do not take more tablets, as this will increase the risk of reduced contraceptive effect. You are more likely to get pregnant if you miss a tablet at the beginning or end of the treatment. When this happens, you should consult a doctor on what to do next. 


What is the proper way to store Cilest? 

Cilest should be kept at room temperature, far away from children or pets. Any extra pills or tablets should not be thrown away via household waste or wastewater as some pets may unwittingly eat it or you could harm the environment. You should inform your pharmacist regarding any medicines you have no use for as there are programs in place that will help protect the environment. 


Where can you purchase Cilest? 

Cilest is available in local pharmacies, even though some of them have discontinued the selling of Cilest for commercial reasons. As a result, Cilest’s sister pill, Clique, is a more popular option. Clique has the same ingredients as Cilest and works the same way as well. Virtual pharmacies are selling Cilest, making it easier for you to order online and ship to your home address.

Please note: this page is only to be used as a reference of our price for this medication. If you are approved for Women’s Health medication, you will be offered treatment for you and the prescriber to jointly consider. However, the final decision will always be the prescriber's.
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