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Cerazette (Desogestrel) is indicated for contraception and each tablet contains 75 microgram desogestrel. The tablet is white, round, biconvex and 5 mm in diameter. On one side it is coded KV above 2 and on the reverse side Organon. Tablets must be taken every day at about the same time so that the interval between two tablets always is 24 hours. The first tablet should be taken on the first day of menstrual bleeding. Thereafter one tablet each day is to be taken continuously, without taking any notice on possible bleeding. A new blister is started directly the day after the previous one. The tablets are to be used as follows depending on the scenario: 1. No preceding hormonal contraceptive use [in the past month]- Tablet-taking has to start on day 1 of the woman's natural cycle (day 1 is the first day of her menstrual bleeding). Starting on days 2-5 is allowed, but during the first cycle a barrier method is recommended for the first 7 days of tablet-taking. 2. Following first-trimester abortion- After first-trimester abortion it is recommended to start immediately. In that case there is no need to use an additional method of contraception. 3. Following delivery or second-trimester abortion- Contraceptive treatment with Cerazette after delivery can be initiated before the menstruations have returned. If more than 21 days have elapsed pregnancy ought to be ruled out and an additional method of contraception should be used for the first week. To start Cerazette when changing from other contraceptive methods: 1. Changing from a combined oral contraceptive (COC)- The woman should start with Cerazette on the day after the last active tablet of her COC. In this case, the use of an additional contraceptive is not necessary. 2. Changing from a progestogen-only-method (minipill, injection, implant or from a progestogen-releasing intrauterine system [IUS]). The woman may switch any day from the minipill (from an implant or the IUS on the day of its removal, from an injectable when the next injection would be due). 4. Missed tablet- Contraceptive protection may be reduced if more than 36 hours have elapsed between two tablets. If the user is less than 12 hours late in taking any tablet, the missed tablet should be taken as soon as it is remembered and the next tablet should be taken at the usual time. If she is more than 12 hours late, she should use an additional method of contraception for the next 7 days. If tablets were missed in the first week and intercourse took place in the week before the tablets were missed, the possibility of a pregnancy should be considered. If vomiting occurs within 3-4 hours after tablet-taking, the same advice is applicable as for a missed tablet. For treatment surveillance- Before prescription, a thorough case history should be taken and a thorough gynaecological examination is recommended to exclude pregnancy. Bleeding disturbances, such as oligomenorrhoea and amenorrhoea should be investigated before prescription. The interval between check-ups depends on the circumstances in each individual case. If the prescribed product may conceivably influence latent or manifest disease, the control examinations should be timed accordingly. Despite the fact that Cerazette is taken regularly, bleeding disturbances may occur. If bleeding is very frequent and irregular, another contraceptive method should be considered. If the symptoms persist, an organic cause should be ruled out. Management of amenorrhoea during treatment depends on whether or not the tablets have been taken in accordance with the instructions and may include a pregnancy test. The treatment should be stopped if a pregnancy occurs.
Starting the pill on day one of periods can provide immediate protection. For maximum efficiency, the pill has to be taken at the same time every day. In case a dose is missed, the next one should be taken immediately. If the dose has been delayed by more than 12 hours, then Cerazette will not be effective for the next two days, during which double contraception needs to be used. You can start taking the pill safely 21 days after giving birth.
Possible Side Effects
Common side effects of Cerazette or Desogen include acne, headache, irregular menses, mood swings, nausea and weight gain. Breast tenderness is also experienced by many women. On the other hand, some serious side effects like cyst formation in the ovaries, hair loss that does not stop and vaginitis are signs of sustained adverse reactions and need medical attention.
For Desogen to be effective, it has to be taken regularly as prescribed. Until you understand its use, it is recommended that you use extra contraception. It does not provide protection from sexually transmitted diseases. If you find that you are pregnant, then you have to stop using brand or generic Desogen as it can harm the fetus. Most pregnancies caused while taking the pill are ectopic and cannot survive the term. They also pose a threat to the mother. Little quantities of the medication can be passed through breast milk. However there have been no reports of any damage to the infant. If you are breastfeeding, you may be asked to stop taking the contraceptive pill. Do not take the pill if you have a history of cardiovascular problems, liver disease or hormonal dependent cancers like breast and ovarian cancers. Also note that brand or generic Cerazette cannot be used as a morning after pill.
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