x
Cilest Tablets

Cilest Tablets (63 tablets)

Order before 4pm for delivery from Tue. 28 Mar.

Description for Cilest Tablets

Monophasic 21-day contraceptive pills, like Cilest, contain a combination of the hormones oestrogens and progestogens. They help to make it harder for the sperm to penetrate the womb and to reduce the chance of a fertilised egg implanting in the womb. If taken correctly they are over 99% successful at preventing pregnancy.

Product Information

  • Age: 18 years +

    Maximum per order: 2

  • Pregnancy: Not suitable

    Breastfeeding: Not suitable

Cilest is an oral contraceptive. When used correctly, it will provide near 100% protection against pregnancy. Its two active ingredients, norgestimate and ethinylestradiol, prevent ovulation from occurring during the menstrual cycle. Cilest is a monophasic combined pill, meaning each pill contains the same dose of norgestimate and ethinylestradiol.

If you have been prescribed Cilest, repeat supplies can be purchased online from The Independent Pharmacy, following a simple medical questionnaire. One of our doctors will review your order on the same working day – if they deem that Cilest is suitable for you, your order will be with you as soon as the next working day.

Pregnancy occurs when an egg released from the ovaries is fertilised by sperm. In a normal menstrual cycle, the ovaries release one egg each month – this is the process of ovulation. This process is controlled by the female sex hormones progesterone and oestrogen. Cilest contains two synthetic hormones, norgestimate and ethinylestradiol, which imitate these two natural hormones. They control the levels of each hormone in such a way that prevents an egg from being released. The Pill also makes it more difficult for sperm to reach the uterus, by thickening the fluid that is in the cervix.

During a regular menstrual cycle, the endometrium (the wall of the uterus) builds up in preparation for a fertilised egg. Cilest reduces the extent of this buildup, making it less likely that a fertilised egg will develop into an embryo. As a further result, periods become lighter.

Cilest may reduce acne, and protect against conditions such as fibroids, ovarian cysts and pelvic inflammatory disease. It will not protect against sexually transmitted infections.

There are 21 Cilest pills in a pack. Once you have finished a pack, you will stop taking the pill for seven days. During this time you will have a normal bleed. Once seven days have passed, begin your next cycle of treatment.

You should not be taking a combined pill like Cilest if you are a smoker, it increases the risk of a blood clot and other complications.

Pharmacist Tip: Cilest should be taken regularly at roughly the same time every day with a 7-day pill-free break after each pack. If you miss one pill anywhere in your pack, take it as soon as you remember even if it means taking two pills in a day. You should continue taking your pills as normal and you will not need additional contraception. If you miss more than one pill you will lose your contraceptive cover and extra contraception will be required for at least 7 days.

If possible, begin taking Cilest on the first day of your period - if you begin taking the Pill in the first five days of your cycle, you will be immediately protected from pregnancy.

There are 21 Cilest pills in a pack. Take one tablet at a similar time each day. Once you have finished a pack, you will stop taking the pill for seven days. During this time you will have a normal bleed. Once seven days have passed, begin your next cycle of treatment.

If you forget to take a dose, take it as soon as you remember, even if it is nearly time for your next pill. If you have missed one day, you should still be protected from pregnancy. If you miss multiple days, you are advised to use additional contraception for the following seven days.

Not everyone will experience side effects when they take Cilest, however if you do they may include:

Headache, nausea, breakthrough bleeding, irregular periods, fluid retention, mood swings, depression, dizziness, stomach pain, acne, problems sleeping, muscle spasms, rash

If you are concerned about these effects, or if the product affects you in any other way, stop using it and talk to your doctor or pharmacist.

Reading the following warnings carefully will help to ensure you are selecting an appropriate product.

Cilest is unsuitable for you if you have:

  • An allergy to any of the ingredients of Cilest
  • A history of breast cancer
  • A blood clotting disorder
  • Ever had a blood clot
  • A history of heart attack or stroke
  • Angina pectoris
  • Very high blood pressure
  • Severe diabetes
  • High levels of lipids in the blood
  • Impaired liver function
  • Severe migraines

 

You may be advised not to take Cilest if you suffer from any of the following conditions:

  • Crohn’s disease or chronic inflammatory bowel disease
  • Kidney failure
  • Sickle-cell anaemia
  • Systemic lupus erythematosus
  • Pancreatitis
  • Gall bladder disease
  • An inflammation of veins under the skin
  • Varicose veins
  • Diabetes
  • Porphyria
  • A family history of blood clots or circulation problems
  • Chloasma

 

Do not use Cilest if you have breast cancer, or if you have had it before. Long-term use of hormonal contraceptives may slightly increase your chance of developing breast cancer. Once you have stopped using the Pill for at least 10 years, your risk levels will come back down. Women who are elderly and/or overweight are more vulnerable to breast cancer. Take care using Cilest if a close relative has suffered from breast cancer before. Check your breasts and nipples regularly for any changes or lumps. If you notice anything abnormal, visit your doctor as soon as you can.

You may be more susceptible to blood clots while taking Cilest, especially during the first year of use. Talk to your GP before having any operation while taking the Pill. You may need to stop using Cilest in advance of the operation to avoid the increased risk of a blood clot. You are also at a heightened risk of developing a blood clot if you:

  • Smoke
  • Are obese
  • Have a family history of blood clots
  • Do not exercise regularly
  • Have had a miscarriage in the past
  • Have recently given birth

Cilest may increase your chance of developing cervical cancer. For this reason, you should have regular smear tests while taking the Pill.

If you require any blood test, inform your doctor of which medicines you are taking – Cilest may alter the results of some blood tests.

The following medicines may impact the effectiveness of Cilest:

  • Epilepsy medicines (e.g. phenytoin, carbamazepine)
  • Certain antibiotics
  • HIV medicines
  • Hepatitis C medicines (e.g. telaprevir, boceprevir)
  • Griseofulvin
  • Aprepitant or fosaprepitant
  • Modafinil
  • Barbiturates
  • Bosentan
  • St John’s Wort
  • Metoclopramide
  • Medical charcoal
  • Colesevelam
  • Etoricoxib

Cilest may impact the effectiveness of the following medicines:

  • Ciclosporin
  • Lamotrigine
  • Prednisolone
  • Selegiline
  • Theophylline
  • Tizanidine

Please read all packaging and the Product Information Leaflet before taking any new medicine and inform your doctor of medicines you are taking or intend to take.

The active ingredients contained in Cilest are:

Norgestimate, ethinylestradiol

Cilest also contains the following inactive ingredients to make up the complete product:

Lactose monohydrate, microcrystalline cellulose, croscarmellose sodium, magnesium stearate, hypromellose, carnauba wax, polyethylene glycol, polysorbate 80, purified water, titanium dioxide, FD&C blue no2 aluminium lake (E132)

Need to know more about Contraceptive Pill?

Visit our advice area or chat online to our support team

Frequently Asked Questions

  • When should I take my Contraceptive Pill?

    Whether you are a new user or starting Cilest again after taking a break:

    Cilest can either be taken on the first day of your next period, which will provide protection from the first dose. Alternatively, Cilest can be taken up to five days after your period has started, regardless of whether the bleeding has stopped or not. If you opt for the latter option, it will be necessary to use non-hormonal methods of contraception, such as condoms, until the first 7 pills have been taken correctly.

  • Is there anything I should be aware of if changing from a Combined Hormonal Contraceptive, a Contraceptive ring/patch, or a Progesterone-only Contraceptive?

    Cilest should preferably be taken after your last active tablet from your previous contraception. The latest Cilest should be taken is the day following your pill-free break (or after your last active pill if your treatment does not include a seven-day pill-free break).

    If changing from a combined contraceptive, or a contraceptive ring or patch, it is recommended to follow the advice from your doctor.

    If switching from a progesterone only pill, you can switch any day. If you use an implant or an intrauterine system (IUS), Cilest can be started on the day of its removal.

    If you are changing from an injectable method of contraception, Cilest should be commenced on the day your next injection would have been due.

    In all these cases, extra protection, such as condoms, should be used for the first seven days after starting Cilest.

    If you are starting Cilest after a miscarriage, abortion, or childbirth, it is advised to consult with your doctor regarding when to start treatment.

  • What should I do if I miss a dose?

    If you have missed a dose or have started a strip late, this can affect the effectiveness of your contraception. To what extent your contraception has been compromised will depend on when and how many of your doses have been missed.

    If you miss one pill anywhere in your strip, or if starting a new strip one day late, this should not cause a problem. However, if more than one pill is missed, or if you are starting a new strip more than one day late, this may affect your contraceptive’s effectiveness.

    If you have missed any of the pills in your monthly strip, and do not experience the normal withdrawal bleed during your pill-free break, this may be a sign of pregnancy. If this is the case, contact your GP or family planning clinic. Alternatively, you can purchase and perform a home pregnancy test.

  • What should I do if I suffer a stomach upset?

    If you’ve been sick or have suffered diarrhoea, your body may not have absorbed its usual dose of hormones from your pill.

    If you experience either of these symptoms within two hours of taking Cilest, it is advised to take another pill from a spare strip. If possible, continue to take your pills as normal. You will not need to use additional contraception.

  • Does Cilest have side-effects?

    Cilest, like all medicines, carries the risk of side effects. However, not everybody experiences them. It is important to inform your doctor or pharmacist if you encounter any side effects, especially if they are severe or persistent.

    Common side effects include:

    • Headaches
    • Stomach problems
    • Bleeding and spotting between periods
    • Painful or unusual periods

    Less common and more severe side effects include:

    • Increased blood pressure
    • Convulsions
    • Hives

    Serious side effects can include:

    • Blood clots in a vein or artery
    • Breast cancer
    • Severe liver problems

    If you think Cilest is causing any side effects (including anything that isn’t listed in the patient information leaflet), it is recommended to see a doctor straight away. It may be necessary to stop taking Cilest.

  • Am I at risk of developing Breast Cancer?

    Breast cancer is rare in women under 40. Your risk of developing breast cancer gets higher:

    • As you get older
    • If you have a close relative who has suffered with it
    • If you are very overweight

    The contraceptive pill can slightly increase your risk of developing breast cancer. This risk increases the longer you remain on the pill, but will return to normal within ten years of stopping it.

    For more information, consult the patient information leaflet in your Cilest packet.

  • How likely am I to develop Blood Clots?

    Using an oral contraceptive, such as Cilest, will slightly increase your risk of developing blood clots in a vein or artery. However, this risk is proven to be lower compared with the risk of developing blood clots associated with pregnancy.

    It is important to note that the overall risk of developing a harmful blood clot as a result of taking Cilest is relatively small.

    For further information about thrombosis associated with oral contraception, please refer to the patient information leaflet provided with each pack.

  • Are there any medicines I shouldn’t take whilst I am taking Cilest?

    If you need to take other medicines at the same time as Cilest, always check with your GP, pharmacist, or nurse first. It is also recommended to check the medicines accompanying leaflet, which will specify whether it is safe to take alongside hormonal contraception. It is important to check for interactions as some medicines can stop your pill from working properly.

    For a comprehensive list of medicines affected by hormonal contraception, consult the patient information leaflet included with your pill. Alternatively, speak with your doctor or pharmacist.


We are a trusted pharmacy

We are regulated by a number of organisations in the UK including the MHRA, GPhC & CQC to ensure we offer the highest level of service to every one of our customers.

Rated 9.8 out of 10 based on 1841 reviews. See more of the reviews here

Powered by


Why choose The Independent Pharmacy?


How does it work?

It's easy! Follow our simple 5-step process to get the treatments you need in no time.

  • 1 Select your treatment

  • 2 Complete a simple health questionnaire

  • 3 A healthcare professional reviews your answers

  • 4 Fast, discreet delivery to your door

  • 5 Easily re-order in a few clicks


Can't find what you're looking for?

We can order almost any prescription or over the counter treatment. If you can't find what you are you looking for, please contact our support team on 0333 2200 519 or chat online.

x

Basket Empty

Did you know you can search from anywhere on the site? Simply press 's' on your keyboard and our quick search tool will appear.

Alternatively you can view a list of all of our treatments and treated conditions.

If you can't find what you are looking for, please contact our support team on 0333 2200 519 or chat online.