Brand Names: Canada
Cyestra-35; Diane-35®; Novo-Cyproterone/Ethinyl Estradiol
- Do not smoke while taking birth control pills. Cigarette smoking raises the chance of very bad heart and blood-related side effects. This chance is higher with age (older than 35 years of age) and with heavy smoking (15 or more cigarettes per day). Birth control pills do not stop the spread of diseases caused by having sex.
What is this drug used for?
- It is used to treat pimples (acne).
What do I need to tell my doctor BEFORE I take this drug?
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
- If you have an allergy to cyproterone, ethinyl estradiol, or any other part of this drug.
- If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If you have any of these health problems: Blood clots, breast cancer, diseased arteries in the brain, disease of a heart valve with problems, endometrial cancer, heart disease, high blood pressure, liver disease, liver tumor, very bad headache, tumor where estrogen makes it grow, or vaginal bleeding.
- If you have surgery and need bed rest.
- If you are a heavy smoker (more than 15 cigarettes per day) and older than 35 years of age.
- If you have not started your period.
- If you turned yellow during pregnancy or with estrogen-based or hormone contraceptive use.
- If you are pregnant or may be pregnant. Do not take this drug if you are pregnant.
What are some things I need to know or do while I take this drug?
- Tell dentists, surgeons, and other doctors that you use this drug.
- If you have any blood flow problems, talk with your doctor.
- If you have high blood sugar (diabetes), talk with your doctor.
- If you have high cholesterol, talk with your doctor.
- If you have gallbladder disease, talk with your doctor.
- If you have heart disease, talk with your doctor.
- If you have kidney disease, talk with your doctor.
- If you have liver disease, talk with your doctor.
- If you have migraine headaches, talk with your doctor.
- Have your blood pressure and heart rate checked often. Talk with your doctor.
- Have your blood work checked. Talk with your doctor.
- If you are taking a blood thinner, have your blood work checked. Talk with your doctor.
- Have an eye exam every year.
- Do monthly breast self-exams and have a gynecologic exam every year.
- Do not take St John’s wort, dong quai, black cohosh, saw palmetto, red clover, or ginseng with this drug.
- If you are taking this drug and have high blood pressure, talk with your doctor before using OTC products that may raise blood pressure. These include cough or cold drugs, diet pills, stimulants, ibuprofen or like products, and some natural products or aids.
- Avoid cigarette smoking. People older than 35 years of age and/or smoking more than 15 cigarettes per day have more chance for heart disease.
- Limit your drinking of wine, beer, or mixed drinks.
- If you drink grapefruit juice or eat grapefruit often, talk with your doctor.
- This drug does not stop the spread of diseases like HIV or hepatitis that are passed through blood or having sex. Do not have any kind of sex without using a condom. Do not share needles or other things like toothbrushes or razors. Talk with your doctor.
- Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
What are some side effects that I need to call my doctor about right away?
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Chest pain or pressure.
- Trouble breathing.
- Change in strength on 1 side is greater than the other, trouble speaking or thinking, change in balance, or blurred eyesight.
- Swelling, warmth, numbness, change of color, or pain in a leg or arm.
- Very bad headache.
- Very bad belly pain.
- Very upset stomach or throwing up.
- Not able to eat.
- Dark urine or yellow skin or eyes.
- Change in how contact lenses feel in the eyes.
- Sudden change in eyesight, eye pain, or irritation.
- A lump in the breast or breast soreness.
- For women, if you get pregnant while taking this drug.
What are some other side effects of this drug?
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:
These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
You may report side effects to your national health agency.
- Weight gain.
- Belly pain.
- Upset stomach or throwing up. Many small meals, good mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
- Enlarged breasts.
- For women, vaginal yeast infection. Report itching or discharge.
- Period (menstrual) changes. These include lots of bleeding, spotting, or bleeding between cycles.
- Gallbladder disease, blood clots, heart attacks, and other blood vessel problems may rarely happen.
How is this drug best taken?
Use this drug as ordered by your doctor. Read and follow the dosing on the label closely.
- Follow how to use as you have been told by your doctor or read the package insert.
- Take this drug at the same time of day.
- If you miss 2 periods in a row, take a pregnancy test before starting a new cycle.
What do I do if I miss a dose?
- Take a missed dose as soon as you think about it and go back to your normal time.
- Missed dosing facts may be found in the package insert or call your doctor to find out what to do.
How do I store and/or throw out this drug?
- Store at room temperature.
- Store in a dry place. Do not store in a bathroom.
- Keep all drugs out of the reach of children and pets.
- Check with your pharmacist about how to throw out unused drugs.
General drug facts
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else’s drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, pharmacist, or other health care provider.
Consumer Information Use and Disclaimer
This information should not be used to decide whether or not to take this medicine or any other medicine. Only your healthcare provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your healthcare provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.
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