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(Desogestrel)
What is Desogestrel?
Desogestrel also sold under the name Cerazette is a contraceptive pill used to prevent pregnancy. It is
sometimes known simply as the pill or mini-pill. The main ingredient of this pill is the female s** hormone
progestogen desogestrel. Hence it is also called as a progestogen-only-pill or POP and is especially suited for
those women who have estrogen intolerance which is an active ingredient in combined contraceptive pills and
for those who are breastfeeding. The main benefit of POP is to prevent unwanted pregnancy. But sometimes,
your doctor may give you this medicine to treat some other condition.
Most POPs or mini pills function essentially by preventing the male sperms to reach the womb but they don’t
always stop the female egg from fertilizing which is how the combined hormones contraceptive pills work.
Desogestrel distinguishes itself from other mini pills in preventing the female egg cell from fertilizing making
it a highly potent contraceptive.
Uses
Desogestrel is a type of progestetrone used to prevent pregnancy especially in women not able to tolerate
estrogens or are breast feeding.
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How it works
Desogestrel is a type of the progestogen, a female s** hormone, and acts by preventing the egg cell from
ripening.
Common side effects
breast pain, breast secretion or leakage., tiredness.Rare: skin conditions such as: rash, nausea, hives, difficulties
in wearing contact lenses, Mood changes, ovarian cysts, vomiting, decreased s**ual drive, weight increase,
acne, painful periods, painful blue-red skin lumps, infection of the vagina, irregular or no periods, hair loss,
headache
Important Information about Desogestrel
Desogestrel shouldn’t be taken if you have certain pre-existing medical conditions like extreme liver problems
jaundice, current thrombosis, unusual vaginal bleeding, blood disorder called acute porphyria, or a current
thrombosis.
Prior to starting desogestrel pills, notify your doctor or pharmacist about your medical history, especially if you
have had breast or liver cancer, coronary heart disease, deep vein thrombosis, blood clot in lungs known as
pulmonary embolism, ectopic pregnancy in the past, previous epilepsy, previous jaundice, tuberculosis, or
cholasma (yellowish brown patches on the skin, particularly on the face). Some desogestrel medication may
contain lactose (milk sugar) so it may not suit you if you are lactose intolerant.
Desogestrel is not safe If you are planning a child. It is advisable to limit the usage of this pill when you are
pregnant and must consult a doctor necessarily to ensure if it’s safe or not to take it. This pill is however safe to
take while breast feeding but limit the usage. Again your doctor’s directions override every other details or
advices.
An alternative birth control method may be required for the first seven days of starting this pill. Also tell every
healthcare provider who is about to treat you that you are taking desogestrel pills.
Before taking Desogestrel
Desogestrel is a prescription only pill. Don’t start taking Desogestrel without consulting your doctor who is the
right person to prescribe you after properly examining you and your past history. As mentioned above, you
can’t take desogestrel or take it with some restrictions if you have a history of certain disorders or are currently
suffering from them. Let your doctor know everything about your present medications including prescribed,
OTC medicines or herbal products.
How do and how often I take Desogesterol?
Take desogestrel pills as advised by your doctor. Normal intake is one desogestrel pill via the oral route
everyday at the same time. Swallow the whole pill with water. Remember to maintain the schedule of taking
one pill at the same time as timing is everything. Certain medical condition as mentioned above may require an
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adjustment in the dosage as directed by your doctor. Again, dosage is based on your age, response to treatment
and other factors like use of some interacting medications. Also read careful instructions or ask your doctor or
pharmacist if you miss one or more doses.
What do I need to avoid if I am taking Desogestrel?
So far, there is nothing which you need to avoid while taking desogestrel. Consult your doctor for more details.
What if I miss a dose?
If you miss a dose and it’s less than 12 hours past your normal pill time, take one immediately and continue
with the normal schedule. You will be safe. However if it’s more than 12 hours late, you may not be completely
protected against pregnancy. You can still take a pill but you may need a backup birth control method like
condoms for the next seven days. The more tablets you missed, the higher the risk of pregnancy.
What if I Overdose?
There have been no reports of life threatening or serious medical conditions due to desogestrel overdose.
Symptoms which might occur due to overdose are nausea, vomiting, light vaginal bleeding. Get medical help if
necessary.
Interaction with other drugs
Your doctor might already be aware of your medical history and let him know if not. Don’t commence, stop or
alter the course of any medications without the advice of your doctor. Desogestrel may react with the following
drugs: anti-seizure medications like carbamazepine, phenytoin and primidone; antibiotics like rifampicin or
rifabutin; anti-virals like ritonavir; anti-fungals like griseofulvin; Medical charcoal used for stomach upsets, or
antidepressants like St John’s Wort.
The above details are non exhaustive and there can be other interactions as well. Always consult your doctor
and his/her directions and remember that they override on everything.
Expert advice
• Don’t start with just any tablet when starting a new pack of desogestrel. Always take it from the top row
marked for that day.
• If you are not using hormonal contraception at present (or in the past month) take your first pack of
desogestrel on the first day of your period.
• If you are changing from a combined pill (COC), vaginal ring, or transdermal patch start desogestrel at the
latest the day following any break free period or on the day itself if you had no break free period. Use an
additional barrier method of contraception for the first 7 days of tablet-taking if you had a break free period.
• You can start desogestrel, between 21 to 28 days after the birth of your baby. If you start later, you need to
use an additional barrier method of contraception until first 7 days of tablet-taking.
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• If you are less than 12 hours late in taking your next dose or if you vomit, or use medical charcoal within 3
– 4 hours or have severe diarrhea, take the missed tablet as soon as you remember and take the next one at the
usual time. If you are more than 12 hours late, you may need to use emergency contraception as per doctor’s
advice.
• Don’t miss one or more tablets in the very first week of tablet-intake and had intercourse in the week before
missing the tablets, you may fall pregnant.
• Do not take desogestrel, if you are allergic to desogestrel or any of the ingredients of this medicine.
• Avoid taking desogestrel, if you are pregnant or think you might be pregnant.
• Do not take desogestrel, if you have a thrombosis (blood clot in a blood vessel); (e.g. of the legs [deep
venous thrombosis] or the lungs [pulmonary embolism]); or any unexplained vaginal bleeding.
Frequently asked questions
Desogestrel
Q. Is desogestrel androgenic/a progestin/ a combined pill?
Desogestrel is a new, potent progestogen with very low androgenic properties. It is not a combined pill; it is a
progestogen-only-pill.
Q. How does desogestrel work/ stop ovulation?
Desogestrel as a contraceptive, acts by preventing the egg cell from ripening and thus stops ovulation.
Q. Is desogestrel safe/ dangerous/cause weight gain/ stop periods/ cause hair loss/ cause blood clots?
Desogestrel is safe in most women, if taken strictly at recommended dosage and duration. Common side effects
of desogestrel include: weight gain, irregular or no periods, hair loss. Blood clot is a rare side effect of
desogestrel.
Q. Is desogestrel safe for breastfeeding?
Desogestrel does not have any effect on the growth and development of breastfed baby. It can be used in
breastfeeding women only under doctor’s supervision.
Q. Is desogestrel good for acne/help acne/cause acne?
Acne is a common side effect of desogestrel.
Q. What is desogestrel and ethinyl estradiol/does desogestrel contain estrogen/ how does desogestrel and
ethinyl estradiol work?
Desogestrel/ethinyl estradiol is a combination progesterone and estrogen birth control pill. It works by
preventing ovulation, change the cervical mucus to prevent the sperm from reaching the egg and change the
lining of the uterus to prevent a fertilized egg from implanting in the uterus.
Q. Is desogestrel the same as cerazette/ same as feanolla?
Cerazette and feanolla are brand names for desogestrel.
Disclaimer
We provide only general information about medications which does not cover all directions, possible drug
integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any
specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge
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of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for
any direct, indirect, special or other indirect damage as a result of any use of the information on this site and
also for consequences of self-treatment.
Equivalent Brand
Cerazette
Strength
75 mcg
Generic Name
Desogestrel
Manufacturer
NV Organon, India
Pharmaceutical Form
Tablet/s
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