Cyproterone Acetate + Ethinylestradiol

Drug Class:	Commonly Known As:	Category:
Contraceptive	Estelle-35/35 ED	Adult

Cyproterone Acetate + Ethinylestradiol - Dosage and How to Use

How should Cyproterone Acetate + Ethinylestradiol be used?

Do not stop taking your medication without checking with your healthcare professional.
You should take this medication after food.
You may start taking this medication on the first or second day of your menses (if this is your first time taking hormonal contraceptives).
If you are also using it for contraceptive purposes, a barrier method of contraception e.g. condoms, is recommended for the first 7 days of taking Estelle™-35/35 ED for the first time.
You should take one yellow (active) tablet daily for 21 consecutive days, preferably at the same time every day. Each subsequent pack is started after a 7-day tablet-free interval or 7-day period of white (inactive) tablets, during which a withdrawal bleeding usually occurs. This usually starts on day 2-3 after the last yellow (active) tablet is taken and may not have finished before the next pack is started.

What should I do if I miss a dose?

There is no action needed if you have missed the white (inactive tablets) ; however you must follow the steps below if you miss any of your 21 yellow (active) tablets to ensure that contraception effect is not reduced.

Within 12 hours:
Take the missed tablet as soon as remembered, then continue taking the next one at your usual time.

More than 12 hours:
If the missed tablet is within

Week 1 of the pack: Take the missed tablet as soon as remembered, even if it means taking 2 tablets at the same time. Continue to take your tablets at your usual time. Use a barrier method such as a condom for the next 7 days.
Week 2 of the pack: Take the missed tablet as soon as remembered, even if it means taking 2 tablets at the same time. Continue to take your tablets at your usual time. If you have taken your tablets correctly in the 7 days before the first missed tablet, there is no need to use extra contraceptive precautions. However if this is not the case, or you have missed more than 1 tablet, use a barrier method such as a condom for the next 7 days.
Week 3 of the pack: Depending on whether you have taken your tablets correctly in the 7 days before the first missed tablet, you would have to follow the following options:

No missed tablets in the last 7 days

Take the missed tablet as soon as remembered, even if it means taking 2 tablets at the same time. Continue to take your tablets at your usual time and start the next pack right away without the 7-day tablet free period or 7-day white (inactive) tablets i.e. no gap should be left between packs. Your menses may not come until the next pack is finished, but there is no need to worry. However, if your menses does not occur after the next pack is finished, you should take a pregnancy test to rule out pregnancy.

Stop the current pack and have a tablet-free period of up to 7 days – during which time a withdrawal bleed (menses) usually occurs and then continue with the next pack.

Missed tablet in the last 7 days

Take the missed tablet as soon as remembered, even if it means taking 2 tablets at the same time. Continue to take your tablets at your usual time and start the next pack right away without the 7-day tablet free period / 7-day white (inactive) tablets i.e. no gap should be left between packs. Your menses may not come until the next pack is finished, but there is no need to worry. However, if your menses does not occur after the next pack is finished, you should take a pregnancy test to rule out pregnancy.
AND
Use a barrier method such as a condom for the next 7 days

**If you miss your period (especially with missed tablets), check with your doctor to determine if you are pregnant before continuing to take the next cycle of contraceptives.

If you vomit or suffer from diarrhea within 3 to 4 hours of taking this medication, the tablet may not be absorbed. This is considered a missed dose. You should then follow the instructions above.