WARNING

Cesia is a combined hormonal contraceptive pill containing both estrogen and progestin. Like all medications, it carries potential risks, including:

• Cardiovascular Risks: Cesia, like other combined oral contraceptives, may increase the risk of blood clots, heart attack, and stroke, especially in women who smoke, are over 35, or have other risk factors.
• Thromboembolism: There is a slight increased risk of venous thromboembolism (blood clots in veins), which can lead to serious complications if they travel to vital organs such as the lungs (pulmonary embolism).
• Hypertension: Cesia can elevate blood pressure in some women, increasing the risk of cardiovascular events.
• Cancer: Long-term use of hormonal contraceptives like Cesia may slightly increase the risk of certain cancers, such as breast and cervical cancer. However, it may also reduce the risk of ovarian and endometrial cancers.
• Other Side Effects: Cesia may cause side effects such as headaches, nausea, breast tenderness, mood changes, and changes in menstrual bleeding patterns.

It’s crucial to discuss these risks with a healthcare provider to determine if Cesia is the right choice for an individual, taking into account their medical history and lifestyle factors.

Why is this medication prescribed?

Cesia is prescribed as a contraceptive method to prevent pregnancy. It contains a combination of two hormones, estrogen and progestin, which work together to prevent ovulation (the release of an egg from the ovary), thicken cervical mucus to make it harder for sperm to reach the egg, and thin the lining of the uterus to make it less receptive to implantation of a fertilized egg.

How should this medicine be used?

Cesia is typically used as follows:

• Start of Treatment: Cesia is usually started on the first day of the menstrual period or on the first Sunday after the menstrual period begins. If started on the first day of menstruation, no additional contraceptive methods are needed. If started later, backup contraception (such as condoms) should be used for the first 7 days.
• Daily Use: One pill is taken orally at the same time each day, preferably with a full glass of water. It’s essential to take the pills in the correct order and not to skip any doses.
• Cycle: Each pack of Cesia contains 28 pills, with 21 active pills containing hormones and 7 inactive reminder pills. The active pills are taken daily for 21 days, followed by the 7 inactive pills. Menstruation typically occurs during the week of inactive pills.
• Continuous Use: Some healthcare providers may recommend continuous use of active pills without taking the inactive pills, which can result in fewer or no menstrual periods. This practice should be discussed with a healthcare provider.
• Backup Contraception: If a dose is missed or taken late, backup contraception (such as condoms) should be used to prevent pregnancy, especially if the missed pill is not taken within 24 hours of the scheduled time.

It’s important to follow the instructions provided with Cesia and to consult a healthcare provider if there are any questions or concerns about how to use the medication correctly.

Other uses for this medicine

• Menstrual Cycle Regulation: Cesia can help regulate menstrual cycles, making them more predictable and potentially reducing symptoms of premenstrual syndrome (PMS) or menstrual-related symptoms like cramps and heavy bleeding.
• Acne Treatment: Some women may use Cesia to help improve acne, as the hormonal balance provided by the medication can reduce the severity of breakouts.
• Polycystic Ovary Syndrome (PCOS): Cesia may be prescribed to manage symptoms of PCOS, such as irregular periods, excess hair growth, and acne.

What special precautions should I follow?

As for special precautions when taking Cesia:

• Smoking: Women over 35 who smoke are generally advised not to use combined hormonal contraceptives like Cesia, as it can significantly increase the risk of cardiovascular complications, including blood clots, heart attack, and stroke.
• Medical History: Before starting Cesia, it’s crucial to inform your healthcare provider about your complete medical history, including any pre-existing conditions, such as high blood pressure, diabetes, or a history of blood clots.
• Interactions: Certain medications, such as some antibiotics and anticonvulsants, may interact with Cesia, reducing its effectiveness. Always inform your healthcare provider about any medications, supplements, or herbal remedies you are taking.
• Side Effects Monitoring: Pay attention to any side effects while taking Cesia and report them to your healthcare provider. These may include headaches, nausea, breast tenderness, mood changes, and changes in menstrual bleeding patterns.
• Regular Check-ups: Your healthcare provider may recommend regular check-ups while taking Cesia to monitor blood pressure, weight, and other health indicators.

Following these precautions and staying in regular communication with your healthcare provider can help ensure safe and effective use of Cesia.

What special dietary instructions should I follow?

As for special dietary instructions, there are no specific dietary restrictions associated with Cesia. However, maintaining a healthy and balanced diet is always recommended for overall well-being.

What should I do if I forget a dose?

• Missed One Active Pill: Take the missed pill as soon as you remember, even if it means taking two pills in one day. Continue taking the rest of the pack as usual. No backup contraception is needed.
• Missed Two or More Active Pills in a Row: Take the most recent missed pill as soon as you remember and discard any other missed pills. Continue taking the rest of the pack as usual. Backup contraception (such as condoms) should be used for the next 7 days.
• Missed Inactive (Reminder) Pills: If you miss one or more inactive pills, discard them and continue taking the rest of the pack as usual. No backup contraception is needed

What side effects can this medication cause?

Cesia, like other combined hormonal contraceptives, can cause side effects in some women. These side effects may include:

• Nausea: Some women may experience nausea, especially when first starting Cesia. Taking the pill with food or before bed may help alleviate this symptom.
• Headaches: Headaches are a common side effect of hormonal contraceptives like Cesia. These headaches may be mild to moderate in intensity and usually improve with time.
• Breast Tenderness: Cesia can cause breast tenderness or enlargement in some women. This side effect typically resolves on its own after a few months of use.
• Changes in Menstrual Bleeding: Women may experience changes in their menstrual bleeding patterns while taking Cesia. This can include lighter periods, spotting between periods, or irregular bleeding. In some cases, Cesia may also lead to amenorrhea (no menstrual bleeding).
• Mood Changes: Some women may experience mood swings, irritability, or changes in mood while taking Cesia. These effects are usually mild and temporary but should be monitored.
• Weight Changes: While weight gain is often cited as a concern with hormonal contraceptives, studies have shown that any weight gain associated with Cesia is usually minimal and not significant.
• Other Potential Side Effects: Less common side effects of Cesia may include changes in libido (sex drive), bloating, changes in appetite, and skin changes such as acne or melasma (darkening of the skin).

It’s important to note that while these side effects can occur, many women tolerate Cesia well with minimal or no side effects. If you experience persistent or severe side effects while taking Cesia, it’s essential to consult your healthcare provider for further evaluation and guidance.

What should I know about storage and disposal of this medication?

When it comes to storage and disposal of Cesia:

• Storage: Cesia should be stored at room temperature away from moisture and heat. Keep it out of reach of children and pets.
• Disposal: Unused or expired Cesia should be disposed of properly. You can ask your pharmacist or local waste disposal company about the best way to dispose of medication. Do not flush Cesia down the toilet unless instructed to do so.

In case of emergency/overdose

• Emergency: If you suspect an overdose of Cesia or experience severe symptoms such as severe abdominal pain, chest pain, sudden shortness of breath, or severe headache, seek emergency medical attention immediately.
• Overdose: Symptoms of overdose may include nausea, vomiting, vaginal bleeding, and other hormonal side effects. If you think you have taken too much Cesia, contact your healthcare provider or poison control center for advice.

What other information should I know?

• Effectiveness: Cesia is most effective when taken consistently and correctly. Missing doses or taking Cesia irregularly can increase the risk of pregnancy.
• Regular Check-ups: It’s essential to have regular check-ups with your healthcare provider while taking Cesia to monitor your health and assess any potential side effects.
• Follow-up: Follow your healthcare provider’s instructions for follow-up appointments and evaluations. They may need to adjust your dosage or switch you to a different contraceptive method based on your individual needs and preferences.
• Interactions: Cesia may interact with certain medications, including antibiotics and anticonvulsants. Inform your healthcare provider about all medications, supplements, and herbal remedies you are taking before starting Cesia.
• Pregnancy: Cesia should not be used during pregnancy. If you become pregnant while taking Cesia, stop taking it and contact your healthcare provider immediately.

By following these guidelines and staying informed about Cesia, you can use this contraceptive method safely and effectively.