WARNING

Cyclessa is a combination hormonal contraceptive pill used to prevent pregnancy. Like all medications, it carries certain risks and side effects. Some potential risks of taking Cyclessa include:

• Blood Clots: There is a small increased risk of developing blood clots, particularly in the legs (deep vein thrombosis) or lungs (pulmonary embolism). This risk is higher in women who smoke, are overweight, or have a history of blood clotting disorders.
• Cardiovascular Issues: Cyclessa may increase the risk of heart attack and stroke, especially in women with underlying heart conditions or high blood pressure.
• Cancer Risk: Some studies suggest a slightly increased risk of breast and cervical cancer in women who use hormonal contraceptives like Cyclessa, although the evidence is not conclusive.
• Other Side Effects: Common side effects of Cyclessa include nausea, headache, breast tenderness, and mood changes. Some women may also experience weight gain, irregular bleeding, or decreased libido.

It’s essential to discuss your medical history and any concerns with your healthcare provider before starting Cyclessa or any other contraceptive method. They can help assess your individual risk factors and determine the best contraceptive option for you.

Why is this medication prescribed?

Cyclessa is prescribed primarily as a contraceptive, meaning it’s used to prevent pregnancy. It’s a combination hormonal contraceptive pill that contains two types of hormones: ethinyl estradiol (an estrogen) and desogestrel (a progestin). These hormones work together to prevent ovulation, thicken cervical mucus to inhibit sperm penetration, and thin the lining of the uterus to prevent implantation of a fertilized egg.

How should this medicine be used?

Cyclessa is an oral contraceptive pill that should be taken exactly as prescribed by a healthcare provider. Here’s how it should typically be used:

• Start Date: Cyclessa is usually started on the first day of menstruation or on the first Sunday after menstruation begins. Starting on these days helps to ensure immediate contraceptive effectiveness.
• Daily Use: Take one pill at the same time every day. It’s essential to maintain a consistent schedule to maximize effectiveness. You can take the pill with or without food, but it’s crucial to be consistent.
• Cycle Length: Each pack of Cyclessa contains 28 pills. Of these, 21 are active pills containing hormones, and 7 are inactive pills (placebos). Take one active pill daily for 21 days, followed by one inactive pill daily for 7 days. Menstruation typically occurs during the week of inactive pills.
• Missed Pills: If you miss a dose, follow the instructions provided by your healthcare provider or the package insert. In general, if you miss one active pill, take it as soon as you remember, even if it means taking two pills in one day. If you miss two or more active pills, use backup contraception (such as condoms) and consult your healthcare provider.
• Consultation: Before starting Cyclessa, it’s crucial to consult with a healthcare provider who can provide personalized instructions based on your medical history and individual needs. They can also discuss potential side effects, interactions with other medications, and answer any questions you may have.

Remember that Cyclessa is most effective when taken correctly and consistently. If you have any concerns or questions about how to use Cyclessa, don’t hesitate to reach out to your healthcare provider for guidance.

Other uses for this medicine

• Regulation of Menstrual Cycles: Cyclessa may be prescribed to regulate irregular menstrual cycles, including heavy or irregular periods.
• Management of Acne: Due to its hormonal effects, Cyclessa may help improve acne in some individuals by reducing oil production and balancing hormone levels.
• Treatment of Premenstrual Symptoms: Cyclessa may be used to alleviate symptoms associated with premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD), such as mood swings, bloating, and breast tenderness.
• Decreasing Menstrual Pain: Some women may find relief from menstrual cramps and pain while taking Cyclessa.

What special precautions should I follow?

When using Cyclessa, it’s essential to follow special precautions to ensure its effectiveness and minimize potential risks. Here are some key precautions to consider:

• Medical History: Before starting Cyclessa, inform your healthcare provider about your complete medical history, including any previous or current medical conditions, allergies, surgeries, and medications you are taking. Certain medical conditions may increase the risk of complications while using Cyclessa.
• Regular Check-ups: Attend regular check-ups with your healthcare provider to monitor your response to Cyclessa and to address any concerns or side effects.
• Smoking: Avoid smoking while taking Cyclessa, as smoking increases the risk of serious cardiovascular side effects, such as blood clots, heart attack, and stroke.
• Blood Clot Risk: Cyclessa may increase the risk of blood clots, especially in women with other risk factors such as obesity, prolonged immobility, or a history of blood clotting disorders. Seek medical attention if you experience symptoms of a blood clot, such as sudden swelling, pain, warmth, or redness in the legs.
• Interactions with Other Medications: Inform your healthcare provider about all medications, supplements, and herbal products you are taking, as some may interact with Cyclessa and affect its effectiveness or increase the risk of side effects.
• Emergency Contraception: Cyclessa is not intended for use as emergency contraception. If you have unprotected intercourse or experience a contraceptive failure, consult your healthcare provider about emergency contraception options.

By following these precautions and using Cyclessa as directed by your healthcare provider, you can help maximize its benefits while minimizing potential risks.

What special dietary instructions should I follow?

As for special dietary instructions, there are no specific dietary restrictions associated with taking Cyclessa. However, maintaining a healthy diet and lifestyle can contribute to overall well-being and may complement the effectiveness of Cyclessa in preventing pregnancy.

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. Then continue taking one pill daily at the usual time. You may need to use backup contraception (such as condoms) for the next seven days.
• Missed Two or More Active Pills in a Row: Take the most recently missed pill as soon as you remember, even if it means taking two pills in one day. Discard any other missed pills. Continue taking one pill daily at the usual time. You may need to use backup contraception for the next seven days. Consider consulting your healthcare provider for further guidance.
• Missed Inactive (Placebo) Pills: If you miss one or more inactive pills, discard them and continue taking one active pill daily at the usual time. There is no need for backup contraception in this case.

What side effects can this medication cause?

Cyclessa, like other hormonal contraceptives, can cause side effects in some individuals. These side effects can vary in severity and may affect each person differently. Common side effects of Cyclessa may include:

• Nausea: Some individuals may experience mild to moderate nausea, especially when first starting Cyclessa. Taking the pill with food or at bedtime may help alleviate this symptom.
• Headache: Headaches or migraines are common side effects of hormonal contraceptives like Cyclessa. These symptoms may improve over time or with adjustments to the dosage or formulation of the pill.
• Breast Tenderness: Hormonal changes caused by Cyclessa can lead to breast tenderness or discomfort in some individuals. This symptom typically resolves on its own but can be bothersome for some.
• Mood Changes: Changes in mood, including irritability, mood swings, or depression, may occur while taking Cyclessa. These symptoms are usually mild but should be monitored, especially if they persist or worsen over time.
• Irregular Bleeding: Some individuals may experience irregular bleeding or spotting between menstrual periods, especially during the first few months of using Cyclessa. This side effect often resolves on its own as the body adjusts to the medication.
• Weight Changes: While weight gain is not a common side effect of Cyclessa, some individuals may experience slight fluctuations in weight while taking the pill. Maintaining a healthy diet and lifestyle can help manage any changes in weight.
• Decreased Libido: Changes in sexual desire or libido may occur in some individuals while taking Cyclessa. This side effect is usually mild but should be discussed with a healthcare provider if it persists or causes distress.
• Skin Changes: Some individuals may experience changes in skin texture or acne while taking Cyclessa. In some cases, the pill may improve acne, while in others, it may worsen or cause new breakouts.
• Other Side Effects: Less common side effects of Cyclessa may include abdominal pain, bloating, dizziness, fatigue, or changes in appetite. If you experience any severe or persistent side effects while taking Cyclessa, contact your healthcare provider for further evaluation and guidance.

It’s important to remember that not everyone will experience side effects while taking Cyclessa, and many individuals tolerate the medication well. However, if you have concerns about potential side effects or experience symptoms that are bothersome or persistent, don’t hesitate to discuss them with your healthcare provider. They can provide personalized advice and may recommend adjustments to your treatment plan if necessary.

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

When it comes to the storage and disposal of Cyclessa, here’s what you should know:

• Storage: Store Cyclessa at room temperature away from moisture and heat. Keep the medication out of reach of children and pets. Avoid storing it in the bathroom or near the kitchen sink where it could be exposed to moisture.
• Disposal: Dispose of expired or unused Cyclessa pills properly. Do not flush them down the toilet or pour them down the drain unless instructed to do so by a healthcare professional or pharmacist. Instead, check with your pharmacist or local waste disposal company for information on how to safely dispose of medications.

In case of emergency/overdose

• Emergency Assistance: If you suspect an overdose of Cyclessa or experience severe symptoms such as severe nausea or vomiting, unusual vaginal bleeding, or signs of a blood clot (such as sudden shortness of breath, chest pain, or swelling and warmth in the legs), seek emergency medical assistance immediately. Call your local emergency services or go to the nearest emergency room.
• Poison Control Center: You can also contact the Poison Control Center at 1-800-222-1222 for guidance on what to do in case of an overdose of Cyclessa or if you have any concerns about potential toxicity.

What other information should I know?

• Effectiveness: Cyclessa is most effective when taken consistently and at the same time each day. Missing doses or taking them irregularly can decrease its effectiveness in preventing pregnancy.
• Regular Check-ups: Attend regular check-ups with your healthcare provider while taking Cyclessa to monitor your response to the medication and discuss any concerns or side effects.
• Medical Exams: Your healthcare provider may recommend periodic medical exams, including blood pressure measurements and breast exams, while you are taking Cyclessa.
• Other Medications: Inform your healthcare provider about all medications, supplements, and herbal products you are taking, as they may interact with Cyclessa and affect its effectiveness or increase the risk of side effects.
• Contraindications: Cyclessa is contraindicated in certain medical conditions, such as a history of blood clots, liver disease, certain types of cancer, and uncontrolled high blood pressure. Inform your healthcare provider about any medical conditions you have before starting Cyclessa.
• Use in Pregnancy: Cyclessa is not intended for use during pregnancy. If you become pregnant while taking Cyclessa, stop taking the medication and contact your healthcare provider.

Always follow your healthcare provider’s instructions and advice when taking Cyclessa or any other medication. If you have any questions or concerns about Cyclessa or its use, don’t hesitate to discuss them with your healthcare provider or pharmacist.