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INTRODUCTION CESTEL 30 TABLET is a combination of Dienogest and Estradiol, which belongs to the group of medicines called Hormonal contraceptive agents. It is used to prevent pregnancy . It is used to treat acne and heavy menstrual bleeding in women who take medi...
CESTEL 30 TABLET is a combination of Dienogest and Estradiol, which belongs to the group of medicines called Hormonal contraceptive agents. It is used to prevent pregnancy . It is used to treat acne and heavy menstrual bleeding in women who take medicines to prevent pregnancy. It works by preventing unwanted or unplanned pregnancies.
Contraception, also known as birth control, is used to prevent pregnancy, but there are also other options available other than contraceptives to prevent pregnancy. Acne vulgaris is a condition where the hair follicles get blocked by dead cells, bacteria, and oil (sebum), causing blemishes, pimples, blackheads, whiteheads, and cysts.
Acne vulgaris, also commonly known as common acne, is most common in people around puberty and pregnant women. It is due to hormonal changes that increase oil secretion, thus causing acne.
CESTEL 30 TABLET is not recommended for use in women with blood clots or a high risk of blood clots. CESTEL 30 TABLET should be used with caution in patients with depression and varicose veins. Pregnant and breastfeeding women should not use CESTEL 30 TABLET. If you are found to be pregnant, stop taking the medicine and consult your doctor immediately. Consult your doctor before taking it.
CESTEL 30 TABLET should be used with caution in post-pubertal female children under the age of 18 years and should be used with caution in elderly women. Consult your doctor before taking it. The most common CESTEL 30 TABLET side effects are unusual spotting or bleeding, nausea, breast tenderness, and headache.
CESTEL 30 TABLET is an oral contraceptive medicine that works by preventing unwanted or unplanned pregnancies. Dienogest and Estradiol are both synthetic forms of the female sex hormones progesterone and oestrogen that work together to prevent egg release from the ovaries (ovulation) by suppressing the hormone responsible for ovulation and also promoting changes in the uterine thickening and mucus membrane. These changes make it difficult for the sperm to enter the uterus and implant the fertilised egg. Progestin, present in CESTEL 30 TABLET, works by treating heavy menstrual bleeding. CESTEL 30 TABLET reduces the male sex hormone (testosterone), which reduces oil secretion (sebum), preventing acne formation.
Take CESTEL 30 TABLET strictly as advised by your physician. Do not miss any doses between the courses because the treatment may not be effective if any doses are missed. Swallow the medicine with a glass of water. CESTEL 30 TABLET can be taken with or without food. Do not crush or chew the medicine. In case you have missed a dose, take it as soon as you remember it. Missing doses cause bleeding or spotting. Your doctor will decide the correct dose and duration for you depending on your age, body weight, and disease condition. If you have any doubts regarding the doses, consult your doctor.
Stop taking CESTEL 30 TABLET and contact your doctor immediately if you experience any of the following side effects:
Drinking plenty of water and other electrolyte-balanced fluids (like diluted fruit juices, broths, sports drinks, and caffeine-free sodas). Make sure to hydrate throughout the day. Do not consume any medicine on your own without consulting your doctor. If the symptom does not improve, contact your doctor.
Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines while you are feeling dizzy. Do not consume alcohol, as it can aggravate your dizziness. Consult your doctor if the symptom does not improve.
Take a rest in a quiet place. Avoid using mobile phones and other electronic devices for a while. Headaches can be caused by a lack of water and dehydration. Consult your doctor if symptoms worsen.
Drink clear or ice-cold drinks. Eat light, bland foods. Avoid fried, greasy, or sweet foods. Eat slowly and eat smaller, more frequent meals; drink gradually larger amounts of clear liquids; avoid solid food until the vomiting episode has passed; and take rest. Consult your doctor if symptoms worsen.
CESTEL 30 TABLET is not recommended for use in pregnant women and in women suspected to be pregnant. CESTEL 30 TABLET is not recommended if have or ever had cholestasis of pregnancy (jaundice due to pregnancy) . CESTEL 30 TABLET should be used with caution in women who are in the postpartum period and patients with pregnancy patches (golden brown patches on the face). Consult your doctor before taking it.
CESTEL 30 TABLET is not recommended for use in breastfeeding women. Consult your doctor before taking it.
Do not drive or handle heavy machines if you experience side effects like dizziness, drowsiness, tiredness, or if you have blurred vision while taking GBNKEYWORD].
Consumption of alcohol is not recommended during treatment with CESTEL 30 TABLET.
CESTEL 30 TABLET is not recommended for use in patients with kidney diseases (kidney failure). Consult your doctor before taking it.
CESTEL 30 TABLET is not recommended for use in patients who have or ever had liver diseases (liver tumours) and hepatitis C. CESTEL 30 TABLET should be used with caution in patients with gall bladder disease. Consult your doctor before taking it.
Do not take CESTEL 30 TABLET if you are allergic to Dienogest or Ethinyl Estradiol.
CESTEL 30 TABLET is not recommended for use in patients with blood clots in the lungs (pulmonary embolism). Consult your doctor before taking it.
CESTEL 30 TABLET is not recommended for use in patients with heart diseases like heart attack, stroke, angina, mini-stroke, uncontrolled high blood pressure and high cholesterol levels Consult your doctor before taking it.
CESTEL 30 TABLET is not recommended for use if you:
Before taking CESTEL 30 TABLET inform your doctor if you:
Use in paediatrics:
CESTEL 30 TABLET should be used with caution in post-pubertal female children under the age of 18 years. CESTEL 30 TABLET it is not intended for use in male children and in female children who have not attained puberty. Consult your doctor before taking it.
Use in geriatrics:
CESTEL 30 TABLET is not indicated for use in elder women. Consult your doctor before taking it.
A. Drug-Drug interactions:
Before taking CESTEL 30 TABLET, inform your doctor if you are taking any of the following medicine:
Overdosage:
If you or anyone else accidentally took more of CESTEL 30 TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are nausea, vomiting and withdrawal bleeding. Withdrawal bleeding may occur in girl children even before their first menstruation who have taken it accidentally.
Drug | : | Dienogest, Estradiol |
Pharmacological Category | : | Oral contraceptives |
Therapeutic Indication | : | contraception, acne, heavy menstrual flow |
Dosage Forms | : | Tablet |
Q: Can I stop taking CESTEL 30 TABLET once my acne gets better?
A: No, do not stop taking CESTEL 30 TABLET unless your doctor advises you to do so because sudden termination of CESTEL 30 TABLET will not provide any expected efficacy. Acne caused by hormonal changes may require long-term treatment. Please use CESTEL 30 TABLET as advised by the doctor.
Q: Can CESTEL 30 TABLET be used to treat acne in men?
A: No, CESTEL 30 TABLET is not intended for use by men. CESTEL 30 TABLET contains a synthetic form of the female sex hormones oestrogen and progesterone, which work by reducing the male sex hormone testosterone. It is only for use by women and children under the age of 18 who have had their first menstrual cycle. CESTEL 30 TABLET While used in men, it will reduce male sex hormones, which may cause fertility problems.
Q: How and when should I take CESTEL 30 TABLET for acne and PMDD?
A: Do not take CESTEL 30 TABLET without a doctor’s prescription. There are certain precautions and blood tests necessary before taking CESTEL 30 TABLET. If your doctor has prescribed CESTEL 30 TABLET to treat acne or PMDD, kindly follow the instructions given by your doctor.
Q: Does CESTEL 30 TABLET cause any serious side effects?
A: The serious side effects of CESTEL 30 TABLET are deep vein thrombosis, loss of eyesight, stroke, jaundice, pulmonary embolism, allergic reactions, breast cancer, cervical cancer, and inflammation of the liver.
Q: What precautions need to be followed while taking CESTEL 30 TABLET?
A: CESTEL 30 TABLET increases potassium levels in the blood, which affects the kidney and heart, so your doctor may advise you to do blood tests to check potassium levels. CESTEL 30 TABLET is not recommended for use in women with blood clots or elevated risk of blood clots, kidney disease, heart disease, liver disease, or scheduled surgeries. CESTEL 30 TABLET should be used with caution in patients with inflammatory bowel disease, anaemia, and depression. Do not discontinue use without consulting your doctor. Take the medicine without missing any doses. Avoid concomitant use of anti-viral drugs such as ritonavir, nevirapine, and efavirenz, along with CESTEL 30 TABLET.
Q: Is it safe to take CESTEL 30 TABLET immediately after delivery?
A: No, it is not safe to take CESTEL 30 TABLET immediately after delivery. It is advisable to take it only after 4 weeks post-delivery. Consult your doctor before taking it.
Q: Can CESTEL 30 TABLET be used by children?
A: CESTEL 30 TABLET should be used with caution in postpubertal female children under the age of 18.It is not intended for use in boys or girls who have not reached puberty.Consult your doctor before taking it.
Q: Can CESTEL 30 TABLET be used to treat acne in pregnant women?
A: CESTEL 30 TABLET is not recommended for use in pregnant women or in women suspected to be pregnant. CESTEL 30 TABLET is not recommended if you have or have ever had cholestasis of pregnancy (jaundice due to pregnancy) . CESTEL 30 TABLET should be used with caution in women who are in the postpartum period and in patients with pregnancy patches (golden brown patches on the face). Consult your doctor before taking it. While pregnant, do not take any medications without first consulting your doctor.
Q: Is CESTEL 30 TABLET carcinogenic?
A: CESTEL 30 TABLET does not cause breast cancer. If you have breast cancer or have had it in the past, do not use CESTEL 30 TABLET because some breast cancers are sensitive to hormones. Women who use CESTEL 30 TABLET may have a slightly higher chance of getting cervical cancer.
Q: Can the use of CESTEL 30 TABLET cause unexpected bleeding?
A: No, it is not indicated to induce a menstrual cycle . Irregular vaginal bleeding or spotting may occur while you are taking CESTEL 30 TABLET. Such bleeding may be temporary and usually does not indicate any serious problems. Consult your doctor if the condition worsens.
Q: How and when should I take CESTEL 30 TABLET?
A: Take CESTEL 30 TABLET strictly as advised by your physician. Do not miss any doses between the courses because the treatment may not be effective if any doses are missed. Swallow the medicine with a glass of water. CESTEL 30 TABLET can be taken with or without food. Do not crush or chew the medicine. In case you have missed a dose, take it as soon as you remember it. Missing doses cause bleeding or spotting. Your doctor will determine the correct dose and duration for you depending upon your age, body weight, and disease condition. If you have any doubts regarding the doses, consult your doctor for advice.
Q: Can CESTEL 30 TABLET cause abortion?
A: No, it does not cause abortion; it just works by suppressing ovulation and fertilization. CESTEL 30 TABLET is not recommended for use during pregnancy. Consult your doctor before taking it.
Q: Can the use of CESTEL 30 TABLET cause depression?
A: Yes, the use of CESTEL 30 TABLET can cause depression. Exercise will increase the production of hormones, which improve our mood. Drinking alcohol or misusing substances may make you feel better for a short time, but after a long time, these substances can make depression symptoms even worse and even cause severe other health problems. So please avoid using alcohol and drugs to overcome depression. Self-care is particularly important to overcome depression. This includes getting good sleep, eating a healthy diet, avoiding negativity, and participating in other activities. If you still feel depressed or low, contact your doctor.
Q: What should I do if I forget to take CESTEL 30 TABLET?
A: If you miss a dose, take it as soon as you remember. If you have missed a dose, use proper safety measures like condoms to avoid pregnancy. Do not take double doses to compensate for the missed ones. Spotting or sudden bleeding can occur in the case of missed doses.
Q: Will the use of GBNKEYWORD change the length of the menstrual cycle?
A: Because CESTEL 30 TABLET is a common side effect, there are modifications for sudden spotting or vaginal bleeding. However, no evidence of long menstrual cycles has been reported.
Q: Will the use of CESTEL 30 TABLET produce complete protection from pregnancy?
A: Yes, CESTEL 30 TABLET will produce complete protection from pregnancy when all the doses are taken correctly every day. If you miss any dose, it will not be effective, and you will have a high chance of getting pregnant.
Q: Is the use of condemn necessary while using CESTEL 30 TABLET?
A: No, it is not required to use condemn while using CESTEL 30 TABLET. But if you miss any dose and you do not want to be pregnant, then you should use condoms to prevent an unwanted pregnancy.
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Written By Dr. Dhivakaran R, BDS
Last updated on 01 Feb 2023 | 05:29 PM(IST)