Cimizt

Cimizt

Cimizt is a Combined Oral Contraceptive or what is commonly referred to as the pill.  It contains two different types of hormone:  Desogestrel -  a type of progesterone;  Ethinylestradiol – a type of oestrogen. More information

A doctor will review your order and write you a prescription, if appropriate. This prescription is then forwarded to a pharmacy. The pharmacy will have your medicine delivered to you within one to three working days. Read more about this process here.

Service
Instruction costs (includes consult & service fee)
Service – Instruction costs (includes consult & service fee)
Patient Leaflet(s)

If you are a sexually active woman of childbearing age who isn’t planning on getting pregnant, then no doubt you will have spent some time looking at the types of contraception that might be available to you. These days there are a whole host of options for both men and women, in fact, there are so many choices it may almost seem like too much, but it’s worth checking them out to figure out which contraceptive option might work for you. From daily pills to weekly patches, injections or longer-term contraceptive devices that can last for five to ten years, there really is something out there for everyone, so unwanted pregnancies should be easy to avoid. 

What is Cimizt? 

Cimizt is a Combined Oral Contraceptive or what is commonly referred to as the pill

It contains two different types of hormone: 

  • Desogestrel -  a type of progesterone; 
  • Ethinylestradiol – a type of oestrogen. 

These two hormones work together to prevent unwanted pregnancy by: 

  • Thickening the fluid at the neck of the womb, making it more difficult for the sperm to reach the egg; 
  • Stopping the ovary from releasing an egg every month; 
  • Changing the lining of the womb so it is harder for a fertilised egg to be accepted. 

Cimizt comes as a film-coated tablet which is easy to swallow. 

When is Cimitz used? 

Cimizt is used to prevent and unwanted pregnancy in sexually active women, it will not protect you against Sexually Transmitted Infections. Cimizt has the added benefits of: 

  • Regular, lighter periods; 
  • Reduced symptoms of Pre Menstrual Syndrome for some women; 
  • Lower risk of cancer of the ovaries, womb and colon; 
  • Reduced acne in some women. 

How do you use Cimizt? 

Cimizt comes as a film-coated tablet, you swallow it whole with water. 

  • Take one tablet a day; 
  • Take it at the same time every day – often the morning or evening is best to help you remember; 
  • It doesn’t matter if you take it with food or not; 
  • After 21 days of taking the tablet, you have a 7-day break when you will have your normal monthly bleed. 

Cimizt comes in strips of 21 with the days of the week on to help you remember to take your tablet every day. It is important you remember to take your tablet at the right time every day if you want to stay protected against pregnancy. 

  • Take a tablet next to the correct day of the week when you first start taking Cimizt; 
  • Follow the arrows on the strip for the next tablet and so on; 
  • After your monthly bleed, which usually starts on the 2nd or 3rd day of the gap week start a new strip of tablets (even if you haven’t stopped bleeding). 
  • You will always start a new strip on the same day of the week. 

Taking Cimizt for the first time 

If you have not been using a contraceptive that contains hormones: 

  • Start taking Cimizt on the first day of your period, you are then immediately protected against pregnancy; 
  • You can also start on day 2-5 of your period but you then need to use additional protection (condoms) for 7 days. 

If you are switching from a different combined oral contraceptive: 

  • Start taking Cimizt on the day after the last active tablet of your current pill, or at the latest on the day after the tablet-free days.  
  • If you are switching from a patch or vaginal ring then start the day after you remove it. 

If you are switching from a progesterone-only method of contraception: 

  • You can switch on any day but you will need to use additional protection (condoms) for 7 days. 

What dosages are there? 

Each Cimizt tablet contains 150mcg of desogestrel and 30mcg of ethinylestradiol. 

You take 1 tablet daily, at the same time each day, for 21 days and then have a 7-day break before starting the cycle again on day 8. 

If you forget to take your tablet: 

  • If it is less than 12 hours late take your tablet as soon as you remember, you are still protected from pregnancy; 
     
  • If you are more than 12 hours late the risk of falling pregnant is greater: You should consult your doctor or check the product leaflet for instructions on what to do depending on what part of the cycle you are in. 

It is worth noting that when taken properly the combined pill is very effective, however, in reality, there are more pregnancies than there should be due to not taking the pill at the right times so it’s important you follow the instructions. 

What are the side effects of Cimizt? 

As with all medicines, Cimizt comes with a warning of some side effects, not everyone who takes Cimizt will get them.  

There is a serious risk of blood clots which can lead to a stroke, hearts attack, pulmonary embolism or deep vein thrombosis. 

Warning signs of a blood clot: 

  • Sudden cough with no obvious cause; 
  • Sharp chest pain; 
  • Sudden unexplained breathlessness; 
  • Swelling on one leg or along the vein in the leg or foot; 
  • Pain or tenderness in the leg, especially when standing or walking; 
  • Increased warmth along the leg; 
  • Changes in skin colour; 
  • Loss of vision or blurred vision; 
  • Chest pain or discomfort; 
  • Choking feeling, indigestion; 
  • Sweating, feeling or being sick, dizziness; 
  • Quick or irregular heartbeat; 
  • Feeling of total weakness; 
  • Weakness or numbness in the face or along one side of the body; 
  • Sudden trouble walking, loss of balance or coordination; 
  • Losing consciousness or fainting, with or without seizure; 
  • Sudden severe, long-lasting headache with no known cause; 
  • Severe stomach pain. 

Very common side effects, affecting less than 1 in 10 women include: 

  • Weight increase; 
  • Irregular bleeding. 

Common side effects, affecting more than 1 in 1,000 but less than 1 in 10 women include: 

  • Fluid retention; 
  • Headache
  • Dizziness; 
  • Nervousness; 
  • Decreased libido; 
  • Low or altered mood; 
  • Migraine
  • Hypertension; 
  • Nausea; 
  • Vomiting; 
  • Rash; 
  • Acne
  • Breast pain, tenderness or swelling. 

Rare side effects, affecting less than 1 in 1000 women include: 

  • Hypersensitivity; 
  • Vaginal infection; 
  • Increased libido; 
  • Thromboembolism (venous and arterial); 
  • Skin disorders; 
  • Vaginal discharge; 
  • Breast discharge. 

When shouldn’t you use Cimizt? 

Don’t take Cimizt if you have or have ever had any of the following: 

  • A blood clot in a blood vessel of your legs, lungs or other organs; 
  • A heart attack or stroke; 
  • Severe diabetes with blood vessel damage; 
  • A disorder which affects how your blood clots; 
  • Very high blood pressure
  • A very high level of fat in the blood; 
  • Inflammation of the pancreas; 
  • A tumour in the liver; 
  • A migraine with aura; 
  • Liver disease and your liver function is still not normal; 
  • Breast cancer or cancer of the genital organs; 
  • Hepatitis C; 
  • Unexplained vagina bleeding. 

Do not take Cimizt if you are allergic to desogestrel, ethinylestradiol or any of the other ingredients listed on the packet. 

Do not take Cimizt if you need an operation or if you are off your feet for a long time. 

Take special care if you have any of the following, talk to your doctor before taking Cimizt: 

  • Diabetes; 
  • Depression; 
  • Crohn’s disease or ulcerative colitis; 
  • A disease of the liver or gallbladder; 
  • Sickle cell anaemia; 
  • Inflammation of the veins under the kin; 
  • Varicose veins; 
  • Systemic lupus erythematosus; 
  • Haemolytic uremic syndrome; 
  • Chloasma; 
  • Hereditary angioedema. 

You should also take care if a close relative has or has ever had breast cancer. 

Does Cimizt interact with other medications? 

Always talk to your doctor or pharmacist about any other medication you are taking as some medicines can interact with others and make them less effective or cause other problems, this includes vitamins and supplements. 

In particular pay attention to the following which can make Cimizt less effective at preventing pregnancy. Medicines for the treatment of: 

  • Tuberculosis; 
  • Epilepsy; 
  • HIV infections; 
  • And St John’s Wort. 

Cimizt may influence the effect of other medicines, including: 

  • Medicines containing cyclosporin; 
  • The anti-epileptic lamotrigine; 
  • Products containing ombitasvir, paritaprevir, ritonavir and dasabuvir. 

Where can you buy Cimizt? 

You can get Cimizt from any pharmacy, order online for home delivery, pop into your local pharmacy or supermarket pharmacy. In the UK contraceptive pills are free of charge on the NHS. 

Can I get Cimizt without a prescription? 

No, you cannot get Cimizt without a prescription, you will need a consultation with a doctor to discuss your family and medical history and consider the risk of blood clots etc. These days there are many options for contraception so finding one to suit you should not be a chore. A doctor will have the knowledge to guide you to the best type of contraception for you and hopefully, this should mean fewer side effects. 

Sources 

Drugs.com. [online] Drugs.com. Available at: https://www.drugs.com/uk/cimizt-150-microgram-30-microgram-tablets-leaflet.html [Accessed 17 Jan. 2020]. 

Harding, D. (2014). Combined Oral Contraceptive Pill (First Prescription) COCP. Patient. [online] Patient.info. Available at: https://patient.info/doctor/combined-oral-contraceptive-pill-first-prescription [Accessed 19 Jan. 2020]. 

Morningside Healthcare Ltd (2019). [online] Medicines.org.uk. Available at: https://www.medicines.org.uk/emc/files/pil.9568.pdf [Accessed 19 Jan. 2020]. 

NHS UK (2017). Combined pill. [online] nhs.uk. Available at: https://www.nhs.uk/conditions/contraception/combined-contraceptive-pill/ [Accessed 19 Jan. 2020]. 

Assessed by:

Dr Imran Malik, General practitioner
Registration number: GMC: 4741365

Dr Imran Malik studied undergraduate medicine at King's College University in Central London and clinical studies at the prestigious King's College Hospital. He graduated with a MBBS degree in 2000 and went on to gain postgraduate memberships with the Royal Society of Medicine and also General Practice in 2006.