Cyproterone Acetate + Ethinylestradiol

Spotting or bleeding may occur between your periods during the first 1-2 months of taking oral contraceptives. However, if this continues after the second month, consult your doctor.

Other common side effects that you may experience include:

• Nausea, vomiting, bloating and abdominal cramps. Take the medication after food to minimise gastric side effects.
• Breast tenderness. Decrease salt intake and drink more water to help your body expel excess water.
• Headache or migraine. Paracetamol can be taken to manage headaches.
• Intolerance to contact lenses
• Weight changes, mood swings. To take the medication at the same time everyday to avoid large hormonal fluctuations.
• Pigmentation of the skin. Apply sunblock when outdoors and avoid long hours of sun exposure.

Consult your doctor about any symptom that becomes bothersome.​

Using a combined hormonal pill increases a woman’s risk of developing blood clots compared with a woman not taking any combined hormonal pill. The risk of developing blood clot in a vein is highest during the first year a woman uses the pill. Other risk factors of developing blood clots include smoking and obesity. However, blood clot formation is rare and the doctor would have evaluated and weighed its benefits over risks before making the recommendation.

Report to your doctor if you are experiencing any of the following symptoms:

• Any unusual sudden cough
• Severe pain in the chest which may reach the left arm
• Change in your speech, including slurring of words
• Change in your senses of hearing, smell or taste
• Breathlessness or difficulty in breathing
• Unusual, severe or long lasting headache or worsening of migraine
• Dizziness or fainting
• Severe pain in your abdomen
• Severe pain in legs or swelling in either of your legs.
• Weakness or numbness in any part of your body

The tablets should be taken at the same time daily after food. If you are also using it for contraceptive purposes, a barrier method of contraception e.g. condoms, is recommended for the first 7 days the first time you begin taking Estelle™-35.

For the first pack of oral contraceptives, take the first tablet on the ____ day of your menses.

It comes in a 21-day pack: which has 21 active tablets. Your menses should begin during the 7-day tablet-free period. Even if your menses is still ongoing, subsequent pack is to be started after the 7-day tablet free period has elapsed.

Within 12 hours:
Take the missed pill as soon as remembered, then resume taking the next one at the regular time.

More than 12 hours:

• Week 1 & 2: Take the missed pill as soon as remembered, even if it means taking 2 pills at the same time. Continue to take pills at your usual time. Use a barrier method for the next 7 days.
• Week 3: Take the missed pill as soon as remembered, even if it means taking 2 pills at the same time. Continue to take pills at your usual time and start the next pack right away without the 7-day tablet free period. 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.

If vomiting and diarrhea occurs within 4 hours of taking oral contraceptives, the tablet may not be absorbed. It is considered a missed dose. You should then follow instructions above.

Keep away from children;#Keep in a cool, dry place, away from direct sunlight;#