Cilique - dosage, side effects, use, action

Cilique is a combined oral contraceptive pill, commonly referred to as 'the pill'. It contains two types of female hormones: an oestrogen, ethinylestradiol, and a progestogen, norgestimate. These hormones prevent ovulation (the release of an egg from the ovaries) and also change the lining of the womb to prevent pregnancy.

In addition to these primary modes of action, Cilique also alters the mucus at the neck of the womb (cervix) making it more difficult for sperm to cross from the vagina into the womb. Moreover, it changes the quality of the womb lining (endometrium), making it less likely that a fertilised egg can implant there.

It's worth noting that Cilique doesn't interrupt an existing pregnancy. Its role is purely preventive, making it an effective choice for women who are sexually active and don't wish to become pregnant. However, as with all contraceptive methods, it doesn't offer protection against sexually transmitted infections (STIs).

Cilique is a combined oral contraceptive pill that contains two types of synthetic female hormones: ethinyl estradiol (an estrogen) and norgestimate (a progestogen). These hormones work together to prevent ovulation and change the lining of the womb, making it harder for sperm to reach an egg, or for a fertilized egg to implant itself.

As such, Cilique is primarily indicated for use as a contraceptive method to prevent unwanted pregnancies. However, it may also be recommended to women for a few other reasons. These include:

• Regulation of menstrual cycles: Cilique can help ensure women have regular, predictable periods, making it easier to manage premenstrual symptoms and plan around their menstrual cycles.
• Treatment of acne: For some women, the hormones in Cilique can help reduce the occurrence of acne.
• Management of endometriosis: Cilique may be used as part of the treatment plan for women with endometriosis, a condition where tissue similar to the lining of the womb grows in other parts of the body.

It is important to note that Cilique should not be used as a morning-after pill. It is intended for regular use and does not work to prevent pregnancy if taken after intercourse.

As with all medications, the use of Cilique should be under the direct supervision of a healthcare professional. Before starting Cilique, women should disclose their full medical history, as certain conditions may make use of this medication inappropriate.

When considering the use of Cilique, there are certain contraindications that must be taken into account. These are conditions or factors that make the use of this drug inadvisable. If you have any of the following, your doctor may decide against prescribing Cilique.

• History of blood clots in the veins (venous thromboembolism) or in the arteries.
• Known or suspected breast cancer or cancer of the genital organs.
• Unexplained vaginal bleeding.
• Certain types of jaundice.
• Hepatic tumors or active liver disease.
• Known or suspected pregnancy.
• Hypersensitivity to the active substances or to any of the excipients.

Additionally, if you experience certain symptoms while taking Cilique, such as a sudden severe headache, sudden loss of vision, or other indications of a blood clot, seek immediate medical attention.

It's also important to share with your healthcare provider a full history of your health conditions and other medications you're taking, as these may interact with Cilique and lead to contraindications.

Like any medication, Cilique can cause side effects, although not everybody gets them. It is important to remember that the benefits of taking this medicine are greater than the risks of side effects. However, if any of the following side effects occur, medical attention may be needed.

Common side effects of Cilique may include headaches, nausea, breast tenderness and mood swings. These effects typically reduce over time as your body gets used to the medication. If they persist, seek medical advice.

• Headaches: This is a common side effect of many medications, including Cilique. Drinking plenty of water, resting and avoiding alcohol can help alleviate this symptom.
• Nausea: This may occur initially as your body adjusts to the medication. Eating before taking your medication can help prevent this.
• Breast tenderness: This side effect may be uncomfortable but usually subsides as your body adjusts to the hormonal changes.
• Mood swings: Changes in mood can be a side effect of Cilique. If you have severe mood swings, or if they continue, speak to your healthcare provider.

Less common, but more serious side effects, may include changes in vision or speech, sudden severe headaches, chest pain, shortness of breath, and severe abdominal pain. If any of these occur, seek medical attention immediately.

If you experience any side effects not listed here, contact your healthcare provider or a pharmacist. Always take this medication as prescribed and do not disregard professional medical advice because of the information provided here.

The dosage of Cilique can vary depending on the individual's health condition and response to therapy. However, the general recommendation is to take one tablet daily for 21 consecutive days, followed by a 7-day tablet-free period.

Each Cilique pack contains 21 tablets, each containing 0.250 mg norgestimate and 0.035 mg ethinyl estradiol. It is essential to take Cilique at the same time every day to maintain a consistent level of hormones in the body. If you forget to take a tablet at the usual time, take it as soon as you remember. If it is close to the time of your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

If you miss one active tablet in Weeks 1, 2, or 3, take the tablet as soon as you remember. If you miss two active tablets in Week 1 or Week 2, take two tablets on the day you remember and two tablets the next day, then continue with your regular schedule. If you miss two active tablets in the third week or miss three or more active tablets in a row, begin a new pack the same day if you are a Day 1 starter. If you are a Sunday starter, keep taking one pill every day until Sunday, then start a new pack.

Cilique is primarily used as a contraceptive medication to prevent pregnancy in women. It contains two active ingredients, norethisterone and ethinylestradiol, which work together to stop the ovaries from releasing an egg each month (ovulation).

Before starting to use Cilique, it's crucial to read the patient information leaflet provided by your pharmacist and follow the instructions provided by your doctor. It's usually advised to start taking the medication on the first day of your menstrual cycle, which is the first day of your period. If you start taking it later, you must use an additional method of contraception for the first seven days.

One Cilique tablet is to be taken orally, at the same time every day, for 21 days followed by a 7 day break during which a withdrawal bleed similar to a period should occur. After the 7 day break, you start the next packet.

In case of vomiting or severe diarrhea within 3-4 hours of taking the pill, it may not have fully absorbed into your bloodstream. In such an event, follow the instructions given in the patient information leaflet or consult your doctor.

It's important to remember that Cilique does not protect against sexually transmitted diseases. Always use a condom to protect against STDs.

When using Cilique, certain precautions should be taken to ensure its effectiveness and to minimize risk of side effects. These precautions are related to health status, lifestyle, and concurrent use of other drugs.

Firstly, women with certain health conditions should not use Cilique. This includes women with a history of blood clots, heart disease, liver disease, certain types of cancer, and those who are over 35 and smoke. If you have any of these conditions, it's crucial to inform your doctor before starting Cilique.

Secondly, lifestyle factors can influence the effectiveness and safety of Cilique. A balanced diet and regular exercise can enhance the drug's benefits. Additionally, alcohol and tobacco use can increase the risk of side effects, so moderation or cessation is recommended.

Finally, certain drugs can interact with Cilique, reducing its effectiveness or increasing the risk of side effects. These include certain antibiotics, antifungal medications, and HIV drugs. If you're taking any of these medications, discuss with your doctor whether Cilique is right for you.

In conclusion, taking precautions while using Cilique is crucial to ensuring its effectiveness and safety. Always consult with your healthcare provider before starting any new medication, including Cilique.

Interactions of Cilique with other drugs can affect how it works or increase the risk of side effects. It's essential to inform your healthcare provider about all the medications you're currently taking, including prescription drugs, over-the-counter medicines, vitamins, and herbal products. Here are some drugs that may interact with Cilique:

• Anticonvulsants: Some anticonvulsants like phenytoin and carbamazepine can decrease the effectiveness of Cilique.
• Antibiotics: Certain antibiotics, such as rifampicin and griseofulvin, may reduce the efficacy of Cilique.
• Antifungal agents: Ketoconazole and itraconazole can potentially increase the plasma levels of Cilique, leading to side effects.
• Antiretroviral drugs: Some antiretroviral drugs used for treating HIV, like ritonavir, can interact with Cilique and affect its action.

Remember, this is not a complete list of interactions. Always consult with your doctor or pharmacist for a comprehensive list and further advice on managing drug interactions. Additionally, avoid the consumption of grapefruit juice while taking Cilique as it can interfere with how the body metabolizes this medication, potentially leading to increased side effects.

The price of Cilique can vary depending on the pharmacy and whether or not a prescription coverage plan is available. Generally, the price of a one-month supply of Cilique is around $30-$50. It is always advisable to compare prices from different pharmacies to get the best deal.

There may be options available to help reduce the cost of Cilique. Some health insurance plans may cover part or all of the cost. Additionally, there are patient assistance programs that may help lower the cost for people who qualify.

Cilique - Substitutes

While Cilique is a popular contraceptive choice, there are several other alternatives that can be used as substitutes. These alternatives are typically different brands that contain the same or similar active ingredients. They can be used if Cilique is not available, or if a person has a specific reaction or sensitivity to Cilique.

Here are some commonly used substitutes for Cilique:

• Lucette: This is a combined contraceptive pill that contains the same active ingredients as Cilique - ethinylestradiol and norgestimate. It is often used as a direct substitute for Cilique.
• Yasmin: Yasmin is another combined contraceptive pill. It contains drospirenone and ethinylestradiol. It's often chosen for its additional benefits, such as reducing acne and water retention.
• Microgynon: Microgynon is a contraceptive pill that is often used as a cheaper alternative to Cilique. It contains levonorgestrel and ethinylestradiol.
• Rigevidon: Another combined contraceptive pill, Rigevidon contains levonorgestrel and ethinylestradiol. It's often chosen for its high efficiency and is a common substitute for Cilique.

It's important to note that while these are common substitutes, they may not be suitable for everyone. Always consult your healthcare provider before switching to a new medication or contraceptive pill. They can provide the best advice based on your individual health needs and circumstances.