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Ethinylestradiol+cyproterone

About Ethinylestradiol+cyproterone

Cyproterone+ethinylestradiol is used to treat moderate to severe acne related to androgen sensitivity and/or hirsutism (excess hair growth) in women of reproductive age with PCOS (Polycystic ovary syndrome). It should be used only if your skin condition has not improved, even after topical or antibiotic treatment. Due to its contraceptive properties, it will only be prescribed for you if your doctor considers that treatment with a hormonal contraceptive is appropriate. 

Cyproterone+ethinylestradiol contains Ethinylestradiol and Cyproterone, which work by blocking the production of androgens (male hormones) in the ovaries. Thereby, it helps reduce acne and hair growth.

In some cases, Cyproterone+ethinylestradiol may cause nausea, abdominal pain, headache, weight gain and mood changes. Most of these side effects may not require medical attention and resolve gradually over time. However, you are advised to consult the doctor if the side effects persist or worsen.

Do not take Cyproterone+ethinylestradiol if you are allergic to any of its components or if you are pregnant, might be pregnant or breastfeeding. Cyproterone+ethinylestradiol inhibits ovulation and prevents conception; therefore, avoid using additional hormonal contraceptives whilst on treatment with Cyproterone+ethinylestradiol. Keep the doctor informed about your health conditions and medications to rule out any side effects/interactions.

Uses of Ethinylestradiol+cyproterone

Treatment of acne and hirsutism (excess hair growth) in women of reproductive age with PCOS.

Medicinal Benefits

Cyproterone+ethinylestradiol contains Ethinylestradiol and Cyproterone used to treat signs of androgenisation in women. It is indicated in the treatment of moderate to severe acne related to androgen sensitivity and/or hirsutism (excess hair growth) in women of reproductive age. Cyproterone+ethinylestradiol works by blocking the production of androgens (male hormones) in the ovaries. Thereby, it helps reduce acne and hair growth.

Directions for Use

Swallow the medicine as a whole with water; do not crush or chew it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Ethinylestradiol+cyproterone

  • Nausea
  • Abdominal pain
  • Weight gain
  • Headache
  • Mood changes
  • Breast pain and tenderness

Drug Warnings

Do not use Cyproterone+ethinylestradiol if you are allergic to any of its components, if you are using another hormonal contraception, are pregnant, might be pregnant or breastfeeding, or have had breast cancer, blood circulation problems/blood clots, heart attack or stroke. Inform the doctor if you have high blood pressure/uncontrolled blood pressure, high cholesterol, migraine, severe liver disease, liver tumours, depression, diabetes, inflammation of the pancreas, chloasma (brown patches on the skin), angioedema or hepatitis. Cyproterone+ethinylestradiol may increase the risk of having blood clots; seek medical attention if you notice symptoms of blood clots (migraine/long-lasting headache, changes in your eye-sight, hearing or speech, severe pain in the abdomen, severe pain or swelling in legs, breathlessness, unusual sudden coughing, severe pain and tightness in the chest which may reach the left arm, dizziness/fainting, or sudden weakness/numbness). 

Drug Interactions

Drug-Drug Interactions: Inform the doctor if you are taking anticonvulsants (primidone, phenytoin, carbamazepine, oxcarbazepine, topiramate, felbamate), anti-HIV (ritonavir, nelfinavir, nevirapine), anti-fungal (griseofulvin), antimicrobial (rifampicin), sedatives or herbal remedy (St. John’s wort).

Drug-Food Interactions: No interactions found/established.

Drug-Disease Interactions: Inform the doctor if you have/had blood clot problems, breast cancer, high blood pressure, heart attack or stroke.

Drug-Drug Interactions Checker List:

  • PRIMIDONE
  • PHENYTOIN
  • CARBAMAZEPINE
  • OXCARBAZEPINE
  • TOPIRAMATE
  • FELBAMATE
  • RITONAVIR
  • NELFINAVIR
  • NEVIRAPINE
  • GRISEOFULVIN
  • RIFAMPICIN
  • ST JOHN'S WORT
  • Safety Advice

    • Safety Warning

      Alcohol

      consult your doctor

      It is not known whether Cyproterone+ethinylestradiol interacts with alcohol. Please consult your doctor.

    • Safety Warning

      Pregnancy

      unsafe

      Cyproterone+ethinylestradiol is not recommended during pregnancy. Please consult the doctor if you are pregnant or think you may be pregnant.

    • Safety Warning

      Breast Feeding

      unsafe

      Cyproterone+ethinylestradiol is not recommended during lactation. Please consult the doctor if you are breastfeeding.

    • Safety Warning

      Driving

      safe if prescribed

      Cyproterone+ethinylestradiol is unlikely to affect your ability to drive.

    • Safety Warning

      Liver

      caution

      Cyproterone+ethinylestradiol may not be recommended for patients with severe liver disease. Please consult the doctor if you have liver problems.

    • Safety Warning

      Kidney

      consult your doctor

      Please consult the doctor if you have kidney problems.

    • Safety Warning

      Children

      caution

      Cyproterone+ethinylestradiol is not recommended for children. It is only indicated after menarche.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Avoid processed food, milk and dairy products.
    • Always wash off your makeup before sleeping. Avoid going to bed with makeup on.
    • Exercise regularly and eat healthy food.
    • Avoid smoking and alcohol consumption.
    • Protect your skin from sun damage by using sunscreen.
    • Drink plenty of water.

    Special Advise

    • Your doctor may advise regular check-ups whilst on treatment with Cyproterone+ethinylestradiol.
    • Check your breasts and nipples every month and consult the doctor if you notice anything odd, such as lumps or dimpling of the skin.
    • Inform the doctor that you are taking Cyproterone+ethinylestradiol if you are due to undergo any tests or surgery.

    Patients Concern

    Disease/Condition Glossary

    Acne vulgaris: Acne is a skin condition that involves papules (inflamed pimples), pustules (spots containing pus), erythema (skin redness), and tenderness. It mainly occurs on the face, back, and chest. Acne occurs due to plugging of hair follicles with oil and dead skin cells. Symptoms include pimples, bumps, and uninflamed blackheads.

    Hirsutism: Hirsutism is unwanted male-pattern hair growth in women, which occurs due to excess male hormones called androgens. This causes excess amounts of stiff and pigmented hair on a woman’s face, back and chest.

    FAQs

    Cyproterone+ethinylestradiol is used to treat moderate to severe symptoms of PCOS like acne related to androgen sensitivity and/or hirsutism (excess hair growth) in women of reproductive age.

    Cyproterone+ethinylestradiol works by blocking the production of androgens (male hormones) in the ovaries. Â

    Cyproterone+ethinylestradiol is also a hormonal contraceptive; it should not be used in combination with other hormonal contraceptives, as this will expose the patient to an excessive dose of hormones and is not necessary for effective contraception.

    Cyproterone+ethinylestradiol does not protect against sexually transmitted diseases like HIV or Chlamydia. Only condoms can help do this.

    Avoid using sunbeds or sunlamps and prolonged sunbathing whilst on treatment with Cyproterone+ethinylestradiol as it might increase the chance of chloasma (patchy discolouration of the skin).

    Cyproterone+ethinylestradiol is a combination medicine used to treat acne and hirsutism (excess hair growth) in women of reproductive age with PCOS.

    Cyproterone+ethinylestradiol should be swallowed as a whole with water; do not crush or chew it. The dose will be determined by the doctor based on your condition.

    If you miss a dose of Cyproterone+ethinylestradiol, take it within the next 12 hours. If it has been more than 12 hours, skip the missed dose and take the next dose at the scheduled time.

    Repeat the dose if you have vomited within 3-4 hours of taking Cyproterone+ethinylestradiol. If it has been more than 4 hours, take the next dose at the scheduled time.

    Cyproterone+ethinylestradiol also works as a contraceptive as it inhibits ovulation and prevents conception. Avoid using additional hormonal contraceptives whilst on treatment with Cyproterone+ethinylestradiol.

    Cyproterone+ethinylestradiol may cause nausea, abdominal pain, headache, weight gain and mood changes. Most of these side effects may not require medical attention and resolve gradually over time. However, you are advised to consult the doctor if the side effects persist or worsen.

    Cyproterone+ethinylestradiol starts working within a few weeks and you may notice improvement in 3-4 weeks.

    Available Medicines for

    Ethinylestradiol+cyproterone

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