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Home / Contraception / Mini Pill / Cerelle


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Note: You must complete a short online consultation so that our doctor can ensure that the treatment is suitable for you. The above pricing should only be used as a reference. The final decision to issue this treatment lies with the prescribing doctor.

What is Cerelle?

Cerelle is up to 99% effective when it's taken correctly. Women that fall pregnant on the mini pill have usually forgotten a dose or have been unwell. If you take Cerelle correctly you are highly unlikely to fall pregnant but there are some instances where it may not work properly.

If you vomit or have severe diarrhoea within two hours of taking Cerelle it may not have absorbed fully. You must take another pill. If you take this pill within 12 hours and do not have recurrent bouts of sickness then you are still protected against pregnancy. If you are unwell for longer than 12 hours you should use additional barrier contraceptives during your illness and for seven days after you have successfully begun taking your pill again.

If you need to take medication it may affect how the mini pill works. Speak to your doctor about contraception during this time. Cerelle may be affected by:

  • Some antibiotics
  • Some antifungals
  • Barbiturates (sleeping pills)
  • St John's Wort
  • Weight loss medications (due to diarrhoea)
  • HIV medications
  • Some epilepsy medications
  • The mini pill may affect blood sugar levels in diabetics. Seek advice from your doctor on how to manage this.
  • The emergency contraceptive ellaOne may have an adverse affect on Cerelle, making it less effective. Use additional barrier contraceptives for nine days after taking ellaOne.

The advantages of Cerelle

Cerelle effectively prevents pregnancy when taken correctly but it also has a number of other benefits. The desogestrel in Cerelle prevents ovulation which means you may not experience any periods. Cerelle is much more likely to prevent periods than mini pills that don't contain desogestrel. This means that PMS symptoms can be reduced including mood swings, bloating, period pain and skin problems such as acne or spot breakouts.

Hormonal contraception is highly effective. Women who are concerned about falling pregnant are able to relax and enjoy sex without worry when they take Cerelle.

Cerelle is suitable for use during breastfeeding. It does not reduce milk production and the trace amounts that pass to an infant do not produce any known harmful effects.

Smokers, overweight women, and women who experience migraine can take the mini pill and enjoy the benefits of hormonal contraception.

The different types of mini pill

Mini pills do not contain oestrogen but there are two subtypes of mini pill. Cerelle and Cerazette are the newer types that contain desogestrel. Others mini pills such as Micronor contain progestogen and may prevent ovulation but work primarily by thickening the cervical mucus and thinning the womb lining.

How does Cerelle differ from other contraceptives?

Cerelle is a mini pill containing the synthetic hormone desogestrel. Other mini pills contain different versions of progestogens, so if you find Cerelle doesn't suit you there are other mini pill options that may provide a better fit. Other non-oestrogen options are the implant, the intrauterine device and the injection. The combined pill contains oestrogen, as does the contraceptive patch and the intrauterine system.

Barrier methods of contraception such as condoms and diaphragms/caps are effective but do not have the same effectiveness rate as hormonal options.

How does Cerelle work?

Cerelle contains a synthetic progestogen called desogestrel that is used in the newer types of mini pill. Desogestrel works by preventing ovulation. It also thickens the cervical mucus making it harder for sperm to enter the womb, and thins the womb lining so that any fertilised egg can't implant and grow there.

How to take Cerelle

Cerelle is a daily tablet. You need to take one each day at the same time. Cerelle strips are marked with the day of the week to help you remember. You should always take them in the right order.

When you reach the last pill in the packet you should start a new packet immediately. You do not need to have a break or wait for a period.

Do not chew or crush Cerelle or you won't receive the right dose of hormone. Cerelle pills are small enough to swallow without water, but if you struggle with pills pop it in your mouth after you have finished chewing food.

Starting Cerelle

When you start taking Cerelle you should take the first pill on the first day of your period. If you do this then you are protected against pregnancy right away. You can take it up to five days after your period has started and may be protected unless you have a short menstrual cycle. Starting Cerelle at any other time of the month, or if you have short menstrual cycle, means you will need use additional barrier contraception for the first seven days so Cerelle has time to start working.

After having a baby you can start taking Cerelle on the 21st day following the birth. If you start later than 21 days then use additional barrier contraception for seven days.

After a miscarriage or abortion at less than 24 weeks Cerelle covers you against unwanted pregnancy immediately. After 24 weeks you will need seven days of extra barrier contraception.

If you are swapping from the patch, IUD, IUS injection or implant you should start taking Cerelle immediately after your current method is removed or finished. If you're swapping from another brand of mini pill finish your current packet and start taking Cerelle straight away. You don't need to wait for a period.

What to do if you miss a pill

Cerelle must be taken every day at the same time to maintain its 99% effectiveness rate, but missed pills are common. If you find yourself missing regular pills you may wish to consider a different form of long-term contraception such as the patch, vaginal ring or implant.

If you forget your pill you should follow these instructions carefully.

  • If you are less than 12 hours late, take the missed pill immediately. You are still covered against pregnancy
  • If you are more than 12 hours late or you have missed several pills, you should take the last missed pill right away and then the next pill at your established time. You must use extra barrier contraception for seven days so Cerelle has a chance to re-establish itself.
  • If you have sex in the time frame where you have missed a pill, you should consider emergency contraception such as ellaOne

Cerelle Side Effects

Just like other prescription medications, Cerelle may produce some side effects. These will likely only be mild in nature if they even occur.

Common side effects affecting 1 in 10 and 1 in 100 women include irregular bleeding, mood changes, headaches, nausea, acne, breast tenderness, weight gain, sex drive changes and weight gain

More uncommon side effects include vomiting, fatigue, hair loss, ovarian cysts, and difficulties wearing contact lenses

Rare side effects include hives and a rash. If you experience an allergic reaction such as a swelling throat or lips, or difficulty breathing seek medical advice immediately. Allergic reactions to the mini pill are very rare

If any of the above side effects persist you should seek medical advice as soon as possible.

Cerelle Precautions

Most women can take Cerelle without any problems and because it contains no oestrogen it is available to women who cannot take the combined pill. However, it is not suitable for some women. If you have unexplained vaginal bleeding, a history of breast cancer, hereditary blood disorders or are allergic to lactose you should not take Cerelle.

If you have any of the following conditions you can use Cerelle but with caution and under direction from your doctor.

  • You are having surgery that results in immobility
  • You have a history or disorder of blood clots
  • You have serious artery disease
  • You have multiple heart disease risk factors including smoking, diabetes, obesity, high cholesterol, and high blood pressure
  • You have lupus (SLE)
  • You have liver disease, gallbladder disease or inflammatory bowel disease

The following cautions should also be taken into account before you take any Cerelle pills.

  • Cerelle does not protect you against sexually transmitted disease. Only condoms can do this.
  • You may experience some breakthrough bleeding and spotting. This usually clears up after a few months but if it continues see your doctor
  • It is highly unlikely but if you do become pregnant on Cerelle you are more at risk of an ectopic pregnancy
  • Women taking hormonal contraceptive have a slightly increased risk of breast cancer

Can you buy without a prescription?

Cerelle is available on prescription from your doctor. Once you have successfully been prescribed Cerelle you are able to order it online following our online consultation. Hormonal contraception is not available over-the-counter. This is to protect you against the risk of side effects.

How to buy Cerelle

If you have been experiencing the menopause, you will then obtain a prescription for Cerelle. Once you have obtained initially in person, you can then buy online. When buying Cerelle online, you will still require a prescription. This can be easily obtained when completing our quick consultation that will take approximately five minutes. A certified doctor reviews this and then you can order Cerelle online.

Is it safe to order online?

When ordering from a certified online pharmacy, you can be ensured that your medication is safe. If the pharmacy doesn't ask you to complete essential health and medical question, however, this is a telltale sign that the website isn't certified. The website should also display clear signs that it is registered and approved by the relevant authorities. In the UK, this includes being registered by the MHRA and GMC.

All medication will be delivered in tamper proof packaging complete with the full patient leaflet, which confirms that the medication is clinically proven and highly effective.

What is included in the price?

When ordering Cerelle online here at Medilico, this is an all-inclusive price including the prescription, consultation, medication and delivery. There are no hidden costs. The price adjusts depending on the dosage and quantity you have ordered.

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