oshudhkosh

Cleo 352mg+35mcg

Rx
Dosage form:
Tablet
Pack size:
Box (21 Tablet)

৳ 9.50/unit

Pack: ৳ 199.50

At a glance

Cyproterone Acetate + Ethinylestradiol — brands, prices, indication, dosage and side effects available in Bangladesh.

Description

Cyproterone Acetate + Ethinylestradiol is a combination of two hormonal medicines used to treat symptoms of polycystic ovary syndrome (PCOS) such as excessive hair growth (hirsutism), acne and irregular periods. It also work as a contraceptive, hence avoid using any other contraceptive pill. Cyproterone Acetate + Ethinylestradiol can be taken with or without food. Take it at the same time every day as it will help you remember to take it. The dose and duration will depend on what you are being treated for, but you should always complete a full course of this medicine as prescribed by your doctor. The most common side effects of this medicine include nausea, stomach pain, headache, weight gain, and breast pain. If these bother you or appear serious, let your doctor know. There may be ways of reducing or preventing them. Consult your doctor if you frequently experience spotting or brown discharge in the middle of the cycle. You must also consult your doctor if you notice unexplained swelling and pain in your limbs, shortness of breath, chest pain or changes in vision. Do not continue with the medicine and consult with the doctor if your periods do not start within a week of the treatment. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works. Avoid the use of medicine if you are pregnant or breastfeeding. Cyproterone Acetate + Ethinylestradiol is a combination of two hormonal medicines: Cyproterone and Ethinyl Estradiol which treats PCOS symptoms such as acne, excessive hair growth (hirsutism) and irregular periods. Cyproterone works by blocking the overproduction of androgens (male hormones) in the ovaries, thereby reducing unwanted hair growth and acne. Ethinyl Estradiol enhances the effect of Cyproterone by reducing the amount of androgens in the blood. Together, they also regularize the menstrual cycle in PCOS.

Indications

• Polycystic ovarian syndrome (PCOS)

Mechanism of action

Cyproterone is a progestogen with anti-androgenic properties.Oestradiol is the major oestrogen in pre-menopausal women. Ethinylestradiol has similar actions as oestradiol. It is responsible for the development and maintenance of female reproductive system and secondary sexual characteristics. It also inhibits anterior pituitary by negative feedback effect and causes capillary dilation, fluid retention and protein anabolism.

Dosage

Adult Dose: Oral Contraception; Hirsutism; Acne Adult: 2 mg daily (with 35 mcg of ethinylestradiol daily) for 21 days of the menstrual cycle. Start 1st treatment course on the 1st day of menstrual cycle; subsequent courses are started after 7 medication-free days following the preceding course. Withdraw treatment 3 or 4 cycles after condition has resolved.

Administration

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Cyproterone Acetate + Ethinylestradiol may be taken with or without food, but it is better to take it at a fixed time.

Side effects

Common: • Nausea • Stomach pain • Headache • Weight gain • Breast pain • Mood changes

Precautions & warnings

[SAFE] Cyproterone Acetate + Ethinylestradiol does not usually affect your ability to drive. Take your pill at the same time every day to help you remember to take it. Do not use Cyproterone Acetate + Ethinylestradiol if you are obese, over 50, smoke, on prolonged bed rest or have a history of blood clots. Stop taking it and inform your doctor if you notice unexplained swelling and pain in your limbs, shortness of breath, chest pain or changes in vision. You may experience vaginal spotting (blood stain) or breakthrough bleeding while taking Cyproterone Acetate + Ethinylestradiol. This is temporary, inform your doctor if it lasts longer. If your period fails to come within a week after completing your course, do not start the next course, before consulting your doctor. It works as a contraceptive. So, do not use any additional hormonal contraceptives when using this medicine.

Contraindications

Markedly impaired liver function or cholestasis; Dubin-Johnson or Rotor syndrome, hepatic adenoma; malignant or wasting diseases; severe chronic depression; severe diabetes with vascular changes; sickle-cell anaemia; history of thromboembolic disorders; renal impairment. Youths <18 yr.

Drug interactions

Metabolism may be reduced by inhibitors of CYP3A4 e.g. ketoconazole, itraconazole, clotrimazole, ritonavir. Inducers of CYP3A4 e.g. rifampicin, phenytoin may reduce the levels of cyproterone. CYP1A2 and CYP3A4 inducers such as aminoglutethimide, carbamazepine, phenobarbital, and rifampin may decrease the effects of estradiol. May enhance the effects of hydrocortisone and prednisolone when used together. Altered anticoagulant effect when used with dicoumarol. Potentially Fatal: Antibiotics (ampicillin, tetracycline, sulphonamides and chloramphenicol) can cause intermenstrual bleeding or failure of contraception. Reduced efficacy of antihypertensives or hypoglycaemic drugs.

Food interactions

[CAUTION] Caution is advised when consuming alcohol with Cyproterone Acetate + Ethinylestradiol. Please consult your doctor.

Use in pregnancy

[UNSAFE] Cyproterone Acetate + Ethinylestradiol is highly unsafe to use during pregnancy. Seek your doctor's advice as studies on pregnant women and animals have shown significant harmful effects to the developing baby.

Use in lactation

[CONSULT YOUR DOCTOR] Cyproterone Acetate + Ethinylestradiol is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Renal / hepatic impairment

[CONSULT YOUR DOCTOR] There is limited information available on the use of Cyproterone Acetate + Ethinylestradiol in patients with kidney disease. Please consult your doctor. [CONSULT YOUR DOCTOR] There is limited information available on the use of Cyproterone Acetate + Ethinylestradiol in patients with liver disease. Please consult your doctor.

Common questions

Treatment for PCOS and cyst in one ovary of 3cms I have been taking Diane35 for 1 yr I have issues with it&#x27;s side effects. I am experiencing anaemia,short breathness, weight gain and pain parallel to the bellybutton. Hormonal tabs such as Diane 35 are the only treatment for PCOS. Consult your gynae regarding the side effects. Is Diane 35 safe for pcos patient and how many days it can be taken safely? Yes it&#x27;s safe. It can be taken for 3 or 6 months Multi follicular and irregular periods You could have been suffering from polycystic ovarian syndrome . Get your PCOS profile done on the second day of your cycle and then take treatment . I have PCOS. Need help for same. Have been on diane 35 since a long time almost 8-9 years stopped taking it in between got acne and facial hair started taking it again problem got solved are there any natural remedies and medicnes for PCOS INSTEAD of diane 35 what are the side effects of long term use There are no natural remedies or med available for this. Regular exercise can help. I&#x27;m having Diane 35 since the last 12 years ! How should I gradually stop it ? You have to stop it all together whenever you decide. You can stop it gradually I&#x27;m having cyst on left ovary and irregular menses pls suggest me You could be having polycystic ovarian syndrome. First get your PCOD profile done on the 2nd day of your cycle and then take treatment Suddenly from last two months m having bleeding only for 1 day during periods .I want to know reason behind it.i am taking Diane 35 now.but still the bleeding lasts for 1 day.The flow of bleeding is very slow.kindly give your suggestions. Hi dear. Usually bleeding decreases while on Diane 35. Also amount if bleeding would depend on how you are taking the pills. However don&#x27;t worry, decrease in bleeding is expected. Within how many days of sexual intercourse can i take a contraceptive pill? And which contraceptive pill should i use? It should be started from first day of periodFemilon Diane lovette krimpson any can be used

⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.