Your Online Medical Consultation

About you

Are you female and between 18 - 55 years old?

Have you discussed the contraceptive pill with your GP, practice nurse, GUM clinic health care professional in the last 12 months

Have you ever been told by a doctor, nurse or healthcare provider that you should NOT use an oral contraceptive pill, patch or ring?

Are you currently using any form of contraception?

e.g. pill, ring, patch, implant, coil or other?

If you are using the pill, please tell our doctors which pill you are currently using.

Have you previous used any form of contraception in the past?

e.g. pill, ring, patch, implant, coil or other.

Please provide details such as the name and when you stopped using this method

Have you ever experienced any of the following

  • Unexplained vaginal bleeding (when you’re not on your period) e.g. after sex or between periods
  • A severe headache associated with sickness and/or sensitivity to light
  • Jaundice (yellowing of the skin)

Your Health

Is your BMI under 35?

Do you smoke or have you given up smoking within the last 6 months?

Have you had your blood pressure checked in the last 12 months?

Was the value between 90/60-140/90?

Do you have any allergies to medication or substances?

Answer ‘no’ if this does not apply to you

Are you taking any medication, or have you recently finished a course of medication?

Such as

  • Epilepsy (carbamazepine, felbamate, oxcarbazepine, phenobarbital, phenytoin, primidone, and topiramate)
  • Herbal medication for low mood (e.g. St. John’s Wort)
  • High blood pressure in the blood vessels of the lungs (bosentan);
  • High blood pressure (hypertension), angina or certain heart rhythm disorders (e.g. diltiazem).
  • Bacterial infections (e.g. clarithromycin, erythromycin)
  • Hepatitis C virus infection (e.g. boceprevir, griseofulvin, telaprevir)
  • HIV infections (e.g. efavirenz, nelfinavir, nevirapine, ritonavir);
  • Fungal infection (ketoconazole, itraconazole, fluconazole)

This includes medication prescribed by your doctor, bought in the pharmacy or online, herbal supplements, or recreations drugs.

This includes tablets, patches, inhalers, injections, contraception and all other forms of medication

Answer ‘no’ if this does not apply to you

Do you suffer from any medical problems?

Such as

  • Blood clots (DVT Deep Vein Thrombosis of legs) (PE Pulmonary Embolism of lungs)
  • Cancer
  • Diabetes
  • Epilepsy
  • Heart Attack or Angina
  • High blood pressure
  • High cholesterol
  • Kidney disease
  • Liver disease
  • Migraines
  • Stroke

This also includes previous admissions to the hospital or any surgeries

Answer ‘no’ if this does not apply to you

Do you have a family history of any medical conditions?

Such as

  • Deep Vein Thrombosis (DVT)
  • Pulmonary Embolism (PE)

Answer ‘no’ if this does not apply to you

Are you pregnant or breast feeding, think you may be pregnant or planning to have a baby?

Important information to know

I understand the following about taking the oral contraceptive pill

  • It is important to take the contraceptive pill every day at the same time in order to for it to be effective.
  • If I am starting this treatment after a pause I should also use an extra method (such as condoms) for the next 7 days.
  • If I miss two pills, I I should also use an extra method (such as condoms) for the next 7 days.

Whilst taking the contraceptive pill, it is important to:

  • Inform any doctor/nurse/dentist issuing new medication that I am on the pill. This is because medication, e.g. specific antibiotics, can cause the contraceptive pill to be less effective.
  • Have regular STI checks, at least once yearly, and sooner if changing sexual partners. The contraceptive pill does not protect against sexually transmitted infections.
  • Have regular smear tests. Cervical screening is offered to detect changes in a woman’s cervix that could develop into cervical cancer. It is done every 3 years for women aged 25-49 and every 5 years from 50-64 years.
  • Check my breasts regularly and contact my doctor as soon as possible if I feel any new lumps in the breasts

I will contact a doctor immediately if:

  • I experience unexplained shortness of breath, chest pain or suddenly collapse
  • I notice pain, swelling and tenderness in one leg (usually the calf)

AGREEMENT

We strongly recommend that you inform your GP of any treatment you receive. Would you like e-Surgery to do this in your behalf?

Please write the name of your GP surgery below if you want us to let them know.

This will ensure that any new medication started by your GP will not interact with this treatment.

Answer ‘no’ if you do not want us to inform your GP

I agree to the following

  • I am 18 years of age or older
  • This treatment is for my use only
  • I confirm that I have understood all the questions asked and have answered all questions to the best of my knowledge.
  • I have read the patient information leaflet supplied with this medication
  • I will contact e-Surgery and inform my GP if I experience any side effects from this treatment or if there are any changes to my health
  • I have answered all questions truthfully and accurately.

I have read, understood and agree to abide by terms and conditions and privacy policy and cookie policy of e-Surgery

What is this?

Your answers form the basis of your medical consultation. It is important you are open and honest, so our doctors can ensure this medication safe and effective for you

Cilest

 

Cilest is known as a combined oral contraceptive. It is used to prevent pregnancy when taken as directed. Cilest contains a combination of Norgestimate and Ethinylestradiol. Simply complete a short questionnaire to help our GPs make sure this medication is safe for you to take. All prices include a private prescription from one of our UK registered GPs.

Please note: We are only able to issue this item for patients who are already taking this medication. If you need to get started on the contraceptive pill, please see your GP.

Clear

Important Facts About Cilest

Most frequent questions and answers about Cilest as a contraceptive pill

Cilest is a combined hormonal contraceptive pill, containing two types of female sex hormones, oestrogen and progestogen. These hormones prevent an egg from being released, so you can’t get pregnant. Cilest also makes the fluid in your cervic thicker, making it more difficult for sperm to enter the womb. 

The contraceptive pill Rigevidon prevents you from getting pregnant. 

Combined oral contraceptive pills such as Cilest do not protect you from sexually-transmitted infections (STIs), only condoms can help do this. 

You should not take Cilest if:

  • You have or have ever had a blood clot
  • You have a disorder affecting blood clotting
  • You need an operation, or are off your feet for a long time
  • If you have ever had a heart attack or stroke 
  • You have or have had angina pectoris
  • If you have any disease that may increase your risk of artery clots
  • If you have or have ever had a migraine with aura
  • if you have breast or liver cancer
  • You have or have had a severe liver disease
  • If you are being treated with antivirals
  • If you are allergic to any of the ingredients

As with any form of medication, Cilest has side effects. For a full list of side effects, please read the Patient Information Leaflet of Cilest.  Below are a few of the common side effects of taking Cilest:

  • Headache
  • Stomach problems
  • Bleeding between periods
  • Painful/unusual periods
  • Migraine
  • Swollen extremities
  •  Mood changes
  • Difficulty sleeping
  • Acne
  • Painful breasts
  • Urinary tract infections
  • Vaginal discharge
  • Weight gain
  • Feeling weak

For a full list of side effects, please read the Patient Information Leaflet of Cilest.

A common question asked, is “What happens if I miss a pill”?

If you miss taking the Cilest pill, you must take the last missed tablet as soon as you remember – Even if you have to take 2 Cilest tablets at the same time. Following this, you should continue taking tablets at the usual time of day.

If you miss the pill in the first week of taking you should also use a barrier method of contraception (e.g condom) for the next 7 days. Following the first week, it is not necessary to take further contraception measures.

You should take one Cilest tablet each day, and should take a pill whole with water at the same time each day.

The Cilest packet is marked with the day of the week, you should follow the arrow until the strip is empty (21 days). Following this, you have 7 days where you do not take any Cilest pills. 

You should keep Cilest tablets out the the sight and reach of children.

Do not use Cilest after the expiry date which is stated on the blister and carton after EXP. 

Do not throw away any unused Cilest pills via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

Some medications can stop Cilest from working properly. Therefore if you are taking any of the following, talk to your doctor to discuss your options:

  • Epilepsy treatment
  • Bosentan
  • Anti-HIV medication
  • Hepatitis C medication
  • Aprepitant and fosaprepitant
  • Griseofulvin
  • Modafinil
  • Certain sedatives
  • St. John’s Wort
  • Metoclopramide
  • Charcoal
  • Colesevelam
  • Etoricoxib
  • Ciclosporin
  • Lamotrigine
  • Prednisolone
  • Selegiline
  • Theophylline
  • Tizanidine

Click here for a PDF copy of the patient information leaflet

Learn More About Contraception

Most frequent questions and answers about contraception

Contraception is either a device or method which helps to stop you from getting pregnant.

These come in a variety of forms, including oral pills, mechanical barriers, such as condoms, injections, implants and patches. 

There are multiple methods and devices that can be used to prevent pregnancy. Common methods can include:

  • Combined pill
  • Progestogen-only pill
  • Contraceptive implant
  • Female condoms 
  • IUD

You can find out a full list of contraceptive methods on the NHS website.

The mini pill is a progesterone only pill. It is known as the mini pill as it only contains one hormone, whereas other contraceptive pills, known as the combined pill, contain both progesterone and oestrogen. 

The mini pill has the same function as combined pills. By taking the mini pill, you are preventing pregnancy as it thickens mucus in and around the womb. Thick mucus decreases the chance for sperm to reach the egg, and also for the egg to implant and develop.

Which contraceptive pill is best for you depends on numerous factors. These can include: Age, smoking habits, medical/family history and other medications you take. 

You should consult with your doctor to decide which pill is best for you.

Your periods may be irregular when you first come off the pill, and it may take up to 3 months for your natural menstrual cycle to normalise.

You will no longer be protected from getting pregnant. 

There are two forms of contraceptive pills. 

The first is a progesterone-only pill, also known as the mini pill. And the second is known as a combined pill, which contains both progesterone and oestrogen.

With the combined pill, there is an increased risk of blood clots as oestrogen increases blood clotting. This risk is still very small.

Breast cancer’s link to taking the pill is being investigated, and current data suggests that there is only a slight increase in risk. Research has also been linked to cervical cancer; however, the pill has been shown to decrease the risk of womb, ovarian and colon cancer.


Yes. By taking the contraceptive pill as instructed, you will be protected from getting pregnant. Please note that if you miss taking the pill, you may not be protected. Also when starting the contraceptive course, note the time that it takes to become effective, which is on the product information leaflet.

The contraceptive pill does not protect you from STIs.

Read More

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