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Generic name: ethinyl estradiol and desogestrel [EH-thih-nill-ess-tra-DYE-ole-and-des-oh-JESS-trel]
Brand names: Apri, Azurette, Caziant, Cyred, Cyred EQ,… Show all 18 brands
Drug class: contraceptives

What is Caziant?

Caziant contains a combination of female hormones to prevent ovulation. Caziant can also cause changes to your cervical mucus, uterine lining, and other tissues. This makes it more difficult for sperm and fertilised eggs to attach to the uterus. Caziant can be used to prevent pregnancy. This medicine is available in many different brands. This leaflet does not list all brands. This medication guide does not list all possible uses of Caziant.

Side effects of Caziant

If you experience any of the following signs and symptoms of an allergic reaction: difficulty breathing, hives or facial or throat swelling - seek medical assistance immediately!

Birth control pills can cause serious side effects. Call your doctor immediately if:

  • Signs of Stroke: Sudden Numbness, Weakness and Headaches as Well as Shaky Speech or Vision/Balance issues could all indicate stroke symptoms.
  • Signs of a blood clot in the lungs: chest pain, sudden cough, or shortness of breath; dizziness and coughing blood
  • Signs of a deep blood clot—pain, swelling, or warmth in a leg;
  • Heart attack symptoms: chest discomfort or pressure, radiating to your jaw and shoulders; nausea or sweating are among them.
  • Liver problems: swelling around the midsection of your body; upper right stomach pain; lack of appetite; dark coloured urine; clay-coloured stool; jaundice (yellowing skin or eyes);
  • Increased blood pressure: severe headache, blurry or distorted vision and pounding in neck, ears or head area are signs that there could be an elevated blood pressure reading;
  • Depression: mood changes, low self-esteem, lack of interest in activities you used to enjoy, sleep disturbances, thoughts of harming yourself
  • A breast lump or swelling of the hands, feet, ankles, or legs
  • Changes in the pattern of migraine headaches or their severity

Caziant side effects may include:

  • Weight Gain, Nausea/Vomiting, Breast Tenderness or Breakthrough Bleeding can occur over time and should be treated immediately as potential signs.
  • Acne is a darkening of the facial skin.
  • Contact lenses are causing problems.

There may be other side effects.Call your physician immediately if experiencing side effects; to report such, reach out to the FDA at 1-800-FDA-1088.


Avoid taking birth control pills while pregnant or after having a baby. Birth control pills should not be used if: you suffer from heart disease, circulation problems, or undiagnosed vaginal bleeds; you are taking certain hepatitis C medications; you plan to have major surgery; you smoke; and you're over 35 years old. You shouldn't use them if: you have had a stroke or blood clots caused by pregnancy, birth control pills or jaundice, or if cancer has ever affected your breast, uterus, cervical, or vagina.

Before you take this drug

Birth-control pills may increase your risk for blood clots or stroke. If you suffer from high blood pressure or diabetes, you may be at greater risk. The risk of stroke and blood clots is greatest during the first year you take birth control pills. You are at high risk when you start taking birth control pills again after a break of 4 weeks or more.

Smoking increases your risk of a stroke or heart attack due to birth control pills. This is especially true if you're older than 35. Do not use it if you are pregnant. Stop using Caziant immediately if you are pregnant or if you are missing two menstrual cycles in a row. Wait at least four weeks after giving birth if you've just had a child.

If you are pregnant, or if:

  • Untreated or uncontrolled hypertension, heart disease or coronary heart disease (chest discomfort, history of stroke, heart attack, or blood clot), or an increased risk for blood clots because of a heart condition or hereditary blood disorder
  • A history of cancers of the breast, uterus, cervix, or vagina
  • Unusual vaginal bleeding not checked by a physician;
  • Liver disease or liver cancer, if you take any hepatitis C medication containing ombitasvir, paritaprevir, or ritonavir with or without dasabuvir, or if you have a history of jaundice caused by pregnancy or birth control pills;
  • Severe migraine headaches with aura, numbness, weakness, or changes in vision, especially if older than 35 or if smoking and over 35,

Tell your doctor about any of the following:

  • Heart disease, high blood pressure, varicose veins, if you have a tendency to have blood clots, high cholesterol, or triglycerides, or are overweight.
  • Gallbladder disease, depression, migraine headaches, and diabetes
  • Liver or kidney disease
  • Irregular menstrual cycle, lumps or nodules on a mammogram, fibrocystic breast disease

Ask your doctor if you can safely breastfeed while taking this medication.

How to take Caziant?

Read all instructions or guides that come with your medication and follow all instructions on the label. Follow the directions on the label. Your first pill will be taken on the day your period starts or the first Sunday following the start of your cycle. When you start taking this medication, you may need to use a backup birth control method, such as a condom or spermicide. You should follow your doctor's advice.

One pill per day is recommended, but no more than one every 24 hours. Start a new package the next day when the pills are finished. If you don't take one pill every day, you may become pregnant. Refill your prescription before you run out.

Some birth control packages contain seven "reminder pills" to help you maintain your regular cycle. Usually, your period will begin when you start taking these reminder pills. You could have been bleeding through the skin. If it persists or becomes very heavy, tell your doctor.

If you have severe nausea or diarrhoea, use backup birth control. You should tell any doctor or surgeon that treats you that you use birth control pills. You will need to see your doctor regularly if you are taking birth control pills. Store away from heat and moisture at room temperature.

What happens if I miss the dose?

Please read and follow all instructions or guides provided with your medication.You are more likely to become pregnant if you miss a pill. Take two pills the next day if you forget to take one. Take one pill a day for the remainder of the pack. If you missed two active pills consecutively in Week 1 or 2, then take two pills a day for the next two days. Take one pill a day for the remainder of the package. After missing a pill, use a backup birth control method for at least seven days.

If you missed two active pills consecutively in Week 3, you can throw the remaining pack out and start another pack on the same day if you started Day 1. If you began on Sunday, continue taking one pill each day until Sunday when the package will end and commence anew.

If you missed 3 active pills consecutively in Week 1, 2, or 3, you can throw the rest out and start over with a new package on the same date if you started Day 1. If you began on Sunday, continue taking one pill each day until Sunday when the package will end and commence anew.You may not get a period if you miss more than two pills. Call your physician if you have missed two periods in a row.You might be pregnant. If you forget to take a pill reminder, just throw it out and continue taking one pill reminder per day until your pack is empty.

What happens if I overdose?

Reach out to the Poison Help Line immediately on 1-800-222-1222 or seek emergency medical attention if any signs of overdose arise, such as nausea, vomiting and vaginal bleeding.

What should be avoided?

Do not smoke while taking birth control pills, especially if you're older than 35. Birth control pills do not stop the spread of your disease. Share razors and toothbrushes. Ask your doctor about how to prevent HIV from being transmitted during sex.

Interaction with other drug

Notify your physician of any medications taken other than those listed, such as:

  • Phenylbutazone;
  • Griseofulvin
  • Bosentan;
  • Rifampin;
  • John's Wort;
  • Glecaprevir/pibrentasvir;
  • Anticonvulsants are antiepileptics such as phenobarbital (phenytoin), carbamazepine (oxcarbazepine), lamotrigine (topiramate), or felbamate.

This list is incomplete. Caziant may be affected by other drugs, such as vitamins and herbs. This list does not encompass all possible drug interactions.




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