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Generic name: ethinyl estradiol and desogestrel [EH-thih-nill-ess-tra-DYE-ole-and-des-oh-JESS-trel]
Names of brands: Apri, Azurette, Caziant, Cyred, Cyred EQ,… show the entire 18 brands.
Drug class: contraceptives

What is Cyred?

Cyred is a birth control medication that contains feminine hormones that block the process of ovulation (the release of eggs from the ovary). Cyred also alters the cervical mucus and uterine lining, which makes it difficult for sperm to enter the uterus and makes it more difficult for a fertilized egg to connect in the uterus.

Cyred is a medicine used to prevent pregnancy. There are a variety of kinds of this medication on the market. Some brands are not mentioned in this leaflet. Cyred is also used for reasons not mentioned in this guideline.

Side effects of cyred

Contact a medical professional immediately if you are experiencing symptoms that indicate an allergic reaction like hives; trouble breathing and swelling of your lips, face and tongue.

Birth control pills can result in serious adverse consequences. Do not use birth control pills, and consult your physician immediately if you suffer from:

  • Indications of symptoms of a stroke—sudden weakness or numbness, a serious headache, and slurred speech. Issues with balance or vision;
  • Symptoms that a blood clot has formed inside the lung: chest pain, rapid or loud cough, shortness of breath, fainting, or vomiting up blood;
  • Symptoms for a blood clot within the body, such as pain, swelling, pain, or warmth within one leg.
  • Heart attack symptoms: chest pressure or pain; pain expanding into your shoulder or jaw; nausea; sweating;
  • Liver issues: swelling around your midsection and right side stomach pain; a loss of appetite and dark urine; clay-colored stool; jaundice (yellowing of the eyes or skin);
  • Increased blood pressure, a severe headache, blurred vision, and pounding in your ears or neck
  • Depression: mood changes, feelings of self-worth devaluation, a loss of enthusiasm for things you previously loved, new sleep issues, and thoughts of self-harm;
  • Swelling in your ankles, hands, or feet, or an enlargement of your breast;
  • Shifts in the pattern or intensity of migraine headaches.

Common cyred side effects could include:

  • Weight increase, weight gain, nausea, vomiting, tenderness of the breasts, or bleeding from the breast;
  • Acne, darkening of the facial skin, or
  • Contact lens problems.

This isn't a complete list of all the side effects. Other effects may also be present. Consult your physician for advice regarding medical adverse effects. You can report any adverse reactions to the FDA at 1-800-FDA-1088.


Do not use birth control pills if you are pregnant or just had a baby. It is not recommended to take birth control drugs if you suffer from heart issues, vaginal bleeding, liver issues, or severe migraine headaches in the event that you are also taking certain hepatitis C medications, when you're scheduled to undergo major surgery, or if you smoke and you are over 35 or have ever suffered an attack of the heart, stroke, blood clot, or jaundice triggered by birth control pills or breast cancer vagina, uterus/cervix, or uterus.

Prior to use this drug

The use of contraceptive pills could increase the risk of stroke, blood clots, and heart attack. There is a higher risk if you suffer from elevated blood pressure, diabetes, high cholesterol, or obesity. The risk of having a stroke or blood clots is highest when you first begin taking birth pills to control your weight. Your risk of developing a blood clot is also higher when you start taking your birth control medication after not taking it for four weeks or more.

Smoking could increase the chances of developing blood clots, heart attacks, or strokes that are caused by birth control medications, particularly when you are over 35. Avoid using it if you're expecting. Stop using Cyred and inform your doctor right away when you are pregnant or do not have two menstrual periods in one go. If you've recently had babies and are waiting at least 4 weeks before you start taking birth medication to control your pregnancy,

Do not use contraceptives if you suffer from:

  • Untreated or uncontrolled blood pressure untreated or uncontrolled high blood pressure the presence of heart diseases (chest discomfort, coronary artery disease, or a history of a heart attack, stroke, chest pain, circulation issues, or a blood clot) or an increased risk of getting blood clots as a result of an issue with the heart or hereditary blood disorder.
  • A history of cancer related to hormones as well as cancers of the breast, vagina, uterus, or cervical
  • Abnormal vaginal bleeding that isn't being examined by an ophthalmologist;
  • 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; or
  • Serious migraine headaches (with an aura, numbness, visual changes, or weakness) Particularly when you are older than 35 years old or if you smoke and are more than 35.

Inform your doctor if you have ever suffered from:

  • Heart disease, high blood pressure, varicose veins, or if you're at risk of blood clots, high cholesterol, triglycerides, or are overweight.
  • Migraine headaches, depression migraine headaches, diabetes, gallbladder problems;
  • Kidney or liver disease or
  • Menstrual irregularities, fibrocystic breast disease lumps, nodules, or a mammogram that is abnormal.

Consult your doctor to determine whether it is safe to breastfeed while taking this medicine.

How to take Cyred?

Follow the directions on your prescription label, and go through all medication guides or instructions sheets. Make sure you use the medication exactly as prescribed. The beginning pill occurs on the very first day of your cycle, or on the first Sunday following the start of your period. It is possible to require backup birth control like condoms or spermicides when you first begin using this medication. Follow the instructions of your physician.

You should take one pill a day for at least 24 hours in between. When the pills have run out, start a fresh pack the next day. You could become pregnant if you take a single pill a day. Make sure you refill your prescription before you are completely out of pills. Certain birth control packs include seven "reminder" pills to keep you on track with your cycle. Your period is usually scheduled to begin when you're using these pills to remind you. It is possible that you have bleeding that is a breakthrough. Inform your doctor if the bleeding persists or becomes very heavy.

Utilize a backup birth control pill if you're sick and vomiting a lot or have vomiting. Any surgeon or doctor who sees you must be aware that you're taking birth pills to control your birth. If you take birth medication to control your birth, you will have to visit your doctor frequently. Place it in a cool, dry place free of heat and moisture

What happens if I miss the dose?

Follow the instructions on the label of your prescription and read the medication guide or instructions sheets. In the event of missing a dose, you increase the chance of becoming pregnant. If you do not take one active pill, you should take two pills the next day you can remember. Take one pill per day for the remainder of the package.

If you do not take two active tablets in one row during weeks 1 and 2, you should take two pills a day for two days. Take one pill a day throughout the remainder of the week. Make sure to use a backup birth control plan for a minimum of 7 days after the missing pills.

If you fail to take two active pills during Week 3, you can throw away the remainder of the pack and begin a fresh pack the next day when you are a Day 1 starter. If you're a Sunday-based starter, continue taking a pill each day up to Sunday. When you are done, take out the remainder of your pack and begin a new pack for the day.

If you fail to take three active pills in a row during the week of 1 or 2, discard the rest of your pack and start a fresh pack the following day, if you're a day 1 starter. If you're a Sunday-based starter, you should continue taking a pill each day up to Sunday. On Sunday, toss away the remainder of the pack and begin a new pack for the day. If you take 2 or 3 pills per day, it is possible that you might not experience a period for the rest of the month. If you don't have two consecutive months, consult your physician because it could be that you're pregnant. If you don't remember a pill, throw it out and continue to take one reminder pill each day until the pill bottle is completely empty.

What happens if I overdose?

Get medical attention immediately, or contact us for help at the Poison Help Line at 1-800-222-1222. The symptoms of an overdose can include vomiting, nausea, and vaginal bleeding.

What should be avoided?

Avoid smoking when you are taking birth control medication, especially if you are over 35 years old.

Birth control pills do make it impossible to stop your illness from spreading. Don't engage in sexual activity that is not protected or share toothbrushes, razors, or razors. Discuss with your doctor ways to avoid HIV transmission through sex.

Interaction with other drugs

Discuss with your doctor all other medications, including:

  • Phenylbutazone;
  • Griseofulvin;
  • Bosentan;
  • Rifampin;
  • John's Wort;
  • Glecaprevir/pibrentasvir; or
  • Anticonvulsants (antiepileptics) like carbamazepine, phenytoin, phenobarbital, and oxcarbazepine Other examples include lamotrigine, topiramate, or felbamate.

This list isn't exhaustive. Other drugs can interact with Cyred, which includes medications that are prescribed and available over the counter, vitamins, and herbal products. There are many possible interactions between drugs that are listed here.