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Cyclafem 7/7/7

Cyclafem 7/7/7 is a combination oral contraceptive pill that contains ethinyl estradiol (an estrogen) and norethindrone (a progestin). It is used to prevent pregnancy by inhibiting ovulation, thickening cervical mucus, and altering the uterine lining, which makes it more difficult for sperm to reach the egg and for a fertilized egg to attach. Cyclafem 7/7/7 also helps regulate menstrual cycles, reduce the risk of ovarian cysts, and treat acne in some cases. The 7/7/7 refers to the triphasic dosing regimen, which varies hormone levels across three phases during the 21 active pill days.



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Frequently Asked Questions

What should I do if I miss a pill?
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If you miss one active pill, take it as soon as you remember, then take the next pill at your usual time. If you miss two or more active pills, follow the instructions in the package insert or consult your doctor.

Does Cyclafem 7/7/7 protect against STIs?
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No, Cyclafem 7/7/7 does not protect against sexually transmitted infections. Use condoms or another barrier method to reduce the risk of STIs.

Can I take Cyclafem 7/7/7 if I am breastfeeding?
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Cyclafem 7/7/7 is generally not recommended for breastfeeding women, as it may reduce milk production. Consult your doctor for other contraceptive options while breastfeeding.

What should I do if I experience nausea while taking Cyclafem 7/7/7?
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Nausea is a common side effect. Try taking the pill with food or at bedtime to minimize nausea. If nausea persists, consult your healthcare provider.

When should I stop taking Cyclafem 7/7/7?
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You can stop taking Cyclafem 7/7/7 if you wish to become pregnant or if directed by your healthcare provider. If transitioning to another form of contraception, ask your doctor for guidance.

Comprehensive Drug Guide

How Does Cyclafem 7/7/7 Work?

Cyclafem 7/7/7 prevents pregnancy by:

  • Inhibiting ovulation through the combined actions of ethinyl estradiol and norethindrone.
  • Thickening cervical mucus, making it more difficult for sperm to reach the uterus.
  • Altering the uterine lining, making it less receptive to a fertilized egg.

What is Cyclafem 7/7/7 Used For?

  • Prevention of pregnancy
  • Regulation of menstrual cycles
  • Treatment of moderate acne in women who also desire contraception

Common Dosages

Cyclafem 7/7/7 is available by prescription in a 28-day oral contraceptive pack. It is not classified as a controlled substance.

  • Active pills: 21 tablets, with 7 tablets each containing 0.5 mg, 0.75 mg, and 1 mg of norethindrone, and 0.035 mg of ethinyl estradiol.
  • Inactive pills: 7 placebo tablets taken during the last week of the cycle.

Typical Dosing

FDA Approved Indications

Take one active tablet daily for 21 days, followed by one inactive tablet daily for the next 7 days. This regimen is repeated monthly. To ensure maximum effectiveness, take the pill at the same time every day.

Who Shouldn't Take Cyclafem 7/7/7?

Cyclafem 7/7/7 should not be used in individuals with:

  • A history of blood clots, stroke, or heart attack
  • Uncontrolled hypertension
  • Known or suspected breast cancer
  • Liver disease or liver tumors
  • Known hypersensitivity to ethinyl estradiol, norethindrone, or any component of the formulation


Advice From The Pharmacist

  • Take the pill at the same time every day to ensure consistent hormone levels and maximize pregnancy prevention.
  • If you miss a dose, follow the instructions on the package insert or consult your healthcare provider for guidance on how to proceed.
  • Use an additional form of contraception, such as condoms, if you miss two or more active pills in a row.
  • Store Cyclafem 7/7/7 at room temperature and keep it away from moisture.
  • This medication does not protect against sexually transmitted infections (STIs). Use condoms or another barrier method for STI prevention.

Side Effects of Cyclafem 7/7/7

Common Side Effects

  • Nausea
  • Breast tenderness
  • Headache
  • Weight gain
  • Mood changes


Uncommon/Severe Side Effects

  • Blood clots
  • Stroke
  • Heart attack
  • Liver problems (e.g., jaundice)


Risks and Warnings of Cyclafem 7/7/7

Blood Clots: Cyclafem 7/7/7 increases the risk of blood clots, especially in women who smoke or are over 35. Women with a history of clotting disorders should avoid using this medication.

Cardiovascular Risks: The risk of heart attack or stroke is elevated in women with pre-existing heart conditions or high blood pressure.

Breast Cancer: Hormonal contraceptives may raise the risk of breast cancer, particularly in women with a family history or personal history of the disease.

Interactions with Cyclafem 7/7/7

Common Drug Interactions

  • Antibiotics: Some antibiotics, such as rifampin, can reduce the effectiveness of Cyclafem 7/7/7.
  • Anticonvulsants: Medications like phenytoin and carbamazepine may decrease the effectiveness of this contraceptive.
  • St. John’s Wort: This herbal supplement may lower the effectiveness of hormonal birth control.

Alternatives to Cyclafem 7/7/7

  • TriNessa: A triphasic oral contraceptive with a similar hormone composition.
  • Ortho Tri-Cyclen: Another oral contraceptive commonly prescribed for acne treatment and pregnancy prevention.
  • Depo-Provera: An injectable contraceptive for women seeking long-acting birth control.