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Cyred
Cyred (desogestrel and ethinyl estradiol) is an oral contraceptive used to prevent pregnancy. It is a combination birth control pill that contains two hormones: desogestrel, a progestin, and ethinyl estradiol, an estrogen. These hormones work together to prevent ovulation, thicken cervical mucus to prevent sperm from reaching an egg, and alter the uterine lining to prevent implantation.
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Frequently Asked Questions
How effective is Cyred at preventing pregnancy?
When taken correctly, Cyred is over 99% effective at preventing pregnancy. However, missing doses or taking the pills inconsistently may lower its effectiveness.
Can I use Cyred to skip my period?
Yes, some women choose to skip the inactive pills and start a new pack of active pills right away to avoid having a period. Consult your healthcare provider for advice on how to do this safely.
What should I do if I miss a pill?
If you miss one active pill, take it as soon as you remember and continue with your next pill at the usual time. If you miss two or more pills, follow the instructions in the package insert and use a backup method of contraception.
Can Cyred cause weight gain?
Some women may experience slight weight gain due to fluid retention while taking Cyred, but significant weight gain is uncommon.
Is it safe to use Cyred while breastfeeding?
Cyred is not recommended for use during breastfeeding, as it may reduce milk production. Talk to your healthcare provider about other contraceptive options if you are nursing.
Comprehensive Drug Guide
How Does Cyred Work?
- Inhibiting ovulation (the release of an egg from the ovaries).
- Thickening cervical mucus, making it harder for sperm to enter the uterus.
- Changing the uterine lining, making it less likely for a fertilized egg to implant.
Common Dosages
- Oral tablets: 21 active tablets containing desogestrel and ethinyl estradiol, and 7 inactive (placebo) tablets.
Typical Dosing
- Take one tablet daily at the same time every day for 28 days: 21 active hormone pills followed by 7 inactive pills to allow for a withdrawal bleed (your period).
Typical Dosing
FDA Approved Indications
- Pregnancy in women who choose oral contraceptives as a method of birth control.
Who Shouldn't Take Cyred?
- Known hypersensitivity to desogestrel, ethinyl estradiol, or any component of the formulation.
- Blood clots, heart attack, or stroke.
- Breast cancer or other estrogen- or progestin-sensitive cancers.
- Liver disease or tumors.
Advice From The Pharmacist
- Take Cyred at the same time each day, preferably with food, to reduce nausea.
- If you miss a dose, take it as soon as you remember. If you miss more than one dose, follow the instructions in the package insert or consult your healthcare provider, as additional contraception may be needed.
- Use a backup method of contraception (e.g., condoms) if you miss pills or start a new pack late.
Side Effects of Cyred
Common Side Effects
- Nausea
- Breast tenderness
- Weight gain
- Headaches
- Mood changes
Uncommon/Severe Side Effects
- Blood clots (deep vein thrombosis, pulmonary embolism)
- Stroke
- Liver problems (jaundice)
- High blood pressure
Risks and Warnings of Cyred
- Blood Clots: Combination birth control pills like Cyred can increase the risk of blood clots, especially in smokers and women over 35 years of age.
- Cancer Risk: Long-term use of hormonal contraceptives may increase the risk of breast cancer and cervical cancer. Regular screenings are recommended.
- Smoking: Smoking while using Cyred significantly increases the risk of serious cardiovascular events, such as heart attack or stroke.
Interactions with Cyred
Common Drug Interactions
- Antibiotics (e.g., rifampin) and anticonvulsants (e.g., carbamazepine) can reduce the effectiveness of Cyred, increasing the risk of pregnancy.
- St. John’s Wort: This herbal supplement can decrease the effectiveness of birth control pills and should be avoided while using Cyred.
- Anticoagulants: Hormonal contraceptives may reduce the effectiveness of blood thinners like warfarin.
Alternatives to Cyred
- Yaz: Another combination oral contraceptive that contains drospirenone and ethinyl estradiol.
- Ortho Tri-Cyclen: A combination pill containing norgestimate and ethinyl estradiol, often prescribed for both contraception and acne management.
- NuvaRing: A contraceptive vaginal ring that releases hormones similar to those in Cyred, but with a different route of administration.
