Cerazette
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* Includes Free Private Prescription & Consultation.
† Applies to UK only.


Other Related Treatments
MEDICAL INFORMATION
Cerazette Key Facts
Other Related Names or Treatments
Lovima, Hana, Cerelle
About Cerazette
Cerazette is a progesterone-only mini pill containing desogestrel as its active ingredient. It is used to provide protection against pregnancy. It does not contain an oestrogen as would combined contraceptive pills.
Cerazette works by stopping the release of an egg each month from the ovaries, preventing ovulation during the menstrual cycle. It also makes cervical mucus thicker, making it more difficult for sperm to pass through the cervix, and makes the lining of the womb thinner, so fertilised eggs are less likely to implant in the uterus wall.
NowPatient offers the Cerazette birth control pills for the prevention of pregnancy only, following an online consultation with a prescribing clinician.
Key facts of Cerazette
- For the prevention of pregnancy
- There is no evidence that the Cerazette pill causes weight gain
- Cerazette has some common side effects which include headache and migraine
- It can be dangerous if you take Cerazette with certain medications. If you’re not sure if it is safe, discuss this with the prescribing clinician
- Cerazette will not prevent the transmission of sexually transmitted infections (STIs) through unprotected sex
Who is Cerazette not suitable for?
Cerazette may not be suitable for some people. To make sure it’s safe for you, speak to the prescribing clinician before taking Cerazette if you:
- Are allergic to peanut, soya, the active ingredient desogestrel or the inactive ingredients such as lactose monohydrate, soybean oil, polyethylene glycol, or titanium dioxide
- Have ever had a blood clot in the leg or lungs
- Have a family history of heart attacks or stroke
- Have ever had angina or transient ischaemic attack
- Suffer from migraines with aura
- Have a liver disease, liver tumours or any other liver problems
- Have kidney disease
- Have ever had breast cancer or cancer of the cervix, vagina or uterus
- Have unexplained vaginal bleeding
- Have suffered from jaundice, pemphigoid gestationis (a rash involving blisters of the hands and feet), or pruritus while pregnant
- Have a family history of breast cancer
- Have pancreatitis (inflammation of the pancreas)
- Have diabetes
- Have Crohn’s disease or ulcerative colitis
- Have haemolytic uraemic syndrome, high blood cholesterol, or sickle cell anaemia
- Have epilepsy
- Have systemic lupus erythematosus
How and where to get Cerazette?
You can buy Cerazette safely and securely from NowPatient. You can start a consultation today for free and if you qualify for treatment, you only pay for the cost of the medication. Delivery is made to your home or office from our registered pharmacy.
Our service is certified, safe and effective, and we only ever treat conditions. If you book a consultation with one of our prescribers for a contraceptive, you can discuss if Cerazette is a suitable treatment option for you.
At the end of the consultation, the clinician will decide if a treatment plan is suitable for you. If it is, the clinician will issue you with a prescription which can then be ordered, paid for and delivered directly to your chosen address by NowPatient.
Dosage and strength for Cerazette for contraception
The Cerazette blister pack contains 28 Cerazette 75 microgram film coated tablets.
Information about how to take Cerazette for contraception
Take 1 Cerazette tablet each day, at the same time every day. Start a new pack of Cerazette tablets immediately after completing the previous pack. Take your first tablet in order of the day of the week and follow the directions printed on the pack.
If you forget to take a Cerazette tablet, take the missed pill as soon as you are able to do so, if it has been less than 12 hours. If you do not take the missed pill within 12 hours of your usual time, you will not be protected against pregnancy. You will need to use an extra form of additional contraception such as a condom for the next 48 hours. Read the patient information leaflet or speak to your healthcare provider for further medical advice.
What happens if you take too much Cerazette?
If you take more than prescribed, then it can lead to some unpleasant side effects. You should talk to your doctor or reach out to one of our prescribing clinicians, if you have taken too much Cerazette and you experience any of the following side effects.
What are the side effects of Cerazette?
Side effects of Cerazette are split into common and serious.
Common side effects include:
- Breast tenderness
- Breast pain
- Weight changes
- Breakthrough bleeding between periods
- Mood changes
- Headache and migraine
- Nausea, stomach upset, vomiting or diarrhoea
- Vaginal dryness
- Vaginal thrush
- High blood pressure
- Hair loss
Serious side effects include:
- Increased risk of blood clots
- Cervical cancer
- Deep vein thrombosis
- Pulmonary embolism
If you experience any serious side effects, you should contact NHS 111.
If you experience a serious allergic reaction with the signs shown below you should contact emergency services on 999.
- Your lips, mouth, throat or tongue suddenly become swollen
- You’re breathing very fast or struggling to breathe (you may become very wheezy or feel like you’re choking or gasping for air)
- Your throat feels tight or you’re struggling to swallow
- Your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
- You suddenly become very confused, drowsy or dizzy
- Someone faints and cannot be woken up
Always report adverse effects to the MHRA yellow card reporting system. You can read more about this here How and where do I report side effects of my medication? – NowPatient
Information about taking Cerazette at the same time as other medications or herbal supplements
There is not enough evidence to suggest there are any drug interactions between herbal remedies and Cerazette. In any event, you should let your prescribing clinician know if you are taking any herbal supplements or other medications such as:
- Epilepsy treatments – phenytoin or carbamazepine
- Rifampicin
- HIV medicines – ritonavir
- Hepatitis C medicines – telaprevir or boceprevir
- Antifungal medicines – ketoconazole or griseofulvin
- St John’s Wort
- Medicines for high blood pressure, chest pain or irregular heartbeats – diltiazem or verapamil
Why might Cerazette not work for contraception?
Cerazette may not work for you and common reasons may be:
- Missed pills
- Taking other medicines that interfere with Cerazette
- Cerazette not being absorbed due to vomiting and diarrhoea
Can Cerazette taken for contraception be taken long term?
Using medication like Cerazette is safe, provided your doctor has approved it. You should speak to your doctor when deciding to stay on hormonal contraception long term.
Is there a herbal Cerazette?
No. Herbal Cerazette does not exist. If you have been marketed such a formulation, it may be fake.
Can women use Cerazette?
Women can take Cerazette for contraception, but should speak to a doctor if considering taking Cerazette while breast-feeding (Cerazette has not been seen to affect breast milk).
Should I avoid any particular food or drink when taking Cerazette?
You can eat and drink normally when taking Cerazette.
Alternatives to Cerazette
Alternative method of contraception include:
- Implants
- Intrauterine devices (IUDs)
- Oral birth control pills (combined oral contraceptive pill and progestogen only pill)
- Vaginal rings
- Barrier method – condoms, diaphragms
- Tubal ligation and vasectomy
- Emergency contraception containing levonorgestrel
Sources
Medical Disclaimer
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
Related Articles
FAQs
Answers to Popular Questions About Cerazette
What is Cerazette?
Cerazette is a progestogen-only pill (POP) containing desogestrel 75 micrograms. It is the original branded desogestrel POP and remains one of the most widely prescribed mini-pills in the UK. Unlike traditional POPs (such as Noriday and Norgeston), Cerazette consistently suppresses ovulation and has a 12-hour dosing window, making it more effective and forgiving. It is taken every day without a break. Cerazette is a prescription-only medicine manufactured by Organon.
How does Cerazette differ from traditional mini-pills?
Traditional POPs (norethisterone and levonorgestrel) work mainly by thickening cervical mucus and only suppress ovulation in some cycles. They require strict timing within a 3-hour window. Cerazette (desogestrel 75 mcg) consistently suppresses ovulation in 97% of cycles, providing more reliable contraception. It also has a 12-hour dosing window, making it much more forgiving if you take it a few hours late.
How effective is Cerazette?
Cerazette is over 99% effective with perfect use and approximately 91% effective with typical use. Its consistent ovulation suppression makes it the most effective type of progestogen-only pill. It is suitable for virtually all women, including those who cannot take oestrogen, smokers over 35, women with migraine with aura, and breastfeeding mothers.
How do I take Cerazette?
Take one tablet every day at approximately the same time, continuously without any break between packs. Start the next pack immediately after finishing the current one — there is no pill-free interval. If starting on day 1 of your period, protection is immediate. If starting at any other time, use condoms for the first 2 days. Cerazette can be taken with or without food.
What if I miss a Cerazette pill?
If less than 12 hours late, take the pill immediately — full protection is maintained. If more than 12 hours late, take the pill as soon as you remember, continue as normal, and use condoms for the next 2 days. If you had unprotected sex during the unprotected period, consider emergency contraception. If you vomit within 3–4 hours of taking Cerazette, treat it as a missed pill.
What are the common side effects of Cerazette?
Common side effects (affecting 1 in 10 to 1 in 100 women) include irregular bleeding, headache, mood changes, decreased libido, breast tenderness, nausea, and acne. Many women experience changes in bleeding patterns — periods may become irregular, more frequent, lighter, prolonged, or stop completely. These changes typically improve after the first 3–6 months. Weight gain is not proven but occasionally reported.
Will Cerazette stop my periods?
Many women on Cerazette find their periods become much lighter or stop altogether (amenorrhoea). Approximately 1 in 5 women will have no periods at all. This is not harmful and is a result of the progestogen suppressing ovulation and thinning the womb lining. Some women welcome this benefit. If you are concerned about a missed period, a pregnancy test can provide reassurance.
Can I take Cerazette while breastfeeding?
Yes, Cerazette is safe during breastfeeding and is one of the preferred contraceptive options for breastfeeding mothers. Progestogen-only pills do not affect milk supply or composition. It can be started from day 21 postpartum with immediate protection if started by this date.
Is Cerazette the same as Hana and Lovima?
Yes, Cerazette, Hana, and Lovima all contain desogestrel 75 mcg and are clinically identical. The difference is that Cerazette requires a prescription, while Hana and Lovima are available over the counter from pharmacies. If you are currently paying for Cerazette prescriptions, switching to OTC Hana or Lovima may be more convenient and potentially cheaper.
Does Cerazette affect fertility after stopping?
No, fertility returns quickly after stopping Cerazette. Most women ovulate within 1–3 months of stopping. Cerazette does not cause long-term effects on fertility. If you are planning pregnancy, simply stop taking the tablets — no ‘washout’ period is needed.
How can I get Cerazette?
Cerazette requires a prescription and is available on the NHS from your GP, sexual health clinic, or online services like NowPatient. If you prefer a non-prescription option, Hana and Lovima contain the same active ingredient and are available OTC. NowPatient offers convenient online consultations and home delivery.
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