Medication information

Cyestra 35 35mcg+2mg tablets-21

This medication contains hormones (estrogen and progestin). Typically, it is used for acne. It requires a few weeks to take effect.


This product is taken once a day for 21 days followed by 7 days off. For optimal efficacy, it is recommended that the product be taken at the same time every day. It can be taken with or without food. Since this product contains hormones that may have a contraceptive effect, it should not be combined with any other hormonal contraceptive.

Always start a new pack on the scheduled date. If you miss a dose but remember it within the first 12 hours, take it as soon as your remember, then taken the next dose at the regularly scheduled time. If you remember more than 12 hours after your regularly scheduled time or if you missed more than one pill, contact your pharmacist.

Take this medication regularly and continuously to maintain its beneficial effects. Discontinue treatment 3 to 4 cycles after signs of acne have completely resolved.

Side effects

In addition to its desired action, this medication may cause some side effects, notably:

  • it may cause headaches;
  • it may cause menstrual pain;
  • it may lower your sex drive (libido);
  • it could cause water retention and swelling;
  • it may cause your breasts to feel swollen and tender.

Each person may react differently to a treatment. If you think this medication may be causing side effects (including those described here, or others), talk to your doctor or pharmacist. He or she can help you to determine whether or not the medication is the source of the problem.


As with most medications, this product should be stored at room temperature. Store it in a secure location where it will not be exposed to excessive heat, moisture or direct sunlight. Keep it out of reach of young children. Make sure that any leftover portion is disposed of safely.

Additional Information

You are advised not to smoke when taking hormonal contraceptives. Smoking increases the risks of cardiovascular disease and stroke. The risks increase with age and with as few as 15 cigarettes a day. The increased risks are significant enough that after the age of 35, smokers should change their contraceptive method.

This medication may interact with other medications or supplements, sometimes significantly. Many interactions, however, may be dealt with by a dosage adjustment or a change in medication schedule. Check with your pharmacist before using this medication in combination with any other medications (including non-prescription products), vitamins or natural products.

A treatment with this medication requires regular monitoring by a doctor. Be sure to see your doctor for all regularly scheduled appointments.

General notes

It is important to tell the health professionals you consult:

  • if you have a history of any other medical condition, whether you smoke and for women, if you are or want to become pregnant or breastfeeding;
  • if you have allergies to any medications or any other allergies (e.g. to food, latex, etc.);
  • all medications you are taking, prescription and non-prescription, including vitamins and natural products and supplements.