Tell your doctor before taking this medicine, if you:

• are allergic (hypersensitive) to CIPGEST or any of the other ingredients of this medicine
• are suffering from a blood clot (thromboembolic disorder) in your veins
• have or have ever had a severe arterial disease, including cardiovascular disease, such as a heart attack, stroke or heart disease which causes a reduced blood supply (angina pectoris)
• have diabetes with blood vessel damage
• have or have ever had severe liver disease
• have or have ever had a benign or malignant liver tumour
• have any unexplained vaginal bleeding
• are using hormonal contraceptives of any form (tablet, patch, intrauterine system)
• have a close relative who has had breast cancer
• have ever suffered from depression
• have high blood pressure
• have ever had chloasma
• suffer from pain in your lower abdomen

CIPGEST with food and drink

During CIPGEST treatment, you should avoid drinking grapefruit juice, because this may increase the levels of CIPGEST in your blood. This may increase the risk of getting side effects

• If you become pregnant while taking CIPGEST you are at a slightly increased risk of having an extrauterine pregnancy (the embryo develops outside the womb)
• Tell your doctor before you start taking CIPGEST, if you had an extrauterine pregnancy in the past or have an impaired function of the Fallopian tubes
• Do not take this medicine if you are pregnant or breast-feeding

• CIPGEST is not for use in girls before menarche (first menstrual bleeding)
• The use of CIPGEST may affect the strength of the bone of adolescents (12 to under 18 years)
• If you are under 18 your doctor will, therefore, carefully weigh the benefits and risks of using CIPGEST for you as an individual patient, considering possible risk factors for bone loss (osteoporosis)

• No effects on the ability to drive and use machines have been observed in users of CIPGEST

• Changes in your bleeding pattern, such as spotting, irregular bleeding or your periods may stop completely

• weight gain
• depressed mood, problems sleeping, nervousness, loss of interest in sex, or changed mood
• headache or migraine
• nausea, abdominal pain, wind, swollen tummy or vomiting
• acne or hair loss
• back pain
• breast discomfort, ovarian cyst or hot flushes
• uterine/vaginal bleeding including spotting
• weakness or irritability

• anemia
• weight loss or increase in appetite
• anxiety, depression or mood swings
• imbalance in the autonomic nervous system (controls unconscious bodily functions, e.g. perspiration) or disturbed attention
• dry eye
• tinnitus
• unspecific circulatory problems or uncommon palpitations
• low blood pressure
• shortness of breath (gastrointestinal inflammation),
• inflammation of the gums (gingivitis)
• dry skin, excessive sweating, severe itching of the whole body, male pattern hair growth (hirsutism),
• brittle nails, dandruff, dermatitis, abnormal hair growth, hypersensitive response to light or problems with skin pigmentation
• pains in your bones, muscle spasms, pains and/or a sensation of heaviness in your arms and hands or legs and feet
• urinary tract infection
• vaginal thrush, dryness of the genital area, vaginal discharge

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• Store at room temperature (15-25C)
• Protect from light and moisture
• Keep this medicine out of reach of children
• Do not use this medicine after the expiry date