Order Consultation for the Contraceptive Pill

Pack of 63 Cilest 35/250µg ethinylestradiol norgestimate film-coated tablets
Front of blister pack containing Cilest pills
Back of blister pack for Cilest pills

Please note – Cilest has been discontinued by the manufacturer. Please see our alternative contraceptive pills.

Cilest is a combined oral contraceptive. It contains the oestrogen Ethinylestradiol as well as the progesterone Norgestimate and has to be taken daily.

To place an order, fill in our brief questionnaire. You can choose a preferred treatment, such as Cilest. Our online doctor will review your information and approve an appropriate treatment. You can collect your medication from your nearest pharmacy or choose to get it delivered directly to your door.

A consultation for the contraceptive pill costs €21.50.

Medical consultation with prescription if necessary - €21.50
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How often do I need to take Cilest?

In order to work effectively and provide safe contraception, Cilest has to be taken at the same time every day. The only exception is the 7 day pill break in the fourth week of your cycle. You’ll find 21 tablets in one Cilest blister pack. After three weeks of taking a tablet every day you will have one week without taking any tablets, during which you will experience a withdrawal bleed. You’re still protected during this week but it is important that you start the next blister pack after 7 days.

Sometimes it may be difficult to remember to start the next pack at the correct time and this can lead to a risk of pregnancy. Newer ways of taking combined pills like Cilest are commonly used and can reduce the risk of pregnancy and of experiencing any unwanted symptoms in the hormone-free week (although they’re perfectly safe, these regimes aren’t licensed by the manufacturer). One option is to have only a 4-day break before starting the next pack. Another is to take 3 packs (9 weeks) back to back, then have a 4-day or 7-day break before starting the next pack. Women can also take Cilest every day until bleeding occurs for 4 days in a row, then take a 4-day or 7-day break before starting the next pack, or continue to take Cilest every day with no breaks between packs when bleeding occurs.

Breakthrough bleeding is more common with the newer regimes. As each woman is individual you may wish to discuss with your pill prescriber which of these regimes would suit you best.

Active ingredient of Cilest

Cilest contains two active ingredients, ethinylestradiol and norgestimate. With every tablet, you are taking 250 micrograms norgestimate and 35 micrograms ethinylestradiol.

Very common side effects

  • Headache
  • Stomach problems including vomiting and diarrhoea
  • Painful or heavy periods (Cilest can also be used to treat these symptoms in some women)
Medically reviewed by:
Dr Clair Grainger

Dr Clair Grainger studied at The University of Edinburgh from 2004 to 2009. She's worked in hospitals throughout Edinburgh and London before completing her GP training in North Middlesex Hospital in 2017.

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Last reviewed: 22 Feb 2019