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Cerazette Contraceptive Pill

  • Progestogen-only contraceptive pill
  • Contains desogestrel 75 micrograms
  • Taken once daily at the same time every day
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Variety of delivery options including next day & free delivery.

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Pharmacy, clinic and prescribers based in Greater Manchester.

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Cerazette Mini Pill

Medication Name Cerazette Contraceptive Pill
Active Ingredient Desogestrel 75 micrograms
Medication Form Tablet
Used for Contraception
Dosage One tablet daily at the same time every day
Common Side Effects Irregular bleeding, headache, nausea, breast tenderness, mood changes
Do you need a prescription? Yes, prescription required
Patient Information Leaflet Cerazette Patient Information Leaflet

Uses for Cerazette Contraceptive Pill

Cerazette is a progestogen-only pill (POP), also known as the mini pill, used to prevent pregnancy. This hormonal contraceptive is over 99% effective at stopping you from getting pregnant when you take the pill correctly.

How Does Cerazette Work?

Cerazette is a progestogen-only pill, which means it contains just one type of hormone – desogestrel, a progestogen. Unlike combined pills, it doesn’t contain oestrogen, which makes it suitable for women who can’t take oestrogen or who prefer not to take oestrogen-containing contraceptives.

Cerazette is different from most other progestogen-only pills because it contains a high enough dose to prevent your ovaries from releasing an egg (ovulation) in most cases. This is the main way combined pills work, and it makes Cerazette highly effective.

The pill also works in two additional ways to prevent pregnancy:

  • Thickens cervical mucus – Cerazette makes the mucus at the entrance to your womb thicker, which makes it much harder for sperm to get through and reach an egg.
  • Thins the womb lining – The pill also thins the lining of your womb, making it less likely that a fertilised egg could implant and develop.

When you take Cerazette correctly, these three actions work together to provide highly effective protection. You’ll be protected against pregnancy as long as you take your pill at the same time every day.

Unlike combined pills, you don’t take a break with Cerazette – you take one tablet every single day without any pill-free days.

Who Can Use Cerazette Contraceptive Pill?

Cerazette is suitable for most women who have started their period and who need contraception. It’s particularly useful if you can’t take oestrogen-containing pills or if you’re breastfeeding.

Women Who Cannot Take Cerazette

Do not use Cerazette if you:

  • Are allergic to desogestrel or any other ingredients in Cerazette
  • Have or have had a blood clot (thrombosis) in your legs, lungs, or other parts of your body
  • Have or have had jaundice (yellowing of the skin) or severe liver disease, and your liver is still not working normally
  • Have or are suspected of having a cancer that grows under the influence of sex steroids, such as certain types of breast cancer
  • Have any unexplained vaginal bleeding
  • Are pregnant or think you might be pregnant

You should speak to your doctor before taking Cerazette if you:

  • Have ever had breast cancer
  • Have liver cancer
  • Have ever had a thrombosis
  • Have diabetes
  • Suffer from epilepsy
  • Have tuberculosis
  • Have high blood pressure
  • Have or have had chloasma (yellowish-brown pigmentation patches on the skin)

Your doctor or pharmacist will assess whether Cerazette is suitable for you, taking into account your medical history and any relevant risk factors you may have.

How to Take Cerazette Pills

Taking Cerazette correctly is important to make sure it works effectively:

  1. Take one pill at the same time every day without any breaks between packs.
  2. Swallow the tablet whole with water. You can take it with or without food.
  3. Follow the arrows on the pack and check the day printed on the back to help you keep track.
  4. Each pack contains 28 tablets – a full 4-week supply. When you finish a pack, start a new Cerazette strip the next day without any gap.

If you’re starting Cerazette for the first time, take your first tablet on the first day of your period. This will give you immediate contraceptive protection. If you start on any other day (days 2-5 of your period), you’ll need to use additional contraception (like condoms) for the first 7 days.

Try to take your Cerazette tablet at the same time each day to help you remember and to keep hormone levels steady in your body. Set a daily alarm on your phone if it helps.

Side Effects of Cerazette Mini Pill

Like all medicines, Cerazette can cause side effects, though not everyone gets them. The most common side effect is irregular vaginal bleeding, which often settles down after the first few months.

Common Side Effects

These may affect up to 1 in 10 women:

  • Mood changes or feeling low
  • Decreased sex drive
  • Headache
  • Nausea
  • Acne
  • Breast pain
  • Irregular bleeding or no periods at all
  • Weight gain

Uncommon Side Effects

These may affect up to 1 in 100 women:

  • Vaginal infection
  • Difficulties wearing contact lenses
  • Vomiting
  • Hair loss
  • Painful periods
  • Ovarian cysts
  • Tiredness

Rare Side Effects

These may affect up to 1 in 1,000 women:

  • Rash or hives
  • Painful blue-red skin lumps (erythema nodosum)

Serious Side Effects

Stop taking Cerazette and seek immediate medical help if you experience:

  • Signs of a blood clot – such as severe pain or swelling in your legs, unexplained chest pain, breathlessness, unusual cough (especially if you cough up blood)
  • Sudden severe stomach pain or jaundice (yellowing of the skin or eyes)
  • Signs of a severe allergic reaction – such as swelling of the face, lips, tongue, or throat, or difficulty breathing

Irregular Bleeding

Vaginal bleeding may occur at irregular intervals while using Cerazette. This could be slight spotting that doesn’t require a pad, or heavier bleeding that looks like a light period. You may also have no bleeding at all.

Irregular bleeding is not a sign that Cerazette isn’t working. In most cases, you don’t need to take any action – just continue to take your pills as normal. If bleeding is heavy or prolonged, you should consult your doctor.

For a full list of side effects, please read the patient information leaflet.

If you experience any side effects, whether listed here or not, speak to your doctor or pharmacist. You can also report side effects through the Yellow Card Scheme, which helps improve the safety of medicines for everyone.

Cerazette Contraceptive Pill Ingredients

Active ingredient: Desogestrel 75 micrograms

Inactive ingredients: Colloidal anhydrous silica, all-rac-α-tocopherol, maize starch, povidone, stearic acid, hypromellose, macrogol 400, talc, titanium dioxide (E171), lactose monohydrate.

Warnings & Precautions

  • Keep Cerazette out of sight and reach of children.
  • Store the blister pack in the original box to protect from light and moisture. Use within 1 month from the date of first opening the sachet.
  • Do not use Cerazette after the expiry date shown on the packaging.
  • Cerazette doesn’t protect against sexually transmitted infections (STIs). Use condoms for protection against STIs. If you need protection from both pregnancy and STIs, you’ll need to use Cerazette alongside a barrier contraceptive method like condoms.
  • If you have persistent vomiting or severe diarrhoea, Cerazette may not work properly. Use additional contraception until you’ve been well for 7 days.
  • Cerazette contains lactose. If your doctor has told you that you’re intolerant to some sugars, speak to them before taking this medicine.
  • Some medicines can make Cerazette less effective, including certain antibiotics, epilepsy medications, and St John’s Wort. Always tell your doctor or pharmacist about all medicines you’re taking.
  • If you need to be immobilised or are having surgery, consult your doctor at least four weeks in advance.
  • Contact your doctor immediately if you notice possible signs of a blood clot, severe stomach pain, jaundice, a lump in your breast, or unusual heavy vaginal bleeding.

Cerazette Contraceptive Pill Reviews

Cerazette Progesterone-Only Pill FAQs


You cannot buy Cerazette over the counter. Cerazette is a prescription-only medication in the UK, which means you need a prescription from a doctor or pharmacist to get it. You can buy Cerazette contraceptive pill online from Click2Pharmacy’s online contraception clinic. You’ll need to complete a free online consultation, which will be reviewed by one of our pharmacists. If Cerazette is suitable for you, we’ll issue your prescription and deliver the medication directly to your door in discreet packaging.

Some women report weight changes while taking Cerazette, but it’s not clear if the pill directly causes this. Weight gain is listed as a common side effect in clinical studies, but many factors can affect your weight. If you’re concerned about weight changes, speak to your doctor.

Your bleeding pattern may change when taking Cerazette. Some women continue to have regular periods, some have irregular bleeding or spotting, and some stop having periods altogether. All of these patterns are normal and don’t mean the pill isn’t working. About 1 in 5 women stop having periods completely while taking Cerazette.

Cerazette and Cerelle contain the same active ingredient (desogestrel 75 micrograms) in the same dose and work in exactly the same way. Cerelle is a generic version of Cerazette. The main difference is that Cerelle is usually less expensive than the branded Cerazette. Both are equally effective at preventing pregnancy when taken correctly.

Because you take Cerazette every day without a break, there’s no specific way to delay your period using this pill. However, many women on Cerazette find that their periods become lighter, less frequent, or stop altogether, which some find beneficial. If you need to delay a period for a specific event, speak to your doctor about other options.

No, Cerazette is not suitable as emergency contraception. If you’ve had unprotected sex or your regular contraception has failed, you need to use a specific emergency contraceptive pill (like ellaOne or Levonelle) or have a copper IUD fitted. Emergency contraception works differently from regular contraceptive pills and needs to be taken as soon as possible after unprotected sex. Speak to your pharmacist or doctor urgently if you need emergency contraception.

Smokers can use Cerazette safely. One of the advantages of Cerazette and other progestogen-only pills is that they can be taken by women who smoke, including those over 35. Combined pills increase the risk of blood clots in smokers, especially those over 35, but progestogen-only pills like Cerazette don’t carry this same risk with smoking.

Yes, Cerazette can be used while you’re breastfeeding. Unlike combined pills, which can reduce milk production, Cerazette is safe to use while breastfeeding. Only a small amount of the active substance passes into breast milk, and studies have shown no effects on the growth and development of breastfed babies.

If you’re switching from a combined pill, you can start Cerazette the day after you take the last active tablet from your current pill pack (or on the day of removal if you use a vaginal ring or patch). You’ll be protected immediately and don’t need to use additional contraception.

If you’re switching from another progestogen-only pill, you can switch on any day without needing extra protection.

If you’re switching from an injection, implant, or hormonal IUS, start using Cerazette when your next injection is due, or on the day your implant or IUS is removed.

Always speak to your doctor or pharmacist for specific advice when switching contraceptives.

If you’re less than 12 hours late, take the missed pill as soon as you remember and take the next one at the usual time. You’re still protected from pregnancy.

If you’re more than 12 hours late, take a tablet as soon as you remember and take the next one at the usual time (this may mean taking two in one day). You may not be completely protected, so use extra contraception (like condoms) for the next 7 days. If you had sex in the days before missing your pill, you may need emergency contraception – speak to your pharmacist or doctor.

If you start taking Cerazette on the first day of your period, it works immediately. If you start on any other day of your cycle (days 2-5), you’ll need to use additional contraception (like condoms) for the first 7 days.

Our Experienced UK-based Pharmacy Team

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Page content authored by Amjad Khan, last reviewed by Mr Muhammad on 24th March 2026.

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