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Diane 35 (Cyproterone acetate/ethinyl estradiol) Shopper Approved

Prescription Prescription Required FormationFormulation: Tablet

Diane 35

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Prescription Prescription Required FormationFormulation: Tablet

Cyproterone acetate/ethinyl estradiol

(Generic Alternative)

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Diane-35 contains cyproterone acetate and ethinyl estradiol. It is a prescription hormonal medicine mainly used to treat severe acne in women when other treatments have not worked well enough. It can be especially helpful when acne occurs along with signs of increased androgen activity, such as very oily skin or mild excessive facial or body hair.

Severe Acne

Diane-35 may be prescribed for women with severe acne that has not improved with other treatments, such as topical acne medicines or oral antibiotics.

It can help reduce symptoms such as:

  • Frequent or persistent breakouts
  • Inflamed pimples
  • Very oily skin
  • Acne associated with excess androgen activity

Improvement is usually gradual. It may take several menstrual cycles before you notice a clear difference in your skin.

Oily Skin and Seborrhea

Diane-35 may also help reduce seborrhea, which means unusually oily skin caused partly by increased activity of the sebaceous glands.

Androgens can stimulate these glands to produce more oil. Cyproterone acetate helps block the effects of androgens, which may reduce excess oil production and improve acne over time.

Excessive Hair Growth

Diane-35 may also help women who have mild hirsutism, or excessive facial or body hair related to androgen activity.

Hirsutism may cause darker or thicker hair to grow in areas such as the face, chin, chest, abdomen, or back.

Because hair grows in cycles, improvement can take longer than improvement in acne. Several months of treatment may be needed before a noticeable change occurs.

How Does Diane-35 Work?

Diane-35 combines two active ingredients that work together.

Cyproterone acetate has antiandrogen effects. It reduces the effects of androgens, sometimes called male-type hormones. Women naturally produce small amounts of these hormones, but increased androgen activity can contribute to acne, oily skin, and excessive hair growth.

Ethinyl estradiol is a synthetic estrogen. It works with cyproterone acetate to reduce androgen activity and regulate hormone levels.

Together, these ingredients can decrease oil production in the skin and reduce other androgen-related symptoms.

Does Diane-35 Prevent Pregnancy?

Diane-35 can prevent ovulation and provide contraceptive protection when taken correctly. However, in Canada, it is not intended to be prescribed solely for birth control. Its main approved use is the temporary treatment of severe acne associated with androgen-related symptoms when other treatments have not been successful.

You should not take another hormonal contraceptive at the same time unless your healthcare provider specifically tells you to, because combining hormonal contraceptives can increase the risk of side effects such as blood clots.

How Long Does Diane-35 Take to Work?

Diane-35 does not work immediately.

Acne and oily skin usually improve gradually over several treatment cycles. Excessive hair growth may take longer because existing hairs must go through their normal growth cycle before improvement becomes noticeable.

Continue taking the medication exactly as prescribed even if you do not notice an immediate improvement.

How Long is Diane-35 Usually Used?

Diane-35 is generally intended for temporary treatment rather than indefinite use. The Canadian product information recommends limiting exposure and reassessing treatment once symptoms have cleared.

Your healthcare provider will decide how long you should continue treatment based on your symptoms, response, and individual risks.

Who May Be Prescribed Diane-35?

Diane-35 may be considered for women who have severe acne together with signs of androgen activity and who have not responded adequately to other available treatments.

It is not usually the first treatment tried for mild acne.

Important Safety Information

Diane-35 can increase the risk of blood clots, including clots in the legs or lungs. Because of this risk, your healthcare provider should review your medical history before prescribing it.

Tell your healthcare provider if you have a personal or family history of blood clots, stroke, heart problems, migraines with neurological symptoms, liver disease, or other conditions that may make hormonal treatment less suitable.

Seek immediate medical attention if you develop symptoms such as sudden chest pain, difficulty breathing, coughing up blood, severe unexplained leg pain or swelling, sudden vision changes, or sudden weakness or numbness.

Important Reminder

Take Diane-35 exactly as prescribed. Do not use it solely as a birth control pill, and do not combine it with another hormonal contraceptive unless specifically directed by your healthcare provider.

Regular follow-up is important so your healthcare provider can review how well your acne or other androgen-related symptoms are improving and determine whether you still need treatment.

Diane-35 should be taken exactly as prescribed by your healthcare provider. Each tablet contains cyproterone acetate and ethinyl estradiol. The tablets are taken by mouth, usually at about the same time every day.

Keeping a regular schedule makes it easier to remember your dose and helps maintain consistent hormone levels throughout the treatment cycle.

When Should You Start Diane-35?

Treatment is commonly started on the first day of your menstrual period, unless your healthcare provider gives you different instructions.

Starting at the recommended time helps establish the treatment cycle correctly. If you are unsure when to begin your first pack, check the patient information that comes with your medication or speak with your doctor or pharmacist.

Usual 28-Day Treatment Cycle

A standard Diane-35 pack contains 21 active tablets.

The usual schedule is:

  • Take 1 tablet every day for 21 consecutive days.
  • After the 21st tablet, take a 7-day tablet-free break.
  • Start the next pack after the 7-day break.

This creates a 28-day cycle: 21 days taking tablets followed by 7 days without tablets.

You should begin the next pack on schedule even if menstrual-like bleeding has not completely stopped.

Take Diane-35 at the Same Time Each Day

Choose a time that is easy to remember and try to take your tablet at approximately that time every day.

For example, some people find it easier to take it with breakfast or before going to bed. A phone reminder or medication organizer may also help.

Consistency is especially important because missed or late tablets can affect the medication’s effectiveness.

Can Diane-35 Be Taken With Food?

Diane-35 may generally be taken with or without food.

If the medication makes you feel nauseated, taking it with food or after a meal may make it easier on your stomach.

How Long Does Diane-35 Take to Improve Acne?

Diane-35 does not usually clear acne immediately. Skin improvement generally develops gradually over several treatment cycles.

You may need to use the medication for several months before you notice a significant improvement. Continue your treatment according to your healthcare provider’s instructions rather than stopping because you do not see immediate results.

What Happens After Your Acne Clears?

Once your acne has completely improved, treatment does not necessarily need to continue indefinitely.

Your healthcare provider will review whether Diane-35 is still needed. The goal is to limit exposure to the medication and use it only as long as necessary for the condition being treated.

If acne returns after treatment has been discontinued, your healthcare provider can decide whether Diane-35 or another treatment should be restarted.

What If You Miss a Tablet?

What you should do depends on how late the tablet is and where you are in your treatment cycle.

Follow the missed-tablet instructions included with your Diane-35 package. If you are unsure what to do, ask your pharmacist or healthcare provider rather than taking additional tablets on your own.

Do Not Take Extra Tablets

Do not take more Diane-35 than prescribed or change your treatment schedule on your own.

Taking additional tablets will not make your acne improve faster and may increase the risk of side effects.

Do Not Combine It With Another Hormonal Contraceptive

Diane-35 has contraceptive effects while it is being taken correctly. It should not be combined with another hormonal contraceptive unless your healthcare provider specifically instructs you to do so.

Regular Follow-Up Is Important

Your healthcare provider should periodically review your treatment to see whether Diane-35 is improving your acne and whether it is still appropriate for you.

This is especially important because Diane-35 can increase the risk of blood clots. Tell your healthcare provider about any changes in your health or new medications during treatment.

Important Reminder

Take one Diane-35 tablet daily for 21 days, followed by a 7-day tablet-free interval, unless your healthcare provider gives you a different schedule. Start each new pack on time and continue treatment exactly as prescribed.

If you miss tablets, develop new medical problems, or are unsure whether you should continue Diane-35 after your acne improves, speak with your doctor or pharmacist before making changes.

Common Side Effects of Diane 35 (Cyproterone Acetate/Ethinyl Estradiol):

  • Abdominal pain
  • Altered mood
  • Breast tenderness
  • Headache
  • Nausea
  • Vomiting
  • Weight gain

Serious Side Effects of Diane 35 (Cyproterone Acetate/Ethinyl Estradiol):

  • Allergic reactions
  • Difficulty breathing
  • Heart attack
  • Hives
  • Rashes
  • Stroke
  • Swelling (face and lips)
  • Throat tightness
  • Unbearable stomach pain

Diane 35 (Cyproterone Acetate/Ethinyl Estradiol) is available in the following forms and strength:

Diane 35: Tablet

  • 2 mg/0.035 mg

Cyproterone Acetate/Ethinyl Estradiol: Tablet

  • 2 mg/0.035 mg

Diane-35 can cause side effects and may not be suitable for everyone. Before starting treatment, tell your healthcare provider about your medical history, medications, smoking status, and any personal or family history of blood clots.

Blood Clots

Diane-35 can increase the risk of blood clots in the veins or arteries. These clots can sometimes lead to serious problems such as deep vein thrombosis or pulmonary embolism.

The risk may be higher if you smoke, have obesity, have a personal or family history of blood clots, or have other clotting risk factors.

Seek immediate medical attention if you develop sudden shortness of breath, chest pain, coughing up blood, or unexplained pain or swelling in one leg.

Heart Attack and Stroke

Hormonal medicines such as Diane-35 may also increase the risk of heart attack or stroke, particularly in people who already have cardiovascular risk factors.

Tell your healthcare provider if you smoke, have high blood pressure, have migraine headaches with neurological symptoms, or have a history of heart or blood vessel disease.

Seek emergency care for sudden weakness or numbness, difficulty speaking, severe headache, vision changes, or chest pain.

Medication Interactions

Diane-35 can interact with certain medications. Some drugs may change hormone levels or make Diane-35 less effective.

Tell your healthcare provider about all prescription medicines, over-the-counter products, vitamins, supplements, and herbal products you take before starting treatment.

Common Side Effects

Some people may experience side effects such as nausea, headache, breast discomfort, changes in mood, or changes in body weight while taking Diane-35.

These effects are often mild, but contact your healthcare provider if they become severe or do not improve.

Breast Cancer

Hormonal medicines have been associated with changes in breast cancer risk. Your individual risk depends on several factors, including age, family history, and personal medical history.

Tell your healthcare provider if you have had breast cancer or another hormone-sensitive cancer before starting Diane-35. Diane-35 is contraindicated in certain people with hormone-dependent cancers.

Changes in Menstrual Bleeding

Diane-35 can cause changes in your menstrual cycle, especially during the first few months of treatment.

You may experience spotting, breakthrough bleeding, or changes in the timing or amount of bleeding. Tell your healthcare provider if bleeding becomes heavy, persistent, or unusual.

Mood Changes

Hormonal changes may affect mood in some people. You may notice irritability, low mood, or other emotional changes.

Talk to your healthcare provider if you develop significant or persistent mood changes while taking Diane-35.

Liver Problems

Diane-35 should not be used in people with certain severe liver conditions until liver function has returned to normal.

Tell your healthcare provider if you have a history of liver disease. Contact them promptly if you develop yellowing of the skin or eyes, dark urine, severe abdominal pain, or unusual tiredness.

Pregnancy

Diane-35 should not be used during pregnancy. If you become pregnant or think you may be pregnant while taking it, stop taking the medication and contact your healthcare provider for advice.

Important Reminder

Use Diane-35 exactly as prescribed and attend regular follow-up appointments. Contact your healthcare provider if you develop new medical problems or significant side effects during treatment.

Seek immediate medical attention for symptoms that could indicate a blood clot, stroke, heart attack, or serious allergic reaction.

What Is the Best Time to Start Taking Diane-35?

Diane-35 is usually started on the first day of your menstrual period, unless your healthcare provider gives you different instructions. Starting on the first day helps establish the treatment cycle correctly.

How Effective Is Diane-35 for Acne?

Diane-35 can be effective for moderate to severe acne, especially when acne is linked to excess androgen activity and has not improved enough with other treatments. Improvement is gradual. It may take several months before you notice a clear change in your skin.

Can Diane-35 Be Used as Birth Control?

Diane-35 has contraceptive effects when taken correctly, but it is not intended to be prescribed solely for birth control. Its main use is the treatment of severe acne and other androgen-related symptoms in women who need this type of therapy. Do not use Diane-35 together with another hormonal contraceptive unless your healthcare provider specifically tells you to do so.

How Long Should I Take Diane-35?

The length of treatment depends on your symptoms and how well you respond. Your healthcare provider will review your progress and decide how long treatment should continue. Once your acne or other symptoms have improved, they may recommend stopping Diane-35 after a certain number of treatment cycles. Do not stop or restart Diane-35 on your own. Follow your healthcare provider’s instructions.

REVIEWS

Additional Information Book
Generic name:

Cyproterone Acetate/Ethinyl Estradiol, Cyproterone acetate/ethinyl estradiol

Formulation:

Tablet

Strength(s):

2mg/0.035mg

Quantities Available:

3, 21

Why customers love Online Pharmacies Canada

Our online Canadian Pharmacy is known for high standards of quality, safety, and efficiency when it comes to medications.

Our pharmacy offers lower prices on prescription drugs compared to traditional pharmacies.

How to Order

How much Diane 35 can I order at once from a Canadian pharmacy?

When ordering Diane 35 (cyproterone acetate/ethinyl estradiol) from a Canadian pharmacy, you can typically purchase up to a 90-day supply at one time, which is common for prescription medications to ensure adequate management without frequent refills.

Here’s what you need to know:

Dosage and Quantity: Diane 35 is prescribed as one tablet daily. For a 90-day supply, this means you would order 90 tablets (90 days x 1 tablet per day). Since Diane 35 is packaged in 21-tablet blister packs, you would need approximately 5 packs (4 packs for 84 days and an additional pack to complete the 90 days).

Do you sell cyproterone acetate/ethinyl estradiol?

Yes, we sell cyproterone acetate/ethinyl estradiol on our website. You can enjoy low prices when you order through us. To purchase acetate/ethinylestradiol, you will need a valid prescription from your healthcare provider, as we require this to dispense the medication safely and appropriately. You have the option to submit your prescription by mailing it to us, faxing it, or uploading it securely through your online account.

Do you offer shipping of Diane 35 (cyproterone acetate/ethinyl estradiol) to the United States?

Yes, we ship Diane 35 (cyproterone acetate/ethinyl estradiol) to both the United States and Puerto Rico.

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Online Pharmacies Canada has provided information from third parties intended to increase awareness and does not contain all the information about Diane 35 (Cyproterone acetate/ethinyl estradiol). Talk to your doctor or other qualified medical practitioners for medical attention or advice, or if you have any concerns about Diane 35 (Cyproterone acetate/ethinyl estradiol).