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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Spotting And Abdominal Pain After Changing The Pill From Diane To Cilest. Had Taken Antibiotics Too. Could That Be The Reason?

Hi, I used to take Dianette (combined pill ) until 2 months ago as I was switched to Cilest. The first month there was no spotting or stomach ache. The second month, I had to take a 5 day course of antibiotics 2 days into the 2nd packet of Cilest, 4 days after finishing the antibiotic (still taking the pill) I have bad stomach ache and I am very very lightly spotting. Is this interference from the antibiotic or because I m only 2 months into Cilest?
Thu, 18 Jul 2013
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OBGYN,  's  Response
Hello,
Thanks for posting your query on health care magic.
Enzyme inducing drugs do cause early excretion of drugs like OC pills.
In your case spotting could be due to breakthrough bleeding.
It is usually seen in the first 3 months.
There is no need of treatment.
If the symptoms persists then consult your Gynecologist for the change of OC pills with higher dose of Oestrogen and Progesterone.

Hope this helps.
regards,
Dr Nilofer
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Spotting And Abdominal Pain After Changing The Pill From Diane To Cilest. Had Taken Antibiotics Too. Could That Be The Reason?

Hello, Thanks for posting your query on health care magic. Enzyme inducing drugs do cause early excretion of drugs like OC pills. In your case spotting could be due to breakthrough bleeding. It is usually seen in the first 3 months. There is no need of treatment. If the symptoms persists then consult your Gynecologist for the change of OC pills with higher dose of Oestrogen and Progesterone. Hope this helps. regards, Dr Nilofer