Estelle-35 Tablet
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Prescription Required
Overview
Estelle-35 Tablet is a prescription-only medicine (POM) presented as a tablet, with Cyproterone acetate 2mg and Ethinylestradiol 35mcg as its active ingredient content.
This page is limited to product, safety and handling information, in line with Malaysian rules on prescription medicine information for the public. Your prescriber or pharmacist is the right source for anything beyond that, together with the leaflet inside the pack.
Through DoctorOnCall, this product is supplied after an online consultation with a licensed doctor and a valid prescription, and it is checked by a registered pharmacist before dispensing. Take it exactly as prescribed, and speak to your doctor before stopping, changing the dose, or starting any other medicine alongside it.
Directions for Use
Take Estelle-35 Tablet at about the same time each day, with a full glass of water, following the order marked on the blister pack. If you miss a tablet, or have vomiting or severe diarrhoea, refer to the patient information leaflet or contact your doctor or pharmacist immediately for specific advice, as missing tablets can reduce contraceptive protection.
Dosage
Estelle-35 Tablet is usually taken as one tablet daily for 21 days, followed by a 7-day tablet-free interval, repeated in a monthly cycle. Your doctor may recommend continuing treatment for several menstrual cycles after your skin symptoms clear before reassessing whether to continue. Always follow your doctor’s specific instructions, as the dosing schedule and duration are individualised.
Shelf Life
Use this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.
Storage Instructions
Store below 30°C in a dry place, away from direct sunlight and out of reach of children.
Side Effects
- Nausea and headache
- Breast tenderness
- Mood changes
- Breakthrough bleeding or spotting between periods, especially in the first few cycles
- Serious: signs of a blood clot – calf pain, swelling or warmth in one leg, sudden chest pain or breathlessness, sudden severe headache, vision changes, or one-sided weakness – require emergency medical attention
Contraindications
- Known hypersensitivity to cyproterone acetate, ethinylestradiol, or any ingredient in this product
- Current or past history of venous or arterial thromboembolism, including deep vein thrombosis, pulmonary embolism, stroke, or heart attack
- Migraine with aura
- Smokers over the age of 35 (significantly increased risk of blood clots)
- Known or suspected pregnancy, hormone-dependent cancers, or severe liver disease
Drug / Food Interactions
- Enzyme-inducing medicines (e.g. certain anticonvulsants such as carbamazepine or phenytoin, rifampicin, St John’s Wort) can reduce this medicine’s effectiveness
- Some antibiotics may occasionally reduce contraceptive reliability – ask your pharmacist if additional contraception is needed
- Other hormonal medicines or hormonal contraceptives should not be taken at the same time
- Smoking substantially increases the risk of serious blood clots and cardiovascular side effects with this medicine
Quick Tips
- Never smoke while taking this medicine, particularly if you are over 35, due to a significantly increased risk of blood clots
- This medicine is prescribed for your acne, hirsutism, seborrhoea, or contraceptive need – it should not be added on top of another contraceptive method
- Take your tablet at the same time every day to maintain contraceptive protection
- Report calf pain or swelling, chest pain, sudden severe headache, or vision changes to your doctor immediately
- Attend regular follow-up appointments with your doctor to review ongoing treatment
- Tell your doctor about your full medical and family history, especially any history of blood clots, before starting
Frequently Asked Questions
Is Estelle-35 Tablet a prescription medicine?
Yes. Estelle-35 Tablet is a prescription-only medicine (POM). It can only be supplied against a valid prescription written by a registered doctor, and it should be used only by the person named on the prescription label.
What does Estelle-35 Tablet contain?
Estelle-35 Tablet is supplied as a tablet and contains Cyproterone acetate 2mg and Ethinylestradiol 35mcg. The full composition is listed in the Composition section on this page and on the product packaging.
Why is there no information here about what Estelle-35 Tablet is for?
Malaysian rules for prescription medicines limit public product pages to product, safety and handling information. Your doctor decides whether this medicine is appropriate for you and will explain it during your consultation, and your pharmacist can answer further questions when the medicine is dispensed.
How should I take Estelle-35 Tablet?
Follow your doctor’s instructions and the directions on the dispensing label without changing them. If anything on the label is unclear, check with your pharmacist before taking the first dose, and read the Directions for Use section on this page.
What should I do if I miss a dose?
Take it as soon as you remember, unless your next dose is nearly due. In that case skip the missed dose and carry on with your usual schedule. Never take two doses together to make up for a missed one. If you miss doses often, tell your doctor or pharmacist.
How should I store Estelle-35 Tablet?
Store below 30°C in a dry place, away from direct sunlight and out of reach of children. Keep it in the original pack until use, and do not use it after the expiry date printed on the packaging.
What should I do if I notice side effects?
Tell your doctor or pharmacist about any reaction that concerns you, and seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.
Can I stop taking Estelle-35 Tablet on my own?
No. Speak to your doctor before stopping, pausing or changing the dose, even if you feel well or think you no longer need the medicine.
How do I get a prescription for Estelle-35 Tablet?
Customers in Malaysia can complete an online consultation with a DoctorOnCall doctor, who decides whether a prescription is appropriate, or upload a valid prescription already issued by their own doctor.
Orders going to Singapore are dispatched from Malaysia as an international delivery, so you need to hold a valid prescription or doctor’s letter for the medicine. Check the consultation and prescription upload options shown at checkout for your delivery address before placing the order.
How long will delivery take?
Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day.
Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.
What payment methods can I use?
Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay.
FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.
Can Estelle-35 Tablet be delivered to Singapore?
Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee.
Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.
Is Estelle-35 Tablet registered with the authorities?
Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number.
An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.
Who do I contact if there is a problem with my order?
DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre.
For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.
Ingredients / Active Ingredients
- Cyproterone acetate 2mg
- Ethinylestradiol 35mcg
Safety Advice
Pregnancy
This medicine is not considered safe during pregnancy and should be avoided.
Breastfeeding
Generally not recommended while breastfeeding.
Kidney
Use cautiously. Dose adjustment or monitoring may be required.
Liver
Use cautiously. Liver function monitoring may be required.
Alcohol
It is not advisable to consume alcohol while taking this medicine.
Driving
Use caution while driving until you know how this medicine affects you.
Medical Review
