Cerelle vs Cerazette: What's the Difference?

Reviewed by Usama Ali, MPharm (GPhC: 2224726). April 2026.

Cerelle and Cerazette are the same contraceptive medicine in the ways that matter to patients. Both contain desogestrel 75 micrograms, both follow the same 12 hour late pill rule, and both work in the same way to prevent pregnancy. The main differences are the manufacturer, the box, and a few inactive ingredients.

If you have been switched from Cerazette to Cerelle, the first thing to know is that your pharmacy has not switched you to a different type of pill. You are still taking desogestrel 75 micrograms.

Why have I been switched from Cerazette to Cerelle?

Usually, it comes down to cost and stock. Under the NHS Pharmacy Contraception Service, pharmacies are expected to use professional discretion and, where practicable, supply the best value product that still meets the person's clinical need.

Because Cerelle and Cerazette both contain the same active ingredient at the same strength, many pharmacies will supply whichever desogestrel 75 microgram product is the most appropriate and cost effective at the time.

Cerelle vs Cerazette at a glance

FeatureCerelleCerazetteWhat this means
Active ingredientDesogestrel 75 microgramsDesogestrel 75 microgramsSame medicine
DoseOne tablet dailyOne tablet dailySame daily use
Late pill rule12 hours12 hoursSame missed pill advice
Main manufacturerGedeon RichterOrganonDifferent company
Lactose per tablet52.34 mgAbout 55 mgVery small difference
StarchPotato starchMaize starchRelevant only if sensitive
Tablet coatDifferent inactive ingredientsDifferent inactive ingredientsNo contraceptive effect

Are they really the same?

Yes, in the ways that matter for contraception, they are the same. Both products contain desogestrel 75 micrograms. Both are mini pills. Both are taken once a day with no break. Both use the same 12 hour window before a pill counts as late.

What is actually different?

Cerelle uses potato starch in the tablet core, while Cerazette uses maize starch. Cerelle lists 52.34 mg of lactose per tablet, while Cerazette lists approximately 55 mg. The tablet coat ingredients also differ. These changes do not alter the intended contraceptive effect.

Will my side effects change if I switch?

Usually, no. Because the active ingredient and dose are the same, you would not expect a meaningful change in side effects purely because the box changed from Cerazette to Cerelle.

Can I ask for Cerazette specifically?

You can ask, but there is not usually a clinical reason to insist on Cerazette rather than Cerelle. If there is a documented clinical reason to use a particular brand, a clinician can prescribe by brand name.

Which desogestrel brands are relevant under PCS?

The current PCS POP PGD Appendix B includes Cerazette, Cerelle, unbranded desogestrel, Desomono, Desorex, Lovima, and Zelleta. They are all desogestrel 75 microgram products.

Is there a mini pill that is actually different?

Yes. Slynd contains drospirenone 4 mg. Norgeston contains levonorgestrel 30 micrograms. Noriday contains norethisterone 350 micrograms. These are genuinely different medicines.

Bottom line

Cerelle and Cerazette are clinically equivalent desogestrel 75 microgram mini pills. If you have been switched from one to the other, the contraceptive effect has not changed.

Frequently asked questions

Is Cerelle the same as Cerazette?
Yes. Both contain desogestrel 75 micrograms and are clinically equivalent.
Why have I been switched from Cerazette to Cerelle?
Usually because pharmacies are expected to supply the best value product that meets your clinical need under PCS.
Will my side effects change if I switch?
Usually not. The active ingredient and dose are the same.
Can I ask for Cerazette instead of Cerelle?
You can ask, but there is not usually a clinical reason to insist on Cerazette rather than an equivalent desogestrel product.
What is unbranded desogestrel?
It is a generic desogestrel 75 microgram tablet supplied without a patient facing brand name.
Which mini pills under PCS are actually different from desogestrel?
Slynd (drospirenone), Norgeston (levonorgestrel), and Noriday (norethisterone).

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