carrol 2mg/0.035mg tablet - Cyproterone (2mg) + Ethinyl Estradiol (0.035mg) medicine

Butipil 2mg/0.035mg Tablet: Complete Guide to Uses, Dosage, and Safety

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🏭 Alembic Pharmaceuticals Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 23, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category This medicine is contraindicated in pregnancy. It may cause harm to the fetus. Women of childbearing potential should use effective contraception while taking this medicine. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for acne and hirsutism.
Reviewed by
SaathiMed Expert Panel | Oct 23, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
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When to Call Your Doctor IMMEDIATELY

  • Sudden shortness of breath or chest pain
  • Severe headache with vision changes
  • Swelling or pain in one leg
  • Yellowing of skin or eyes
  • Severe abdominal pain
  • Unusual vaginal bleeding
  • Signs of allergic reaction (rash, itching, swelling)

If experiencing severe symptoms, call emergency services immediately.

What is carrol 2mg/0.035mg tablet used for?

This medicine is a combination of cyproterone and ethinyl estradiol used to treat moderate to severe acne and excessive hair growth in women. It works by blocking male hormones and regulating estrogen levels.

  • Generic Name: Cyproterone + Ethinyl Estradiol
  • Manufacturer: Alembic Pharmaceuticals Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 carrol 2mg/0.035mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा मुख्य रूप से महिलाओं में मध्यम से गंभीर मुँहासे (एक्ने) और अत्यधिक बालों के विकास (हिर्सुटिज़्म) के इलाज के लिए उपयोग की जाती है। यह पुरुष हार्मोन (एंड्रोजन) के प्रभाव को रोककर काम करती है, जिससे त्वचा पर तेल का उत्पादन कम होता है और मुँहासे कम होते हैं। यह दवा केवल डॉक्टर के पर्चे पर ही मिलती है और पुरुषों, गर्भवती महिलाओं या स्तनपान कराने वाली महिलाओं के लिए नहीं है।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, पेट खराब, सिरदर्द, स्तन में कोमलता, मूड में बदलाव और वजन में बदलाव शामिल हैं। गंभीर दुष्प्रभावों में रक्त के थक्के बनना, जिगर की समस्या, उच्च रक्तचाप और पित्ताशय की बीमारी शामिल हैं। यदि आपको गंभीर पेट दर्द, सीने में दर्द, सांस लेने में कठिनाई, गंभीर सिरदर्द या दृष्टि में बदलाव हो, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक न छोड़ें और न ही अधिक मात्रा में लें। धूम्रपान न करें क्योंकि इससे गंभीर हृदय संबंधी दुष्प्रभावों का खतरा बढ़ जाता है। गर्भवती या स्तनपान कराने वाली महिलाओं को यह दवा नहीं लेनी चाहिए। नियमित रूप से रक्तचाप और जिगर की जांच कराते रहें। धूप में अधिक देर न रहें और सनस्क्रीन का प्रयोग करें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 carrol 2mg/0.035mg tablet Uses & Benefits

  • [{"condition":"Moderate to severe acne","description":"Used in women who have not responded to topical treatments or oral antibiotics.
  • It reduces sebum production and inflammation.","evidence":"Well-established"},{"condition":"Hirsutism","description":"Reduces excessive hair growth in women by blocking androgen receptors.","evidence":"Well-established"},{"condition":"Androgenetic alopecia","description":"May slow hair loss in women with androgen excess.","evidence":"Limited"},{"condition":"Polycystic ovary syndrome (PCOS) symptoms","description":"Helps manage acne and hirsutism associated with PCOS.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Acne in transgender women","description":"Sometimes used as part of hormone therapy, but not standard.","evidence":"Limited"}]

Primary treatment for: Acne

Also treats: Hirsutism, Polycystic ovary syndrome

📋 Drug Information

Generic Name(s)Cyproterone + Ethinyl Estradiol
Brand NameButipil
ManufacturerAlembic Pharmaceuticals Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGYNAECOLOGICAL
Action ClassOral contraceptive; Antiandrogen
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine at the same time each day to maintain consistent hormone levels.
2
Use a backup non-hormonal contraceptive method during the first month of treatment.
3
Inform your doctor if you have a history of migraines, as this medicine may worsen them.
4
Monitor your blood pressure regularly while on this medicine.
5
Report any unusual leg pain or swelling immediately, as it may indicate a blood clot.
6
Avoid smoking, as it significantly increases the risk of cardiovascular side effects.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Moderate to severe acne
This medicine is commonly prescribed for this.
Likely Use
✅
Excessive hair growth
This medicine is used for hirsutism.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionCyproterone is well absorbed from the gastrointestinal tract after oral administration. Ethinyl estradiol is rapidly and almost completely absorbed from the gastrointestinal tract.
DistributionCyproterone is widely distributed in the body and is highly protein-bound. Ethinyl estradiol is distributed widely and binds to plasma proteins, primarily albumin.
Protein BindingCyproterone is approximately 96% bound to plasma proteins. Ethinyl estradiol is about 98% bound to plasma proteins, mainly albumin.
MetabolismCyproterone is metabolized in the liver by hydroxylation and conjugation. Ethinyl estradiol is metabolized in the liver and intestinal mucosa, primarily by hydroxylation and conjugation.
Half-LifeCyproterone: approximately 4 hours. Ethinyl estradiol: approximately 15-25 hours.
ExcretionCyproterone is excreted mainly in the feces and urine as metabolites. Ethinyl estradiol is excreted in urine and feces as metabolites.
BioavailabilityCyproterone: approximately 88% after oral administration. Ethinyl estradiol: approximately 40-50% due to first-pass metabolism.
Onset of ActionAcne improvement may be noticed within 2-3 months of treatment. Hair growth reduction may take 6-12 months.
Peak Plasma TimeCyproterone: 1-2 hours. Ethinyl estradiol: 1-2 hours.
Duration of ActionThe effects last for about 24 hours, requiring daily dosing.

How It Works

This medicine combines two active ingredients. Cyproterone is a synthetic steroid with anti-androgenic properties. It works by blocking androgen receptors in target tissues such as the skin and hair follicles, preventing testosterone and dihydrotestosterone from exerting their effects. It also reduces sebum production. Ethinyl estradiol is a synthetic estrogen that suppresses ovulation and reduces the production of androgens by the ovaries. Together, they reduce acne and excessive hair growth.

Mechanism Steps

1
Androgen receptor blockade: Cyproterone binds to androgen receptors in sebaceous glands and hair follicles, preventing androgens from stimulating sebum production and hair growth.
2
Suppression of ovulation: Ethinyl estradiol inhibits the release of gonadotropin-releasing hormone, leading to reduced follicle-stimulating hormone and luteinizing hormone, thereby suppressing ovulation.
3
Reduction of androgen production: Ethinyl estradiol increases sex hormone-binding globulin, which binds free testosterone, reducing its active form.
4
Decreased sebum production: The combined effect reduces sebum production, preventing clogged pores and acne formation.

💡 How to Take carrol 2mg/0.035mg tablet

Strength: Tablet containing cyproterone 2mg and ethinyl estradiol 0.035mg.

1Take one tablet at the same time each day, preferably after a meal.
2Swallow the tablet whole with a glass of water.
3Follow the 21-day active tablet schedule followed by a 7-day break.
4Do not skip doses.
5If you miss a dose, follow the missed dose instructions.

Dosage Information

Adult DosageThe usual adult dose is one tablet daily for 21 days followed by a 7-day break, as prescribed by your doctor. The dose may be adjusted based on your condition and response. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageThis medicine is not recommended for use in elderly women, especially those over 65, due to increased risk of cardiovascular events.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be needed. Consult your doctor.
Hepatic ImpairmentContraindicated in patients with active liver disease. Use with caution in patients with mild hepatic impairment. Consult your doctor.
Maximum Daily DoseOne tablet per day.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset and nausea.
Grapefruit
Avoid
May increase drug levels and side effects.

⏰ What to Do If You Miss a Dose

📌 Less than 12 hours late
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than 12 hours late
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of carrol 2mg/0.035mg tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food or at bedtime to reduce nausea. If persistent, consult your doctor.
Headache (Common (5-10%))
Rest and stay hydrated. If headaches are severe or persistent, contact your doctor.
Breast tenderness (Common (5-10%))
Wear a supportive bra. If severe, consult your doctor.
Mood changes (Common (5-10%))
Discuss with your doctor if mood changes affect daily life.
Weight changes (Common (5-10%))
Maintain a healthy diet and exercise. Consult your doctor if weight gain is significant.

🚨 Serious Side Effects

Blood clots (deep vein thrombosis, pulmonary embolism) (Rare (<0.1%))
Seek immediate medical attention if you experience leg pain, swelling, chest pain, or shortness of breath.
Liver problems (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or severe abdominal pain to your doctor immediately.
High blood pressure (Uncommon (0.1-1%))
Monitor blood pressure regularly. Consult your doctor if readings are consistently high.
Gallbladder disease (Rare (<0.1%))
Seek medical attention for severe abdominal pain, especially after fatty meals.

⚠️ Rare Side Effects

Severe allergic reactions
Seek emergency care if you experience rash, itching, swelling, or difficulty breathing.
Vision changes
Consult an eye specialist promptly if you notice blurred vision or vision loss.
Depression
Seek professional help if you feel persistently sad or have thoughts of self-harm.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Rifampicin Major
Warfarin Major
Amoxicillin Moderate
Ketoconazole Moderate
St. John's wort Moderate
Paracetamol Minor
Ascorbic acid Minor
Phenytoin Major
Carbamazepine Major
Griseofulvin Moderate

🚨 Major Interactions

  • Rifampicin
  • Anticoagulants (e.g., warfarin)
  • Antidiabetic drugs

⚡ Moderate Interactions

  • Antibiotics (e.g., amoxicillin)
  • Antifungals (e.g., ketoconazole)
  • St. John's wort

🍷 Alcohol Interaction

Alcohol may increase the risk of liver problems and may reduce the effectiveness of this medicine. It is advisable to limit or avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Pregnancy","Breastfeeding","History of blood clots or thrombophlebitis","Active liver disease","Known or suspected breast cancer","Undiagnosed vaginal bleeding","Severe migraine with aura","Diabetes with vascular complications","Smoking in women over 35"]

⚠️ Warnings & Precautions

["Do not use in men.","Do not use in women who are pregnant or breastfeeding.","Avoid smoking while taking this medicine.","Use with caution in women with a history of depression.","May cause fluid retention; use with caution in heart or kidney disease.","May increase sensitivity to sunlight; use sunscreen.","Do not use for acne if you are taking certain other medications without consulting your doctor."]

🤱 Lactation Safety

This medicine is not recommended during breastfeeding as it may pass into breast milk and affect the infant. Consult your doctor for alternative treatments.

💊 Overdose Management

Overdose may cause nausea, vomiting, and withdrawal bleeding. Seek immediate medical attention. Treatment is symptomatic and supportive.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not skip doses or take more than the prescribed amount. This medicine is not for use in men or in women who are pregnant or breastfeeding. Do not smoke while taking this medicine, as smoking increases the risk of serious cardiovascular side effects, especially in women over 35. Avoid prolonged sun exposure and use sunscreen, as this medicine may increase skin sensitivity. Inform your doctor if you have a history of blood clots, liver disease, migraine with aura, or high blood pressure. Regular check-ups, including blood pressure monitoring and liver function tests, may be needed. Do not use this medicine for acne if you are taking certain other medications without consulting your doctor.

👴 Special Considerations for Elderly

💡 For Patients Above 65

This medicine is not recommended for elderly women due to increased cardiovascular risks.

🤰 Pregnancy Planning (TTC)

This medicine is contraindicated during pregnancy. If you are planning pregnancy, stop this medicine at least 3 months before conception and consult your doctor for alternative treatments.

🏥 Post-Surgery Considerations

Stop this medicine at least 4 weeks before major surgery to reduce the risk of blood clots. Consult your surgeon.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine, as it may affect bleeding and healing.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce androgen levels.
🥗
Exercise regularly to improve insulin sensitivity.
😴
Follow a balanced diet low in refined sugars.
💧
Avoid smoking to reduce cardiovascular risk.
🧘
Manage stress through yoga or meditation.
🌞
Get adequate sleep to support hormonal balance.

🏋️ Exercise Considerations

Moderate exercise is generally safe. However, if you experience leg pain or swelling, avoid strenuous exercise and consult your doctor.

🥗 Diet Recommendations

Include plenty of fruits and vegetables.
Choose whole grains over refined carbohydrates.
Limit sugary and processed foods.
Stay well hydrated.
Include omega-3 fatty acids from fish or flaxseed.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or mood changes in some women. Avoid driving or operating heavy machinery if you feel dizzy. It should not affect your ability to work otherwise.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience serious side effects, contact your doctor immediately. Your doctor may advise stopping before surgery or during prolonged immobility.

📅 Long-Term Use Effects

Long-term use may increase the risk of blood clots, liver problems, and cardiovascular events. Regular monitoring of blood pressure, liver function, and lipid profile is recommended. The benefits should be weighed against risks.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Topical retinoids

Can be used for mild to moderate acne.

Evidence: Well-established
Oral antibiotics

For inflammatory acne, but resistance is a concern.

Evidence: Well-established
Laser therapy

For hair removal in hirsutism.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are known. However, inform your doctor if you are due for any vaccinations.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and avoid extreme heat. If crossing time zones, adjust the time you take the tablet gradually. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 28-year-old woman with persistent acne
She had tried multiple topical treatments without success. Her doctor prescribed this medicine. After 3 months, her acne significantly improved. She experienced mild nausea initially, which subsided after taking the tablet with food.
💡 Lesson: Consistent use and taking the medicine with food can improve tolerability and results.
👤 A 35-year-old woman with excessive facial hair
She started this medicine for hirsutism. After 6 months, she noticed reduced hair growth and softer skin. She regularly monitored her blood pressure and liver function as advised.
💡 Lesson: Long-term treatment may be needed for hirsutism, and regular monitoring is essential.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Acne improvement may be seen within 2-3 months. Hair growth reduction may take 6-12 months.

Q: Can I take this medicine if I have PCOS?

A: Yes, it may be prescribed for PCOS symptoms like acne and hirsutism. Consult your doctor.

Q: Is this medicine a contraceptive?

A: It is not primarily a contraceptive, but it may have contraceptive effects. Use additional contraception if needed.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my fertility?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for carrol 2mg/0.035mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine is a contraceptive pill.
    Fact: This medicine is not primarily a contraceptive, although it may have contraceptive effects. It is used for acne and hirsutism.
  • Myth: This medicine can be taken by men.
    Fact: This medicine is not for use in men. It is intended for women only.
  • Myth: This medicine can be stopped abruptly.
    Fact: Do not stop this medicine without consulting your doctor, as it may cause withdrawal symptoms or worsening of the condition.

🔄 Alternative Options

Generic Alternatives

  • Cyproterone and ethinyl estradiol combination tablets

Brand Alternatives

  • Butipil 2mg/0.035mg tablet

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","active_ingredients":"Cyproterone 2mg + Ethinyl Estradiol 0.035mg","primary_use":"Acne, hirsutism","route":"Oral"},{"medicine":"Drospirenone + Ethinyl Estradiol","active_ingredients":"Drospirenone 3mg + Ethinyl Estradiol 0.03mg","primary_use":"Acne, contraception","route":"Oral"}]

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