diane 35 tablet - Cyproterone (2mg) + Ethinyl Estradiol (0.035mg) medicine

diane 35 tablet

4.5 (12 reviews)
๐Ÿญ Bayer Zydus Pharma Pvt Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Aug 22, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Aug 22, 2026

What is diane 35 tablet used for?

Butipil (Cyproterone + Ethinyl Estradiol) is used to treat GYNAECOLOGICAL. It contains Cyproterone (2mg) + Ethinyl Estradiol (0.035mg), which Combination of progestogenic and estrogenic effects: inhibits ovulation, alters . Always consult your doctor before use. Take as prescribed.

  • Generic Name: Cyproterone + Ethinyl Estradiol
  • Manufacturer: Bayer Zydus Pharma Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

๐Ÿ’Š diane 35 tablet Uses & Benefits

Oral contraception, acne, hirsutism, polycystic ovary syndrome

Off-label uses: Transgender hormone therapy (antiandrogen), severe acne

๐Ÿ“‹ Drug Information

Generic Name(s)Cyproterone + Ethinyl Estradiol
Brand NameButipil
ManufacturerBayer Zydus Pharma Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGYNAECOLOGICAL
Action ClassOral contraceptive; Antiandrogen
Route of AdministrationOral
StorageStore at 20-25ยฐC (68-77ยฐF), protect from light and moisture
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionRapidly absorbed from the gastrointestinal tract
DistributionDistributes into body tissues; crosses placenta; present in breast milk
Protein BindingCyproterone: ~96%; Ethinyl Estradiol: ~98% (to albumin)
MetabolismHepatic via CYP3A4
Half-LifeCyproterone: ~38 hours; Ethinyl Estradiol: ~17 hours
ExcretionUrine and feces
BioavailabilityCyproterone: ~88%; Ethinyl Estradiol: ~40-50%
Onset of ActionWithin 24 hours for contraceptive effect
Peak Plasma TimeCyproterone: 3-4 hours; Ethinyl Estradiol: 1-2 hours
Duration of Action24 hours (daily dosing)

How It Works

Combination of progestogenic and estrogenic effects: inhibits ovulation, alters cervical mucus and endometrium

Mechanism Steps

1Cyproterone binds to progesterone receptors, suppressing gonadotropin release
2Ethinyl estradiol binds to estrogen receptors, enhancing negative feedback on FSH and LH
3Inhibition of ovulation

๐Ÿ’ก How to Take diane 35 tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of diane 35 tablet

โœ… Common Side Effects

  • Nausea
  • Headache
  • Breast tenderness
  • Weight changes
  • Mood changes

๐Ÿšจ Serious Side Effects

  • Thromboembolism
  • Stroke
  • Myocardial infarction
  • Liver tumors
  • Hypertension

โš ๏ธ Rare Side Effects

  • Chloasma
  • Hepatic adenoma
  • Cerebral thrombosis
  • Pulmonary embolism

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Rifampin Major Reduced contraceptive efficacy
Carbamazepine Major Reduced contraceptive efficacy
Phenytoin Major Reduced contraceptive efficacy
St. John's Wort Major Reduced contraceptive efficacy
Griseofulvin Major Reduced contraceptive efficacy
Topiramate Moderate Reduced contraceptive efficacy
Modafinil Moderate Reduced contraceptive efficacy
Barbiturates Moderate Reduced contraceptive efficacy
Primidone Moderate Reduced contraceptive efficacy
Ascorbic acid Minor Increased ethinyl estradiol levels
Acetaminophen Minor Increased ethinyl estradiol levels
Theophylline Minor Increased theophylline levels

๐Ÿšจ Major Interactions

  • Rifampin
  • Carbamazepine
  • Phenytoin
  • St. John's Wort
  • Griseofulvin

โšก Moderate Interactions

  • Topiramate
  • Modafinil
  • Barbiturates
  • Primidone

โ„น๏ธ Minor Interactions

  • Ascorbic acid
  • Acetaminophen
  • Theophylline

๐Ÿฝ๏ธ Food Interactions

Grapefruit juice may increase ethinyl estradiol levels

๐Ÿท Alcohol Interaction

No significant interaction

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Pregnancy, history of thromboembolic disorders, liver disease, breast cancer, undiagnosed vaginal bleeding, smoking >35 years

๐Ÿ“Š Monitoring Parameters

Blood pressure, liver function, signs of thromboembolism, pregnancy test

๐Ÿคฑ Lactation Safety

Use with caution; may reduce milk production

๐Ÿ’Š Overdose Management

Symptomatic and supportive; may cause nausea, vomiting, withdrawal bleeding

โฐ Missed Dose

Take as soon as remembered; if >12 hours, use backup contraception

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Last reviewed on: Aug 22, 2026

๐Ÿ”— View Profile

โญ User Reviews

Happy Patient Jul 10, 2026

Effective and reliable. Worked as expected.

Trusted Reviewer Jul 10, 2026

Found this to be a helpful product. Good results.

Trusted Reviewer Jul 10, 2026

This medicine was effective for me. I followed the doctor's advice.

Happy Patient Jul 10, 2026

Good quality medicine. Satisfied with the outcome.

Verified User Jul 10, 2026

Helpful and effective medicine as per my experience. Always consult a doctor.

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