Menogia (Off)5mg
OTC- Generic:
- Norethisterone
- Company:
- No Brand
- Dosage form:
- Tablet
- Pack size:
- Tablet
৳ 6/unit
Pack: ৳ 6
At a glance
Norethisterone — brands, prices, indication, dosage and side effects available in Bangladesh.
Description
Norethisterone is used to treat various menstrual problems including painful, heavy, or irregular periods, premenstrual syndrome (PMS) and a condition called endometriosis. It is a man-made version of the natural female sex hormone progesterone. Norethisterone may be taken with or without food, but it is better to take it at the same time each day. The dose and how often you take it depends on what you are taking it for. Your doctor will decide how much you need so as to improve your symptoms. Swallow the tablets whole with a drink of water. You should take this medicine for as long as it is prescribed to you. The most common side effects of this medicine include headache, nausea, abdominal pain, vaginal spotting, dizziness, and breast tenderness. Let your doctor know if these bother you or appear serious, as there may be ways of reducing or preventing them. Some side effects may mean you should stop taking this medicine, including if you develop jaundice, migraine or changes to your speech or senses (eyesight, hearing, smell, taste and touch). You should also stop taking it if you become pregnant or if your blood pressure becomes too high. Before taking this medicine, tell your doctor if you are pregnant or breastfeeding, have diabetes, have a migraine, or any liver disease ever had any problems with your blood circulation. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works. This medicine can affect the results of some blood and urine tests so make sure any doctor treating you knows that you are taking it. Norethisterone is a synthetic progestin. It works by mimicking the effects of natural progesterone (female hormone). It helps in regulating the growth and shedding of the womb lining, thereby treating menstrual irregularities.
Indications
• Pain during menstruation • Endometriosis • Heavy menstrual bleeding
Mechanism of action
Norethisterone has typical effects of a progestogen and converts the endometrium from the proliferative to the secretory phase. It may also have some oestrogenic, anabolic and androgenic activities, but these may not be significant. Norethisterone delays onset of periods and controls abnormal uterine bleeding. It also has contraceptive effects due to negative feedback inhibition of pituitary gonadotropin thus preventing ovulation.
Dosage
Adult Dose: Oral Adult Abnormal bleeding – 1 tablet three times a day for 10 days. Bleeding usually stops within 1-3 days. A period usually starts 2-4 days after stopping treatment. Prevention of abnormal bleeding – 1 tablet twice a day from the 19th - 26th day of the cycle. Premenstrual Syndrome - 2 to 3 tablets a day from the 19th - 26th day of the cycle. You will normally be treated for several months. Delaying a period - 1 tablet three times a day starting three days before the expected beginning of the period. Your period should occur 2-3 days after you have stopped taking the medicine. Dysmenorrhea (Painful periods) - 1 tablet three times a day for 20 days starting on the 5th day of the cycle. You will usually be treated for 3-4 cycles. Menorrhagia (Heavy periods) - 1 tablet two to three times a day from the 19th - 26th day of the cycle. Endometriosis - 2 tablets a day starting on the 5th day of your cycle. If you continue having small bleeds (“spotting”), the dosage may be increased to 4 to 5 tablets a day. Once bleeding has stopped the dosage may be reduced. You will usually be treated continuously for 4-6 months or longer. (Counting the first day of menstruation as day 1).
Administration
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Norethisterone may be taken with or without food, but it is better to take it at a fixed time.
Side effects
Common: • Headache • Dizziness • Breast tenderness • Nausea • Vaginal spotting • Vomiting • Abdominal cramp
Precautions & warnings
[UNSAFE] Norethisterone may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur. Norethisterone regulates menstrual cycles and treats a wide range of menstrual disorders such as heavy, painful periods and endometriosis. It may cause bleeding or spotting in between menstrual periods. Let your doctor know if this occurs frequently. Stop taking Norethisterone and inform your doctor immediately if you get severe headaches, stabbing pains or swelling in one leg, pain while breathing, yellowing of your skin or sudden changes in your vision or hearing. Do not take Norethisterone if you are pregnant. Use a non-hormonal method of contraception such as condoms to prevent pregnancy while you are taking this medication, as it is not a contraceptive.
Contraindications
Severe hepatic dysfunction; undiagnosed vaginal bleeding; porphyria; pregnancy; previous idiopathic or current thromboembolism; thromboembolic disease; DVT.
Drug interactions
Concentration may be reduced by CYP450 inducers (e.g. phenobarbital, phenytoin, carbamazepine, rifampicin, rifabutin, nevirapine, efavirenz, tetracyclines, ampicillin, oxacillin, co-trimoxazole) and ritonavir, nelfinavir (usually inhibitors of CYP450 but have inducing properties when used with steroid hormones). May cause additive fluid retention with NSAIDs, vasodilators. Adjustment in antidiabetic, thyroid hormone and anticoagulant therapy may be required. Potentially Fatal: May increase ciclosporin concentration.
Food interactions
[CONSULT YOUR DOCTOR] It is not known whether it is safe to consume alcohol with Norethisterone. Please consult your doctor.
Use in pregnancy
[UNSAFE] Norethisterone is highly unsafe to use during pregnancy. Seek your doctor's advice as studies on pregnant women and animals have shown significant harmful effects to the developing baby.
Use in lactation
[CONSULT YOUR DOCTOR] Norethisterone is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. Nonhormonal contraceptives are preferred in breastfeeding women, especially during the first 4 weeks postpartum
Renal / hepatic impairment
[CONSULT YOUR DOCTOR] There is limited information available on the use of Norethisterone in patients with kidney disease. Please consult your doctor. [CAUTION] Norethisterone should be used with caution in patients with liver disease. Dose adjustment of Norethisterone may be needed. Please consult your doctor. Use of Norethisterone is not recommended in patients with severe liver disease. Inform your doctor if you develop signs of jaundice like yellowing of eyes and skin, itching, and clay colored stools.
Common questions
How many month regestrone 5mg tablet can be taken or prescribed by the What is the dose Cyclically for 3 months or 6 months. For more details consult your gynae I want to know about copper t is it safe to use for upto 2 years and does it have any side effects, is it possible copper t could be broken themselves Copper-T is safe as a method of contraception but in some cases it causes heavy bleeding during menstrual cycle.If you have pain in the lower abdomen and heavy bleeding during your cycles then you should get yourself checked by a gynaecologist Suddenly heavy menstrual bleeding Tablet tranexa 500mg thrice a fay I am going to have Regestrone-5mg(Period delay tablets). So, can I've sex at that time? Hi Kindly once consult to female doctor Crina NCR 10mg is used for what purpose Can we use homeopathy instead? It's a progesterone hormonal tab. Used to control heavy bleeding during periods, prolonged periods or in case of endometriosis. I have no idea about homeopathic medicine Had bleeding for 10 days and I have been put on regestrone for 25 days Ok but a thorough check up is a must Tell me something fibroid in uterus. It's a benign overgrowth of uterine muscles. It can lead to heavy bleeding, pain during periods or infertility Excessive bleeding for many days during menstruation Please consult with your nearest gynecologist.It require examination.