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At a glance

Norethisterone is a synthetic progestin used for menstrual problems including painful, heavy or irregular periods, premenstrual syndrome (PMS) and endometriosis.

Indications
  • Dysfunctional uterine bleeding (Metropathia hemorrhagica)
  • Premenstrual syndrome
  • Postponement of menstruation
  • Endometriosis
  • Menorrhagia
Pharmacology

Norethisterone converts the endometrium from proliferative to secretory phase and prevents ovulation through negative feedback inhibition of pituitary gonadotropin.

Dosage

Dysfunctional Uterine Bleeding: 1 tablet 3 times daily for 10 days

Premenstrual Syndrome: 2-3 tablets daily (days 19-26)

Postponement of Menstruation: 1 tablet 3 times daily (start 3 days before expected period)

Endometriosis: 2 tablets daily (start day 5); may increase to 4-5 if needed; 4-6 months

Menorrhagia: 1 tablet 2-3 times daily (days 19-26)

Side effects

Common Side Effects:

  • Headache
  • Dizziness
  • Breast discomfort
  • Nausea
  • Vaginal spotting
  • Vomiting
  • Abdominal cramp
  • Edema
  • Visual disturbance
  • Migraine
  • Dyspnoea
  • Hypersensitivity (rash, urticaria)
Use in pregnancy

Use in Pregnancy: Norethisterone is highly unsafe during pregnancy; definite evidence of fetal harm. Completely contraindicated.

Pregnancy Category: X — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Risk of deep vein thrombosis, stroke (especially with history)
  • Risk of liver tumors
  • May influence carbohydrate metabolism; monitor diabetics regularly
  • Stop immediately if severe migraine, perceptual disorders, thrombophlebitis, jaundice, hypertension, pregnancy
  • Caution while driving
Overdose effects

No reports from overdosage; treatment generally unnecessary; no specific antidotes; symptomatic treatment.

Storage conditions

Store below 30°C in a cool and dry place; keep out of reach of children.

Norethisterone — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.