🔹 Norethisterone Tablet 5 mg – As Licensed
📄 Description:
Norethisterone 5 mg is a synthetic progestogen (progestin) used to treat various menstrual and gynecological disorders. It mimics the effects of natural progesterone, regulating hormonal balance in the body.
💊 Prescription / Use:
Indications:
- Menstrual disorders, such as:
- Heavy bleeding (menorrhagia)
- Painful periods (dysmenorrhea)
- Irregular periods
- Premenstrual syndrome (PMS)
- Delay of menstruation (e.g., travel or event-related)
- Endometriosis
- Hormone replacement therapy (part of combined regimens)
- Contraception (in specific progestogen-only pill forms or regimens)
Usual Dosage:
- Varies by condition; common regimens:
- For delaying menstruation: 5 mg three times daily, starting 3 days before expected period
- For heavy bleeding: 5 mg 2–3 times daily for 10 days
- Must be taken at the same time each day
Route: Oral
🔬 Nature:
- Type: Synthetic progestogen hormone
- Form: Oral tablet
- Mechanism of Action:
- Stabilizes endometrial lining
- Inhibits ovulation (at higher doses)
- Alters cervical mucus to prevent sperm penetration
🌟 Advantages:
- Effective for managing a wide range of menstrual disorders
- Can delay menstruation safely and predictably
- Non-surgical treatment option for endometriosis
- Well-tolerated when taken short-term
- Does not interfere with sexual activity
📦 Packaging:
- Typically packed in blister strips
- Available as 10 to 30 tablets per pack
- Clearly marked with strength (5 mg), batch, and expiry
🧊 Storage:
- Store at room temperature (15°C to 25°C)
- Keep away from moisture, heat, and direct sunlight
- Keep out of reach of children
⚠️ Precautions:
Contraindications:
- Pregnancy
- Breast cancer or other hormone-sensitive cancers
- History of thrombosis (DVT/PE)
- Severe liver disease
- Undiagnosed vaginal bleeding
Use with caution in:
- Diabetic patients (may alter glucose tolerance)
- History of migraine, epilepsy, depression
- Smokers (increased risk of clotting)
Common Side Effects:
- Nausea, headache
- Breast tenderness
- Mood swings, fatigue
- Changes in menstrual flow
- Weight gain, bloating
👩⚕️ Patient Advice:
- Take at the same time daily
- Do not stop suddenly unless advised by your doctor
- If used to delay periods, start at least 3 days before expected onset
- Do not use if pregnant – take a pregnancy test if unsure
- Inform your doctor if:
- You miss a period
- You experience leg pain/swelling (sign of clot)
- You have unusual vaginal bleeding
- Not recommended for long-term continuous use without supervision

