Normens 5 Tablet - (5mg)
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Ashik Medical
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৳59.00
৳65.00
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-9%
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20
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Introduction
Normens 5 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. Normens 5 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.
Uses of Normens 5
- Pain during menstruation
- Endometriosis
- Heavy menstrual bleeding
Side effects of Normens 5
Common
- Headache
- Dizziness
- Breast tenderness
- Nausea
- Vaginal spotting
- Vomiting
- Abdominal cramp
How to use Normens 5
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. Normens 5 may be taken with or without food, but it is better to take it at a fixed time.
How Normens 5 works
Normens 5 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.
Quick Tips
- Normens 5 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 Normens 5 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 Normens 5 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.
Brief Description
Indication
Breast cancer, Metropathia haemorrhagica (dysfunctional uterine bleeding), Premenstrual syndrome, Contraception, Endometriosis, Menorrhagia, Menopausal HRT
Administration
May be taken with or without food.
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).
Contraindication
Severe hepatic dysfunction; undiagnosed vaginal bleeding; porphyria; pregnancy; previous idiopathic or current thromboembolism; thromboembolic disease; DVT.
Mode 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.
Precaution
Hypertension; CVS disease; hepatic impairment; epilepsy; lactation; new onset of migraine-type headache; asthma; renal impairment; history of clinical depression.
Side Effect
Mental depression, cholestatic jaundice, porphyria, epilepsy, migraine, headache, breast discomfort, dizziness, nausea and vomiting, changes in libido, appetite and weight, breakthrough bleeding, changes in menstrual flow, amenorrhoea, oedema, rash, melasma or cholasma, acne, urticaria, abnormal LFTs, moodswings, insomnia, thrombotic and thromoembolic events, optic neuritis, altered lipid profile.
Interaction
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.
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