Norgeston - indications, dosage, contraindications, side effects

Norgeston is a progestogen-only oral contraceptive, commonly referred to as a 'mini pill'. Its action revolves around the active ingredient, levonorgestrel, a synthetic form of the hormone progesterone. When consumed, Norgeston works in three primary ways to prevent pregnancy.

1. The foremost action of Norgeston is inhibiting ovulation. It tricks the body into thinking an ovulation has already occurred. This prevents the ovaries from releasing an egg each month.
2. Secondly, Norgeston thickens the cervical mucus at the neck of the womb, making it difficult for sperm to cross from the vagina into the womb.
3. Lastly, it alters the lining of the womb, making it less likely for an egg to be able to implant itself.

It's important to note that these actions do not disrupt an existing pregnancy and Norgeston is not used as an emergency contraceptive. The effectiveness of Norgeston is dependent on the user taking the pill at the same time every day.

Norgeston, a progestogen-only oral contraceptive pill, has specific indications for use. It's primarily recommended for women who are unable or unwilling to use combined oral contraceptives (COCs), which contain both estrogen and a progestogen.

Here are the specific indications for Norgeston:

• Contraception: Norgeston is used to prevent pregnancy. It is particularly indicated for women who have an intolerance to estrogen or who cannot use other forms of hormonal contraceptives due to health reasons.
• Menstrual regulation: Norgeston can also be used to regulate menstrual cycles in women with irregular periods.
• Endometriosis: In some cases, Norgeston may be prescribed to manage symptoms of endometriosis, a condition where tissue similar to the lining of the womb starts to grow in other places.
• Heavy menstrual bleeding: Norgeston can also be used to manage heavy menstrual bleeding when no underlying pathology is identified, and when other treatments are not suitable.

Please note, Norgeston should only be used under the guidance and supervision of a healthcare professional. Self-medication is not advised as it may lead to serious health complications.

While Norgeston is a commonly used contraceptive pill, there are certain conditions in which its use may be contraindicated. This section will delve into these contraindications to ensure safe and effective use of Norgeston.

Firstly, Norgeston is contraindicated in women who are pregnant or suspect they may be pregnant. The potential effects on the fetus are not fully known, and it is always best to err on the side of caution.

Secondly, those with a history of thrombotic events, such as deep vein thrombosis or pulmonary embolism, should avoid taking Norgeston. This is due to the potential for the pill to increase blood clotting.

Next, individuals with a history of breast cancer or other hormone-sensitive cancers should not use Norgeston. The synthetic progesterone in Norgeston can potentially stimulate the growth of these cancers.

Norgeston is also contraindicated in women with liver disease, as it may interfere with liver function. Similarly, those with uncontrolled high blood pressure or diabetes with vascular involvement should avoid this contraceptive pill.

Lastly, anyone with a known hypersensitivity to levonorgestrel or any of the excipients used in the formulation of Norgeston should not use this medication.

It's important to discuss your health history with your healthcare provider before starting any new medication, including Norgeston. They will be able to assess your individual risk and determine whether Norgeston is a safe option for you.

Just like any medication, Norgeston has potential side effects. While not everyone gets them, it's essential to be aware of what these might be so you can take appropriate action if required. It's important to note that the side effects of Norgeston are usually temporary and tend to lessen the longer you use the drug.

Possible common side effects include:

• Mood changes such as depression or mood swings
• Headaches
• Increased breast tenderness or size
• Changes in sex drive
• Spotting or bleeding between periods

Uncommon side effects may include:

• Nausea and vomiting
• Acne
• Changes to weight or appetite
• Hair loss or increased hair growth
• Breast secretion

There are also a few rare but serious side effects to be aware of:

• Liver problems, such as jaundice (yellowing of the skin or eyes)
• Allergic reactions, such as hives, itching, or difficulty breathing
• Severe abdominal pain

If you experience any of these, it's crucial to get medical attention immediately.

Always consult your doctor or pharmacist if you're worried about any side effects or if the side effects persist or cause significant discomfort.

Norgeston, a contraceptive pill, should be taken as directed by your healthcare provider. The standard dosage is one tablet taken daily at the same time for 28 consecutive days. It's crucial to maintain a consistent schedule to ensure the medicine's effectiveness.

Begin taking Norgeston on the first day of your menstrual cycle. Continue taking the tablet every day without any breaks between packs. If you miss a dose, take it as soon as you remember. If you miss more than one dose, consult your healthcare provider for further instructions.

It is essential to mention that the dosage may vary depending on the individual’s health condition. Therefore, always follow the dosage instructions given by your doctor.

Overdosing on Norgeston is unlikely. However, if you have taken more Norgeston tablets than prescribed, you may experience side effects such as nausea or withdrawal bleeding. In such cases, seek immediate medical attention.

Norgeston, an oral contraceptive, is primarily used to prevent pregnancy. It contains a synthetic form of the hormone progestogen, levonorgestrel, mimicking the natural cycle of the female body. It should be taken daily at the same time for 28 days, without any break between packs. Each tablet is marked with a day of the week, which helps to keep track of the intake.

Start your first pack of Norgeston on the first day of your menstrual cycle (the first day of your period). If you start Norgeston later than day one of your cycle, you should use an additional contraception method such as a condom for the next seven days. After seven days, Norgeston will provide full contraceptive protection as long as the pills are taken correctly.

It is crucial to swallow the tablet whole with water. It can be taken with or without food. If you forget a tablet, take it as soon as you remember. However, if it's time for the next dose, skip the missed one. Do not double up the dose to make up for a missed one.

In case of vomiting or severe diarrhea, the effectiveness of Norgeston can decrease. It is recommended to follow the instructions in the leaflet or consult your doctor or pharmacist in such cases.

It's important to note that Norgeston doesn't protect against sexually transmitted infections (STIs). So, if you're at risk of STIs, it's necessary to use a condom in addition to Norgeston.

While using Norgeston, certain precautions need to be taken to ensure safe and effective use. It is important to inform your doctor or pharmacist of your medical history, especially if you have had blood clots, high blood pressure, abnormal breast exam, cancer, high cholesterol or triglycerides, depression, diabetes, gallbladder problems, severe headaches, heart problems, stroke, liver disease, swelling (edema), thyroid problems, unexplained vaginal bleeding.

If you need surgery or will be on bed rest, you may need to stop using this medication for a short time. Any doctor or surgeon who treats you should know that you are using Norgeston.

This medication may cause blotchy, dark areas on your face and skin (melasma). Sunlight may worsen this effect. Limit your time in the sun and avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors.

Before using Norgeston, inform your healthcare provider if you are pregnant or planning to become pregnant. If you become pregnant while taking this medication, contact your healthcare provider immediately.

Smoking can increase your risk of blood clots, stroke, or heart attack caused by Norgeston, especially if you are older than 35. Avoid smoking and using tobacco products while taking this medication.

Norgeston can also affect the results of certain medical tests. Make sure laboratory personnel and your doctors know you use this medication.

Norgeston, as with any other medication, can interact with certain drugs, potentially affecting their efficacy or leading to adverse effects. It is crucial for patients to discuss all medications, supplements, and over-the-counter drugs they are taking with their healthcare provider.

Some noteworthy interactions include:

• Antibiotics - Certain antibiotics may decrease the effectiveness of Norgeston. Examples include rifampicin and rifabutin. Other antibiotics may not have this effect, so it is essential to consult with a healthcare provider.
• Anticonvulsants - Some anticonvulsant drugs such as phenytoin, carbamazepine, and phenobarbital may decrease Norgeston's effectiveness.
• Antiretroviral drugs - Certain antiretroviral drugs used for the treatment of HIV may interact with Norgeston. Some may decrease its effectiveness, while others may increase the risk of its side effects.
• Herbal products - St. John's Wort, a commonly used herbal supplement, may reduce the effectiveness of Norgeston.

These are not all the possible interactions. Always communicate openly with your healthcare provider and pharmacists about all medications you are taking.

The price of Norgeston can vary depending on the pharmacy you choose to purchase it from, the country you're in, and whether or not you have a prescription coverage or health insurance. It is important to note that the cost of Norgeston is not only determined by the price of the pill itself. Other factors can include the cost of doctor's visits for prescription and follow-ups, as well as any necessary laboratory tests.

In the United States, the cost of Norgeston typically ranges from $20 to $50 for a month's supply. This cost can significantly decrease if you have a prescription coverage or health insurance. Some online pharmacies may offer Norgeston at a lower price, but it is crucial to ensure that they are reputable and that the medications they sell are genuine and safe.

In the UK, Norgeston is available for free on the National Health Service (NHS). If you’re buying it privately, the cost can vary but it’s usually around £10 for a 3-month supply.

When discussing Norgeston substitutes, it's important to first understand that any change in contraceptive medication should be done under the supervision of a healthcare professional. The substitutes for Norgeston aren't identical but can be considered if Norgeston is not suitable or causing adverse side effects.

Some possible substitutes include:

• Microgynon: Another levonorgestrel-containing contraceptive, but it also contains ethinylestradiol, making it a combined oral contraceptive pill.
• Loestrin: This is a low-dose, combined oral contraceptive that contains norethindrone (a different progestogen) and ethinylestradiol.
• Cerazette: This is a progestogen-only pill that contains desogestrel.

It's important to note that the effectiveness, side effects, and risks can vary between different contraceptives. Certain individuals may find one type of contraceptive more suitable than another based on their health history, lifestyle, and personal preference. As such, always consult with a healthcare provider when considering a switch in contraceptives.