Why it's used

Primolut-Nor Tablet is used to treat the absence or irregularity of menstrual periods. It is a prescription medicine. This medicine works by preventing the release of eggs from the ovaries. Primolut-Nor is also used to treat abnormal growth of tissue in the uterus caused by endometriosis. It is also used to treat abnormal uterine bleeding caused by hormonal imbalance. Primolut-Nor is also used to prevent pregnancy. This medicine works by preventing the entry of sperm into the uterus. This medicine is usually taken as a contraceptive by women who cannot use other forms of birth control such as estrogen.
When not to use
Primolut-Nor Tablet cannot be used to protect against HIV infection/AIDS and other sexually transmitted diseases.
Progestins
Primolut-Nor belongs to the Progestins class of medicines. Progestins help in birth control and treat symptoms associated with menopause in women.

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How to use

Read the directions on the product label, patient guide, or medicine guide provided by the medicine company or your pharmacist before starting to use Primolut-Nor Tablet. If you have any questions related to this medicine, ask your doctor or pharmacist. Eat this medicine as recommended by your doctor.

Typical Dosage

The typical dose of Primolut-Nor is 2.5-10 mg may be given daily for 5 to 10 days in patients with abnormal uterine bleeding due to hormonal imbalance. This medicine is typically used for a period of 5 to 10 days for the absence of menstrual periods in a woman who had been menstruating previously, 5 to 10 days for abnormal uterine bleeding, and 2 weeks for abnormal tissue growth inside the uterus caused by endometriosis. Primolut-Nor is commonly used at the same time every day. This medicine is not known to be habit-forming.
This medicine should be used on an as-needed basis. In certain cases, Primolut-Nor maybe prescribed for a period of six to nine months for the treatment of endometriosis. You should continue to use this medicine as directed by the doctor even if you feel well.

Talk to Your Doctor

Talk to your doctor if regularly about whether you should continue taking Primolut-Nor. If you have any kidney disease, careful observation by your doctor is required as this medicine may cause your body to accumulate some fluid. You should consult with your doctor before stopping the use of Primolut-Nor.
Your doctor may recommend a lower initial dose of this medicine to see the impact of this medicine on the body. Please follow your doctor's directions.
When stopping this medicine, you may experience withdrawal symptoms such as vaginal bleeding.

Use in Children

The safety and effectiveness of using Primolut-Nor Tablet in children has not been established.

Storage

You should store Primolut-Nor Tablet at 20-25°C (68-77°F), away from moisture, and away from light. Store the medicine away from the reach of children and pets.
Medicines may be prescribed for uses other than those listed in the medicine guide. Do not use Primolut-Nor Tablet for conditions for which it was not prescribed. Do not give Primolut-Nor Tablet to other people who might have the same conditions or symptoms that you have. Self-medication may harm them.

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How to take Primolut-Nor

The dose and frequency of using Primolut-Nor will depend on the following factors:
  • patient's health
  • the health of the patient's liver
  • the health of the patient's kidneys
  • medicines recommended by the doctor
  • any other medicines being used
  • herbal supplements being used

Primolut-Nor Dosage

Dosage for the absence or irregularity of menstrual periods

Adult
  • Recommended: 2.5-10 mg/day for 5-10 days

Dosage for abnormal uterine bleeding

Adult
  • Recommended: 2.5-10 mg/day for 5-10 days

Dosage for endometriosis

Adult
  • Recommended: increase daily dosage by 2.5 mg every 2 weeks until 15 mg/day is reached. On reaching 15 mg/day, dosage should be 5 mg thrice a day for a period of six to nine months.
  • Initial: 5 mg/day for two weeks
  • Maximum: 15 mg/day

Dosage for abnormally heavy menstrual bleeding

Adult
  • Recommended: 5 mg thrice a day for 10 days

Dosage for premenstrual syndrome

Adult
  • Recommended: 5 mg/day in between 16-25 days of the menstrual cycle

Dosage for pregnancy prevention as a contraceptive

Adult
  • Recommended: 0.35 mg once daily starting the first day of the menstrual period

Forms

Tablet
Strength: 0.35 mg, 5 mg

Missed Dose

Skip the missed dose and take the next dose as per your regular schedule.

Overdose

What to do if you overdose on Primolut-Nor?
No specific antidote is available for overdosage of this medicine.
Symptoms of an overdose of Primolut-Nor
If you use too much of this medicine, it could lead to dangerous levels of the medicine in your body. In such cases, symptoms of an overdose may include:
If you think you have overdosed on Primolut-Nor Tablet, call a poison control center immediately. You can look up the poison control center information from the Poison Center Finder at TabletWise.com.

Precautions while using Primolut-Nor

Before you use Primolut-Nor, tell your doctor of your medical and health history including the following:
  • allergy to Primolut-Nor
  • breast cancer
  • history of blood clot formation in different organs (such as legs, lungs, eyes, or brain)
  • liver disease
  • vaginal bleeding
Before you use Primolut-Nor, tell your doctor if you are allergic to it or its ingredients. Your doctor may prescribe an alternative medicine and update your medical records to record this information.
The use of Primolut-Nor Tablet may change blood glucose levels in your body. Use of this medicine leads to high levels of blood-sugar in the body.
The use of this medicine may change the level of thyroid hormone (thyroxine) in your body. Thyroxine plays a vital role in digestion, heart function, muscle function, brain development and maintenance of bones. Use of this medicine decreases the level of thyroxine in the body.
The use of this medicine may change cholesterol levels in the body. This may increase the chances of getting heart diseases.
The use of this medicine may change the levels of high-density lipoproteins (HDLs) in your body. Use of this medicine decreases the level of high-density lipoproteins and apolipoproteins. This may lead to higher levels of bad cholesterol in your body.

Use when Pregnant

Primolut-Nor is not safe for use in women who are pregnant. If you are pregnant or planning to become pregnant, you should discuss the impact on the fetus with your doctor before you start using this medicine. This medicine may harm an unborn baby when used by pregnant women. Use of Primolut-Nor may induce abnormal development of male sexual characteristics in the unborn female child.

If Breastfeeding

Primolut-Nor Tablet is not safe for use in women who are breastfeeding. If you are breastfeeding, discuss with your doctor if you should either discontinue breastfeeding, or stop using this medicine during this period. This medicine may pass into breast milk.

If trying to Conceive

Primolut-Nor may impact fertility in women. If you are trying to conceive, discuss with your doctor on the use of this medicine.

Dizziness

Primolut-Nor can make you feel sleepy. Be careful, especially while driving, while using heavy machinery, or when doing any activity that needs you to be completely alert. The consumption of alcohol with Primolut-Nor can worsen the sleepiness.

What precautions should be taken during Pregnancy and Nursing, and administering Primolut-Nor to Children or the Older Adults?

Pregnant Women

Contraindication
Warning: Congenital fetal abnormalities (abnormalities at birth) may occur when a pregnant woman during the first trimester uses this medicine.

Breastfeeding

Contraindication
Warning: Primolut-Nor passes into the breast milk.

Younger Adults Population

Contraindicated or Not Recommended
Warning: This medicine should not be used by children.

Older Adults Population

Contraindication
Warning: No studies related to drug absorption, distribution, metabolism, and excretion have been performed which explain the effect of age on this medicine.

Primolut-Nor Side-effects

The following side-effects may commonly occur when using Primolut-Nor Tablet. If any of these side-effects worsen or last for a long time, you should consult with your doctor:
Rarely, the use of Primolut-Nor Tablet may cause the following side-effects:
  • acne
  • dizziness
  • extra hair growth on the face and body
  • tender breast
  • weight gain
The following severe side-effects may also occur when using Primolut-Nor Tablet:
  • Eye abnormalities (sudden partial or complete loss of vision)
    Symptoms: double vision, blurred vision, headache with extreme pain (migraine), sudden onset of bulging eyes sudden partial or complete loss of vision
    If you get any of these warning symptoms, contact your doctor right away.
  • Blocked blood vessels in the lungs due to abnormal blood clotting ((possibly) fatal and serious long-term disabilities)
    If this happens, contact your doctor right away. The doctor may advise you to discontinue using the drug.
  • High blood sugar (diabetes)
  • Stroke due to abnormal blood clotting ((possibly) fatal and serious long-term disabilities)
    Symptoms: dizziness, faintness, changes in speech, severe headache, blindness pain in legs
    If this happens, contact your doctor right away. The doctor may advise you to discontinue using the drug.
  • Heart attack due to abnormal blood clotting ((possibly) fatal and serious long-term disabilities)
    If this happens, contact your doctor right away. The doctor may advise you to discontinue using the drug.
  • Liver problems such as jaundice and poor liver function
  • Enlargement of benign tumors of the uterus (fibroids)
  • Mental depression
Your doctor has prescribed Primolut-Nor Tablet because they judge that the benefit is greater than the risk posed by side-effects. Many people using this medicine do not have serious side-effects. This page does not list all possible side-effects of Primolut-Nor Tablet.
If you experience side-effects or notice other side-effects not listed above, contact your doctor for medical advice. You may also report side-effects to your local food and drug administration authority. You can look up the drug authority contact information from the Drug Authority Finder at TabletWise.com.

Side-effects and Allergic Reactions of Primolut-Nor by Severity and Frequency

Common Side-effects

Following are the common side-effects of this medicine:

Infrequent and Rare Side-effects

Following are the infrequent and rare side-effects of this medicine:

Severe Side-effects

Following are the severe side-effects of this medicine:

Mild Allergic Reactions

Following are the symptoms of mild allergic reactions to this medicine:
  • rash with and without severe itching of the skin
If you experience side-effects or notice other side-effects not listed above, contact your doctor for medical advice. You may also report side-effects to your local food and drug administration authority. You can look up the drug authority contact information from the Drug Authority Finder at TabletWise.com.

Warnings

Ovarian Cyst

Women who are using oral contraceptives are at increased risk while using this medicine. There is a risk of formation of an ovarian cyst/enlarged follicles associated with mild abdominal pain in patients using this medicine.

Breast Cancer

Women using combined oral contraceptives (example progestin with estrogen) are at risk while using this medicine. There is an increased risk of developing breast cancer in patients using this medicine. Women who have breast cancer should not use this medicine.

Genital Bleeding

Women who are using progestin-only oral contraceptives are at risk while using this medicine. An irregular menstrual pattern including genital bleeding, is common among patients using this medicine. If the prolonged absence of menstrual periods occurs, the patient should be evaluated for the possibility of pregnancy.

Heart Diseases

Patients who have diseases such as increased blood pressure, raised blood sugar level (diabetes mellitus), high blood cholesterol level, obesity, autoimmune diseases, an existing blood clot in the vein or a history of blood clots in the veins are at an increased risk when using this medicine. Patients with heart diseases should be managed appropriately while using this medicine and consult with their doctor when using Primolut-Nor.

Vision or Visual Abnormalities

Women who are using oral contraceptives are at an increased risk while using this medicine. There is a risk of sudden loss of vision, displacement of the eye, double vision, migraine, and other issues related to the eyes in patients using this medicine. If partial or complete loss of vision occurs in the patients, Primolut-Nor should be discontinued.

Cigarette Smokers

Women who smoke cigarettes are at risk when using this medicine. Smoking increases the risk of severe heart diseases in women. Women using oral contraceptives are strongly advised not to smoke.

Combined Oral Contraceptives Use

Women using combined oral contraceptives (progestin with estrogen) are at risk while using this medicine. In the patients using this medicine, liver tumors may develop. The rupture of the tumor maybe possibly fatal due to bleeding.

Ectopic Pregnancy

Women who are using progestin-only oral contraceptives are at increased risk while using this medicine. In patients using this medicine, there is a risk of pregnancy that grows outside of the uterus (ectopic pregnancy). The patients who become pregnant or have lower abdominal pain should remain alert while using this medicine for the possibility of an ectopic pregnancy. This medicine should not be used in patients with the history of ectopic pregnancy.

Interactions with Primolut-Nor

When two or more medicines are taken together, it can change how the medicines work and increase the risk of side-effects. In medical terms, this is called as a Drug Interaction.
This page does not contain all the possible interactions of Primolut-Nor Tablet. Share a list of all medicines that you use with your doctor and pharmacist. Do not start, stop, or change the dose of any medicines without the approval of your doctor.

Anticonvulsants

Primolut-Nor Tablet may interact with phenytoin, and carbamazepine which are used to treat seizures. The combined usage of these medicines will reduce the effectiveness of Primolut-Nor.

Herbal Preparations

There may be an interaction of Primolut-Nor with St John's Wort, which is used for the treatment of depression, anxiety, and various skin disorders. The combined usage of these medicines will reduce the effectiveness of Primolut-Nor.

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

Primolut-Nor Tablet interacts with NSAIDs, medicines that help to reduce fever and decrease pain. The combined usage of these medicines will cause fluid or water retention which may cause swelling of body parts.

Anti-Infectives

Special instructions need to be followed while taking this medicine along with rifampicin, rifabutin, or ampicillin, which are used to treat an infection such as tuberculosis. The combined usage of these medicines will reduce the effectiveness of Primolut-Nor.

Antiviral Agents

Your doctor's guidelines may need to be followed while taking this medicine along with ritonavir and nelfinavir, which are used to treat viral infections. The combined usage of these medicines will reduce the effectiveness of Primolut-Nor.

Aromatase Inhibitors

Primolut-Nor Tablet may interact with aminoglutethimide, used in the treatment of breast cancer and prostate cancer, seizures and a hormonal disorder (Cushing's syndrome). The use of aminoglutethimide together with this medicine decreases the levels of Primolut-Nor in the body.

Immunosuppressants

There may be an interaction of Primolut-Nor with cyclosporin, which is used to suppress the body's immune system that makes the body less likely to reject a transplanted organ. The use of cyclosporin with this medicine decreases the level and effectiveness of Primolut-Nor in the body.

Cytotoxic Drugs

Primolut-Nor Tablet interacts with cytotoxic drugs, which are used in the treatment of cancer. This medicine can impact cancer treatment and hence the patient should discuss using Primolut-Nor with cytotoxic medicines with their doctor.

Interactions of Primolut-Nor by Severity

Serious

The following medicines may interact when taken together and can cause harmful effects in the body. Please consult with your doctor or pharmacist before taking these medicines together.

Moderate

The following medicines may interact when taken together and can increase your risk of harmful effects. Please consult with your doctor or pharmacist before taking these medicines together.

When should Primolut-Nor be not used?

Pregnancy

This medicine should not be used by females who are pregnant. Use of Primolut-Nor may induce abnormal development of male sexual characteristics in the unborn female child and urinary opening on the underside of the penis in the unborn male child.

Vaginal Bleeding

This medicine should not be used by females with undiagnosed and abnormal vaginal bleeding.

Breast Cancer

This medicine should not be used by females with suspected, known, or a history of breast cancer.

Deep Vein Thrombosis and Pulmonary Embolism

This medicine should not be used in patients with active or a history of blood clots in the veins and arteries of the lungs.

Liver Disease

This medicine should not be used by patients with abnormal liver function.

Allergy

This medicine should not be used by patients with allergy to Primolut-Nor or any of its components.

Diagnostic Test for Pregnancy

Do not use this medicine as a diagnostic test for pregnancy.

Traveling With Medication

  • Ensure that you carry enough doses of each of your prescription medicines to last the entire trip. The best place to store your medicines is in the carry on baggage. However, while flying, if carrying liquid medicines, make sure you do not go over the limits imposed for carry-on liquids.
  • While traveling overseas, make sure that you can carry each of your prescription medicines legally to your destination country. One way to ensure this is by checking with your destination country's embassy or website.
  • Make sure that you carry each of your medicines in their original packaging, which should typically include your name and address, and the details of the prescribing doctor.
  • If your travel involves crossing time zones, and you are required to take your medicine as per a fixed schedule, make sure that you adjust for the change in time.

Expired Medication

Taking a single dose of expired Primolut-Nor is unlikely to cause a side-effect. However, please discuss with your doctor or pharmacist, if you feel unwell or sick. An expired medicine may become ineffective in treating your prescribed conditions. To be on the safe side, it is important not to use an expired drug. You are much safer by always keeping a fresh supply of unexpired medicines.

Safe Disposal of Medication

  • If there are disposal instructions on the package, please follow the instructions.
  • If there are medicine take-back programs in your country, you should contact the respective authority to arrange for the disposal of the medicine. For example, in the USA, the Drug Enforcement Administration regularly hosts National Prescription Drug Take-Back events.
  • If there are no take-back programs, mix the medicine with dirt and place them in a sealed plastic bag. Throw the plastic bag in your household trash. Separately, remove all personal information including the prescription label from the medicine packaging and then dispose off the container.
  • If specifically indicated on the medicine package that it needs to be flushed down the toilet when no longer needed, perform the required step.
This page provides information for Primolut-Nor Tablet .
Menstruation
Irregular Periods
Endometriosis
Birth Control

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