Why is Norkolut prescribed? Let's figure it out.
This tool is a category of gestagen-containing medicines and is used in clinical gynecological practice in the treatment of certain female diseases.
The composition of the drug and the form of release
According to the instructions for use, Norkolut is produced in the form of tablets for oral use, which are white or almost white in color and packaged in blisters of 10 tablets. One cardboard pack contains 2 blisters with the attached detailed description for the medication.
One tablet of the Norkolut medicine contains the main active element in a volume of 5 mg - norethisterone, as well as a number of additional substances: potato and corn starch, magnesium stearate, colloidal silicon dioxide, talc, gelatin, lactose monohydrate.
pharmachologic effect
What is the effect of Norkolut?
The pharmacological agent belongs to the category of progestogens. Under the influence of the active element of the drug, the characteristics of the uterine mucosa change, the production of the gonadotropin by the pituitary gland, the process of follicle formation and the onset of ovulation are actively suppressed.
Indications for use
In accordance with the instructions for use, Norkolut is prescribed to patients for the treatment of the following conditions:
- premenstrual syndrome;
- breakthrough bleeding;
- anovulatory cycle;
- proliferation of the uterine mucosa beyond this organ;
- lack of menstruation;
- uterine fibroids;
- in order to suppress the production of breast milk in nursing mothers;
- mastopathy.
Contraindications Norkoluta
A medical device can be used only as directed by a specialist. Before using these tablets, you must familiarize yourself with the attached annotation. Therapy with this agent is contraindicated in the presence of the following conditions in a patient:
- puberty and intensive growth;
- suspected malignancy in the mammary gland or diagnosed cancer;
- oncological formations in the genitals;
- pregnancy or suspicion of it;
- liver diseases, which are accompanied by a violation of the functionality of this organ;
- with an increase in the level of bilirubin in the blood;
- predisposition to thrombosis;
- in the presence of blood in the urine of an unknown genesis;
- in the presence of bloody discharge from the genital tract of unknown etiology;
- obesity;
- jaundice
- acute inflammation of the veins or blockage of their lumen;
- with herpes;
- in the presence of individual intolerance to the drug;
- age less than 18 years.
As indicated by the instructions for use with Norkolut, there are also some relative contraindications, which include:
- tendency to bronchial obstruction and bronchospasm or bronchial asthma;
- heart failure of a chronic nature;
- epilepsy;
- moderate renal failure;
- high blood pressure;
- increased blood lipids;
- diabetes;
- the occurrence of seizures or disorders of the central nervous system.
Dosage of the medication and method of use
What else does the instruction for use with Norkolut tell us? It is taken orally. Depending on individual indications, the dosage of this agent is determined. In the presence of myomatous nodes in the uterus, as well as with endometriosis, the drug is prescribed 1-2 tablets per day (5-25 days of the menstrual cycle).
In case of artificial termination of pregnancy after 15 weeks or miscarriage according to indications, to prevent lactation, this medication should be used 3 tablets on the first day, 2 tablets on the second, and from the fourth day - 1 tablet for seven days.
In other cases, the dosage of the drug should be established individually under the supervision of a specialist, after a mandatory examination.
How to use "Norkolut", before meals or after? better to drink? The medicine is taken some time before meals or two hours after eating, which increases the absorption of the drug.
During pregnancy and lactation
Norkolut is contraindicated for use by women who are in the period of bearing a child and nursing mothers. If a woman has taken this medication and she has become pregnant, therapy must be urgently stopped and consult a doctor.
Side effects of Norkolut
During therapy with this medicine, the following side symptoms may develop in patients:
- Headache.
- Excessive nipple sensitivity, breast enlargement.
- The occurrence of acyclic secretions of blood from the genital tract.
- Decreased limb sensitivity, sensation of "crawling" on the skin.
- Swelling of the extremities.
- The development of thrombosis and inflammation of the veins.
- Weight gain.
- Skin rash, some allergic reactions.
According to reviews, Norkolut tablets are generally well tolerated, but adverse reactions are still possible.
Overdose symptoms
With a significant excess of the recommended dosages in patients, the development of breakthrough vaginal bleeding, nausea, dyspeptic disorders is possible.
If the described conditions occur, the medication is stopped and symptomatic treatment is carried out.
Drug interaction
This medication is prescribed with caution to patients who are undergoing treatment with hypoglycemic drugs, oral anticoagulants, glucocorticosteroids, since with this drug interaction, the risk of adverse reactions from the kidneys and liver is significantly increased.
"Norkolut" is not recommended to be prescribed simultaneously with barbiturates, "Rifampicin", sleeping pills, "Cimetidine", since this significantly increases the load on the liver and increases the risk of side effects.
Special recommendations
Before starting treatment with this pharmacological drug, a comprehensive examination is recommended for women in order to exclude oncological tumors. In addition, you should definitely consult with a gynecologist, mammologist and oncologist before starting treatment with the drug.
Tablets should be taken at the same time, if for a certain reason the woman forgot to take the medicine, this must be done as soon as possible, without increasing the dosage. In this situation, the next week should use additional measures to prevent unplanned pregnancy.
This medicine does not have a depressing effect on the central nervous system, so during therapy you can drive a car and equipment that requires increased concentration of attention.
Are Norkolut and alcohol compatible?
Concomitant use with alcohol
The use of alcohol not only causes stress in the body, but is also incompatible in the treatment of almost all medications. During therapy with hormonal agents such as Norkolut, it is forbidden to take alcohol, since such an interaction can significantly reduce the therapeutic effectiveness of the drug and cause numerous negative reactions.
Medication cycle
Some contraceptives may cause menstruation problems. How does Norkolut manifest itself in this matter? The cycle when taking the drug can significantly normalize. In reproductive age, the drug is used to stabilize the menstrual cycle, sometimes even to cause menstruation, with its long absence. In addition, this medication is able to delay the onset of menstruation, when necessary, for example, in cases of planned surgical intervention or before the planned vacation.
Analogs
The drug Norkolut has no structural analogues, however, you can find drugs that are similar in therapeutic effect to it. These medicines are:
- Rigevidon is a medicine that is used as a contraceptive in patients of reproductive age. This medication can also be prescribed for the correction of functional disorders of the menstrual cycle, including uterine bleeding, dysmenorrhea, pain that occurs in the middle of the cycle, as well as premenstrual syndrome. The drug is recommended for use in women with an estrogen phenotype.
- “Lokoid” - is used mainly in case of skin problems in women suffering from hormonal gynecological diseases.
- “Diane 35” is a product intended for the prevention and treatment of pathologies in women associated with menstrual irregularities, problems with acne eruptions, and also to prevent unwanted pregnancy. "Diane 35" is a low-dose monophasic oral estrogen-antiandrogen contraceptive drug of the combined type. It prevents conception by suppressing ovulation and altering the characteristics of cervical secretion, which makes it impermeable to sperm. In women taking "Diana 35", the menstrual cycle is normalized, the pain of menstruation and the intensity of bleeding are reduced, which minimizes the risk of iron deficiency anemia. It has been suggested that the use of the drug is warranted for the prevention of ovarian cancer and endometrial cancer.
- "Ginepriston" - a remedy that is indicated for emergency contraception that occurs after unprotected sexual contact or in cases of unforeseen situations with conventional contraceptive methods (condom rupture, insufficient absorption of the suppository into the vagina, skipping oral contraceptive use, etc.).
- “Femiwell” is a medicine that is used in cases of insufficient development of the mammary glands during menopause to correct the course of menopausal syndrome, to help with osteoporosis, with ovarian dysfunctions and hormonal disorders.
- "Proginova" is a medicine that is intended for replacement therapy in women during menopause, as well as in the postoperative period after removal of the ovaries. This drug is also used to prevent osteoporosis in menopause.
- “Aquarium Compositum” - is prescribed for diseases of the reproductive system in women of the dishormonal type (lack of ovulation during the menstrual cycle, infertility of unknown origin, pituitary pituitary, mastopathy, menopause disorders). In addition, it is used for complex therapy in the development of pelvic neoplasms, both malignant and benign.
- "Andriol TK" is a drug that is used for hormone replacement therapy for disorders associated with a lack of testosterone, eunuchoidism, hypopituitarism, endocrine impotence, some forms of infertility, etc.
- "Hormoplex" is a medicine that is recommended for menopausal syndrome, for hormone replacement therapy, osteoporosis, various malignant tumors in the mammary glands.
Price
The approximate cost of this medicine is 128 rubles. It depends on the region and the pharmacy network.
Reviews
This medical tool is very popular among patients and gynecologists. Reviews about him, for the most part, are positive. The opinion of women who took this medication in the treatment of hormonal disorders, which resulted in cycle changes, for example, amenorrhea, is that the Norkolut medicine works best. When using it for several months, the menstrual cycle normalized in women, overall health improved, and pain in the pelvic organs disappeared. Reviews of the Norkolut tablets confirm this.