In gynecology, a fairly common occurrence is a delay in menstruation. The female body cannot always regulate the monthly cycle on its own. Therefore, doctors often prescribe various medications to induce menstruation. An effective drug for this problem is Norkolut.
But before you start treatment, you should familiarize yourself with it in detail, and also study its effect on the cycle.
A little about the monthly cycle
The monthly cycle is systematic and equally repeating periods. They are characterized by internal changes aimed at the possibility of conception.
Each woman has her own menstrual cycle, but all cycles are similar in their regularity. On average, the interval between the first day of menstruation and the first day of the next menstruation ranges from 21 to 35 days. And the number of “red days” varies from 3 to 7 days.
Monthly cycles outside the normal range are considered abnormalities requiring medical intervention.
Irregular periods, characterized by delayed bleeding, are common to many representatives of the fair half. The cause may be either a disease or external factors.
For example:
- Active physical activity;
- Stressful situation;
- Climate change;
- Hereditary factor;
- Taking hormonal drugs;
- Tumor formations;
- Miscarriage, abortion;
- And much more.
In any case, it is worth finding out the reason for such deviations, and a specialist can do this better. He will not only point out the problem, but also help solve it.
Quite often, a gynecologist prescribes medications to induce menstruation. Sometimes a girl, after reading reviews, independently seeks their help. A prominent representative of this area of treatment is Norkolut.
Taking Norkolut to delay menstruation
In some life situations, what is required is not a challenge, but, on the contrary, a delay in menstruation, for which Norkolut is sometimes useful. A gynecologist will tell you how to take Norkolut to delay your periods, taking into account the characteristics of the patient’s body.
Due to the special effect of norethisterone, the release of the germ cell is delayed, and accordingly, there is a delay in the rejection of the thick layer of the endometrium. To delay menstruation, Norkolut should be taken 7 days before the start of menstruation. As a result, the date is pushed back by 7-10 days. Cancellation of Norkolut occurs under the supervision of a specialist.
Characteristics and effect of the drug
The active ingredient in Norkolut is norethisterone. In its properties, it is very similar to gestagen - a hormone without which more than one healthy pregnancy is impossible.
A deficiency of gestagens in a girl’s body can cause infertility, premature pregnancy and disruptions in the functioning of the monthly cycle.
The drug is produced in tablet form.
Each tablet contains 5 mg norethisterone plus excipients:
- Silicon;
- Starch;
- Magnesium;
- Lactose;
- Gelatin;
- Stearate.
The action of the product is aimed at the mucous membrane of the uterus. The drug seems to support her constantly in the premenstrual phase. Norkolut also prevents the formation of certain pituitary hormones, which leads to blocking the maturation of the egg and its release from the follicle.
In addition, the drug is an excellent assistant in the fight against the cessation of breast milk supply.
Among other things, Norkolut has:
- Antiestrogenic;
- Antigonadotropic;
- Androgenic activities.
Has a slight estrogenic and anabolic effect.
Instructions for use of Norkolut
The product has a noticeable effect on a woman’s body, so it is sold in pharmacies only with a doctor’s prescription. Each package contains instructions for use, but only a specialist should describe the treatment regimen, taking into account the characteristics of the patient’s pathology, other factors, and other medications that are part of the complex therapy.
Composition and release form
The medication is available in the form of capsules for oral use. Norkolut tablets are packaged in blisters of 10 pcs. The composition of the product is as follows:
Magnesium stearate, potato starch, gelatin, colloidal silicon dioxide, lactose monohydrate, corn starch, talc.
Pharmacological properties
The norethisterone component is a progestogen. It provokes the transformation of the uterine lining into the secretory phase from proliferation, blocks the secretion of gonadotropin in the pituitary gland, which prevents the follicles from maturing and ovulation occurring. Norkolut has the following pharmacokinetics:
- Absorbability. Good penetrates the blood through the gastrointestinal tract. Intense primary metabolism in the liver and intestinal wall provides bioavailability of 50-77%.
- Distribution. After taking 0.5 mg of norethisterone over 0.5-4 hours, serum Cmax is 2-5 ng/ml, when taking 3 mg - 30 ng/ml.
- Biotransformation. Metabolites of norethisterone are excreted through the kidneys in the form of conjuncts with glucuronic acid.
- Excretion. Metabolites are excreted 60% through the kidneys and 40% from the intestines.
Indications for use
The product has a wide spectrum of action and is used in gynecology. Prescribed for menstrual irregularities, painful periods or their absence. Indications for prescribing Norkolut are the following diseases:
- precancerous conditions (endometrial hyperplasia);
- menopause;
- mammalgia;
- dysmenorrhea;
- menstruation without ovulation (anovulatory metrorrhagia);
- diseases of the uterus: erosions on the cervix, development of endometriosis, fibroids;
- diseases of the mammary glands;
- uterine hypoplasia;
- development of premenstrual syndrome;
- if necessary, interrupt lactation (breast milk production);
- as a contraceptive.
Indications for use
Widespread use of Norkolut is used to induce menstruation during primary or secondary amenorrhea.
Various malfunctions in the body’s functioning can cause such disorders, so it is always better to seek help from a specialist, because each case requires an individual approach.
In addition to delaying menstruation, the drug is used to treat the following gynecological problems:
- PMS;
- Irregularities in the monthly cycle;
- Algodismenoria (painful bleeding);
- Amenorrhea (lack of menstruation);
- Endometriosis;
- Endometrial hyperplasia;
- Climax;
- Infertility;
- Uterine fibroids.
The drug is used both to induce menstruation and to delay it, as well as as a contraceptive drug.
As you can see, the range of use of Norkolut is quite wide and, using it to induce menstruation, you do not exclude its influence on other gynecological pathologies. Therefore, we emphasize once again that it is worth consulting with a gynecologist.
How to take Norkolut
If your period is late, Norkolut should be taken according to the regimen prescribed by your doctor.
The dose and duration of treatment are selected based on the reason for the absence of menstruation. The patient should take the tablets with plenty of water and not chew them.
The effectiveness of the medicine may be reduced due to violation of the instructions, skipping a pill, or due to the simultaneous use of the following drugs:
- Phenytoin;
- Carbamazepine;
- Griseofulvin;
- Rifabutin.
Before starting therapy, the patient should warn the gynecologist about taking antibiotics, antidepressants, and pills for the treatment of epilepsy.
Alternative remedy
Many women turn to traditional medicine to normalize the menstrual cycle. indicate the widespread use of this product and its effectiveness. The safety and naturalness of the products used explains the popularity of the method.
Contraindications and side effects
When dealing with any of the medications, you need to familiarize yourself with its contraindications so as not to “get into trouble.”
Contraindications to taking Norkolut:
- Young children and adolescence;
- Malignant tumors of the mammary glands or genital organs;
- Individual intolerance to the components of the drug.
It should be taken with caution and preferably under medical supervision in the following cases:
- During pregnancy;
- During lactation;
- Severe renal failure;
- Bleeding of unknown origin;
- Chronic liver diseases;
- High susceptibility to thrombosis;
- Migraine;
- Obesity 2 and 3 degrees;
- Diabetes;
- Any disease that involves seizures, such as epilepsy;
- Bronchial asthma.
In addition, it is recommended to closely monitor the health status of smoking women and people with depression while taking the drug.
Temporary withdrawal and urgent consultation are required if the girl notices a side effect of the drug. Unfortunately, all pharmaceutical manufacturers cannot guarantee for any medicine that there will be no side effects. Therefore, be careful about how you feel.
So, possible side effects of Norkolut:
- From the side of gynecology: bleeding of varying intensity from spotting to heavy discharge;
- Neurological: headache, migraine, blurred vision;
- From the respiratory side: shortness of breath, pain in the chest;
- Gastrointestinal tract: nausea, vomiting;
- The liver may suffer: jaundice, hepatitis;
- Allergic: itchy skin rash;
- Affects blood composition: blood clotting increases;
- Breast engorgement;
- Loss of performance due to severe fatigue;
- In rare cases, weight gain occurs.
Most often, side effects can be caused by taking high doses of the drug. Conversely, adequate treatment and strict adherence to the prescribed regimen and dosage of the medication will help minimize the negative impact.
Possible side effects
When taking a course of drug therapy, side effects sometimes appear. Taking Norkolut often causes disturbances in the digestive processes, manifested by attacks of nausea and vomiting, diarrhea and constipation.
Other negative phenomena are also noted:
- blood pressure surges;
- allergic rashes on the skin;
- increased hair growth;
- weight gain;
- the appearance of swelling in the extremities;
- blood composition disorder;
- vision problems;
- excess fatty secretions on the skin.
During the course of treatment, the mammary glands often become coarser and there is an increase in nipple sensitivity.
Taking the drug can cause disruptions in the functioning of the nervous system, accompanied by headaches, decreased sensitivity of the limbs, decreased performance and the development of fatigue.
Treatment with Norkolut
Most often, Norkolut is used to induce menstruation. But before you start treatment with this remedy, you should find out the cause of the failure. After all, if a woman is pregnant, Norkolut can harm the health of the expectant mother and child.
Sometimes, the cause of a girl’s hormonal imbalance is a serious illness that can be treated in combination with other medications.
Any medical drug must be prescribed by a doctor, who also prescribes the regimen and dosage. After all, each case is a unique case and all diseases cannot be treated in one way.
But, as with other medications, the Norkolut instructions have approximate doses and treatment regimens for a specific problem.
Let's consider treatment with a drug to induce menstruation:
- 2 tablets per day, morning and evening, for 7 days. Take with a small amount of water without chewing.
- After a week of taking the drug, stop taking the pills. With this action, the woman causes the expected menstruation.
- If, a week after stopping the drug, bleeding has not started, you must inform your doctor.
There are other regimens:
- Take a tablet morning and evening with water for 5 or 10 days.
- Then all the steps are repeated: abruptly stopping the medication and waiting for the “red days”.
It happens that Norkolut becomes a permanent remedy. Then it is prescribed on certain days of the cycle: from day 16 to day 25.
Medicine for contraception
Start using the medication from the 5th day after the start of menstruation. Take half a tablet before bed for 21 days. Then they take a seven-day break and resume using the drug again. At the beginning of treatment, estrogen is also taken, which is selected individually by the attending physician.
Features of the menstrual cycle
Under the influence of the pills, as well as the reasons that caused the disruption or delay of menstruation, the nature of the bleeding may change. Therefore, before taking the drug, you should consult a doctor to distinguish normal from pathology.
During the appointment
Under the influence of the active substance, natural bleeding is observed, the amount of which decreases towards the end of the cycle. Menstruation can be scanty and ends in a short time. This progression is normal and should not cause concern among women.
Sometimes individual reactions of the body occur, which are manifested by nausea, vomiting, increased pain and swelling of the extremities. After Norkolut is discontinued, the cycle returns to normal.
After treatment
In most cases, the usual pattern of menstruation does not change. Sometimes there is very little discharge. This is facilitated by an increase in blood clotting, which is the result of the action of the drug.
Rarely there is heavy bleeding, which requires qualified assistance. Gynecologists attribute this condition to the side effects of the drug.
The blood discharge may be darker in color, and the duration of menstruation is reduced. This condition often persists for several months after taking Norkolut. Then the usual schedule is restored.
There are rare cases where menstruation does not occur after the end of treatment. If this option occurs, you should consult a doctor to rule out pregnancy and adjust the treatment regimen.
Menstruation after Norkolut
The patient should note that Norkolut may cause uncharacteristic bleeding.
There are several development situations:
- My period began during a course of therapy with Norkolut. This can happen when a woman’s body reacts to an increase in the level of gestagens. In such cases, the gynecologist may prescribe a suspension of drug use;
- Menstrual fluid is copious;
- Critical days may become longer;
- It is possible that increased pain syndrome will be provoked during the period of bleeding;
- Swelling of the limbs will appear;
- And while taking the drug, you may feel a heaviness in your chest.
All of the above situations may occur, but they should not cause panic in the patient. Such a mild side effect will not harm a woman’s health.
During pregnancy and lactation
During pregnancy, Norkolut can be taken only as prescribed by a specialist. Otherwise, a woman’s independent decisions provoke a criminal abortion.
And if you consider that no tests were carried out on the effects of Norkolut on a developing embryo, you shouldn’t take it personally.
In gynecological practice, this drug is used to prevent miscarriage. All preferred methods of administration will be indicated by your doctor.
During lactation, Norkolut is contraindicated. It can suppress milk production in the baby's mother. But in cases where it is necessary to reduce milk production in the mammary glands, it is actively taken. Again, the regimen and dose are prescribed by a specialist.
The instructions indicate the following approximate method:
- For three days in a row you need to take Norkolut, one tablet 4 times a day. Starting from the next day and over the next four days you need to take 1 tablet 3 times a day. Then again for three days, tablets in the morning and evening. During this short period, the flow of milk should stop.
The drug can also be prescribed to prevent lactation, this is when pregnancy involuntarily ends in the middle of the cycle or premature birth occurs.
What else do you need to know
- Norkolut has a number of incompatible drugs. Therefore, you should definitely take this fact into account if a woman is taking another medication at the same time.
- During treatment with the drug, you should avoid drinking strong drinks. Although this is not a categorical prohibition, the liver suffers during the course of treatment with the medicine, and it also suffers from alcohol. It turns out that this is a double load for the liver. Spare your body.
- While taking Norkolut, you can drive a vehicle and do work that requires concentration.
Norkolut - official instructions for use
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