Progestogens

Indications & Dose:

Primary or secondary amenorrhoea, dysfunctional uterine bleeding, endometriosis, postponement of menstruation. Premenstrual syndrome, uterine hypoplasia. 

Contraindications:

Undiagnosed vaginal bleeding, severe arterial disease, mammary carcinoma; porphyria & pregnancy. 

Side Effects:

Acne, urticaria, fluid retention, weight changes, GI disturbances, changes in libido, breast discomfort, premenstrual symptoms, irregular menstrual cycles; also chloasma, depression, pyrexia, insomnia, somnolence, alopecia, hirsutism; rarely jaundice. Injection may be painful. 

Cautions:

Precautions:

Diabetes, hyper-tension; hepatic, cardiac or renal disease.
Breast-feeding: Safety not established. 

Interaction:

Drugs
Cyclosporin: Increased plasma cyclosporin concentration. Rifamycins: Metabolism accelerated by rifamycins.

Warnings:

Adverse Effects:

Lactations:

Special Precautions:

Counselling:

Side Effects Or Adverse Reactions:

Patient And Carer Advice: