Cidolut Nor Tablets

Cidolut Nor Tablets

Description:

Cidolut Nor 5 mg tablets are a hormonal medicine containing the synthetic progestogen norethisterone. They are used under medical supervision to regulate the menstrual cycle, manage abnormal uterine bleeding, and treat several gynecological conditions related to progesterone deficiency. As an oral prescription medication, Cidolut Nor helps restore hormonal balance, support normal endometrial development, and control heavy or irregular periods in women of reproductive age.

Indications:

• Primary and secondary amenorrhoea (absence of menstruation) of long duration, when due to progesterone deficiency and after exclusion of pregnancy and other causes.
• Metropathia haemorrhagica and dysfunctional uterine bleeding (abnormal uterine bleeding not due to organic pathology), including menorrhagia (heavy menstrual bleeding).
• Menorrhagia, polymenorrhoea (frequent periods), and dysmenorrhoea (painful menstruation) associated with hormonal imbalance.
• Premenstrual syndrome (PMS), including symptoms such as breast tenderness, mood changes, bloating, and pelvic discomfort.
• Endometriosis: to suppress endometrial tissue growth and relieve associated pelvic pain and bleeding.
• Female subfertility related to luteal phase insufficiency, as part of a treatment plan determined by a specialist.
• Timing of menstruation: to delay or adjust the onset of menstruation for medical reasons, as directed by a doctor.
• May be used as a progestogen component in contraceptive regimens, only under strict medical supervision and according to national guidelines.

Active Ingredients / Key Components:

• Norethisterone – 5 mg per tablet (synthetic progestogen).
• Excipients: Other inactive ingredients (tablet core and coating) are present but specific excipient names and concentrations , please check the product leaflet or the manufacturer’s official website.

Dosage & Administration / How to Use:

• Cidolut Nor tablets are for oral use only and must be taken exactly as prescribed by your doctor. Do not change the dose or duration without medical advice.
• Typical dosing regimens vary according to indication (examples – for reference only, always follow your doctor’s instructions):
  • Amenorrhoea / cycle regulation: Usually 5 mg (1 tablet) two to three times daily for a specified number of days in the cycle, often after estrogen priming, as directed by the physician.
  • Dysfunctional uterine bleeding / menorrhagia: Often 5 mg (1 tablet) two to three times daily for several days to control bleeding, then continued according to your doctor’s plan.
  • Premenstrual syndrome: Commonly 5 mg (1 tablet) once or twice daily during the second half of the cycle, as advised by your doctor.
  • Endometriosis: Dose and duration are individualized; treatment may be continuous for several months under specialist supervision.
  • Timing of menstruation: Usually started several days before the expected period and continued for the required number of days to delay menstruation, strictly as prescribed.
• Tablets should be swallowed whole with water, with or without food. Taking at the same time each day helps maintain stable hormone levels.
• If you miss a dose, take it as soon as you remember unless it is almost time for the next dose. Do not double the dose to make up for a missed tablet.
• Duration of treatment depends on the condition being treated and your response. Regular follow-up with your gynecologist is essential.

Clinical Benefits:

• Helps regulate the menstrual cycle in women with primary or secondary amenorrhoea due to progesterone deficiency.
• Reduces heavy, prolonged, or irregular uterine bleeding by stabilizing the endometrial lining.
• Alleviates menstrual pain (dysmenorrhoea) and symptoms of polymenorrhoea by correcting hormonal imbalance.
• Provides symptomatic relief in premenstrual syndrome, including mood swings, breast tenderness, and bloating.
• Supports the management of endometriosis by suppressing ectopic endometrial tissue growth and reducing pelvic pain and bleeding.
• Assists in timing or delaying menstruation when medically indicated, under professional supervision.
• Contributes to hormonal support in selected cases of female subfertility related to luteal phase defects, as part of a comprehensive fertility plan.

Warnings & Contraindications:

• Use only under medical supervision. Cidolut Nor is a prescription hormonal medicine and is not suitable for self-medication.
• Contraindications (do not use unless your doctor decides otherwise):
  • Known or suspected pregnancy; do not use if you might be pregnant.
  • Breastfeeding, unless specifically advised by your doctor.
  • Known or suspected hormone-dependent malignancies (e.g., breast cancer, endometrial cancer).
  • Unexplained vaginal bleeding not yet investigated.
  • Active or history of venous thromboembolism (deep vein thrombosis, pulmonary embolism) or known thrombophilic disorders.
  • Severe liver disease, liver tumors, or abnormal liver function tests.
  • Hypersensitivity or allergy to norethisterone or any component of the tablet.
• Use with caution in women with risk factors for thrombosis (smoking, obesity, prolonged immobilization, family history of clotting disorders), hypertension, diabetes, migraines, or hyperlipidemia. Your doctor may need to monitor you more closely.
• Inform your doctor about all medicines you are taking, including anticoagulants, antiepileptics, antituberculosis drugs, and herbal products such as St. John’s wort, as interactions may affect efficacy or safety.
• Stop treatment and seek urgent medical advice if you experience symptoms suggestive of a blood clot (sudden leg pain or swelling, chest pain, shortness of breath, sudden vision changes).
• Regular gynecological and breast examinations are recommended during long-term hormonal therapy.
• Consult your doctor before use if you have liver disease, kidney disease, cardiovascular disease, diabetes, migraine, depression, or a history of hormone-related conditions.
• Not intended to diagnose, treat, cure, or prevent any disease without proper medical evaluation and prescription.
• Keep out of reach of children.

Side Effects:

• Common side effects: Nausea, mild headache, breast tenderness, spotting or breakthrough bleeding, changes in menstrual flow, slight weight changes, fluid retention, and mood changes (e.g., irritability, mild depression).
• Less common side effects: Dizziness, acne or skin changes, decreased or increased libido, gastrointestinal discomfort, and fatigue.
• Serious side effects (seek immediate medical attention): Signs of blood clots (sudden leg swelling or pain, chest pain, difficulty breathing), severe headache or migraine with aura, sudden vision or speech disturbances, jaundice (yellowing of skin or eyes), severe abdominal pain, or allergic reactions (rash, itching, swelling of face or tongue, difficulty breathing).
• If you experience persistent or bothersome side effects, or any unusual symptoms, contact your doctor promptly.

Storage Instructions:

Store in a cool, dry place away from direct sunlight and moisture. Keep the blister pack in the outer carton to protect from light. Do not store above the temperature recommended on the package (typically below 30°c, if stated). Keep container tightly closed and out of reach of children. Do not use after the expiry date printed on the pack.

Specifications:

• Active ingredient: norethisterone 5 mg per tablet.
• Form: oral tablet.
• Pack size: 20 tablets per pack.
• Intended user group: adult women and adolescent females of reproductive age, as prescribed by a healthcare professional.
• Product type: hormonal medicine (progestogen).

Disclaimer:
All pharmacy products are intended for general use only and do not replace professional medical advice, diagnosis, or treatment. Always consult a healthcare provider before use. Results may vary, and no specific outcomes are guaranteed. Products are not intended to diagnose, treat, cure, or prevent any disease unless stated. Follow label instructions carefully, as misuse may cause adverse effects. Compliance with local laws is the customer’s responsibility.