Uses / Indications:
Endometriosis (painful periods, pelvic pain, excessive bleeding)
Preventing the return of endometriosis after surgery
Management of infertility associated to endometriosis (as an adjunct therapy prior to ART/IVF)
Pregnancy interaction:
Not a good idea during pregnancy.
You shouldn't take dienogest after you know you're pregnant.
There is no proof that it helps during pregnancy, and studies on animals suggest that it could be bad for the growing fetus.
During therapy, women who can get pregnant should utilize non-hormonal birth control.
Expert advice:
Every day, without fail, take the drug at the same time.
Don't skip doses; not taking them regularly makes them less effective.
Tell your doctor if you have ever had blood clots, liver illness, or hormone-dependent malignancies.
Along with medicine, changes to your diet, exercise, and stress management can help with endometriosis.
If you see any unusual vaginal bleeding, vision issues, or signs of thrombosis (leg pain, chest discomfort, or shortness of breath), call your doctor right away.
Side Effects:
Pain in the head
Soreness in the breasts
Skin that is greasy or has acne
Gaining weight
Changes in mood
Bleeding that isn't normal during your period
Serious (rare):
Deep vein thrombosis and pulmonary embolism are conditions that cause blood clots to form.
Very bad liver problems (jaundice, black urine, and pain in the stomach)
Mood problems or depression
Reactions to allergies (rash, edema, trouble breathing)
How to use:
Every day, at the same time, take one tablet without stopping.
You can take it with or without food.
If you forget to take a dose, take it as soon as you remember. If it's close to the next dose, skip the one you missed.
Don't stop all of a sudden without talking to your doctor.
How it works:
Dienogest lowers the amount of estrogen made and works directly on the endometrial tissue.
This stops tissue from growing in strange ways, eases discomfort from endometriosis, and lowers inflammation.
Continuous treatment helps decrease endometriotic lesions and make life better.
Interactions between medicines
Other hormonal treatments (including estrogen, progesterone, and birth control pills) may make them less effective.
Antiepileptic medications (phenytoin, carbamazepine) and rifampicin may lower Dienogest levels.
St. John's Wort (herbal medicine) may make it less effective.
Blood thinners like warfarin and heparin should be used with caution because they may make blood clots more likely to form.
Faq for medicine:
Q1: Is it safe for me to use Endothik while pregnant?
No, it has to be stopped once you find out you're pregnant.
Q2. Is it safe to do while nursing?
Not recommended, as little doses may get into breast milk and impair the production of milk.
Question 3: How long can I take Endothik?
Your doctor may suggest that you take it for a long time (months to years) for endometriosis, depending on how well you respond and how well you can handle it.
Q4. Will it make my periods stop completely?
It may lessen menstrual bleeding or even cease periods for a short time while treating the symptoms of endometriosis.
Q5. Does it have an effect on fertility?
It may inhibit ovulation while you are on it, but fertility normally comes back after you stop taking it.
Medicine interaction:
Other hormonal treatments (including estrogen, progesterone, and birth control pills) may make them less effective.
Antiepileptic medications (phenytoin, carbamazepine) and rifampicin may lower Dienogest levels.
St. John's Wort (herbal medicine) may make it less effective.
Blood thinners like warfarin and heparin should be used with caution because they may make blood clots more likely to form.