Duphaston tablets when planning pregnancy - instructions for use

Dufaston is the synthetic hormone preparation of the last generation, which is an artificial analog of the female hormone progesterone. A unique feature of the drug is its chemical formula, which is almost identical to the structure of the natural hormone progesterone.

It is necessary for the female body to provide biological rearrangements related to the preparation for pregnancy and its normal course. The basis of the drug is a progestogen hormone - dydrogesterone. It acts directly on the uterine mucosa, which excludes most of the side effects accompanying the use of other synthetic hormones.

Duphaston is prescribed for women with a deficiency of endogenous progesterone, which provokes most of the disorders from the reproductive system. The scope of the drug in gynecology is very extensive, with the help of this drug can solve many women's problems associated with miscarriage and infertility.

Thanks to Dufaston, many women of reproductive age were able to maintain pregnancy and found the happiness of motherhood. For the first time this unique preparation was synthesized in the 60s of the last century and has since been successfully applied in gynecological practice for the prevention and treatment of the majority of female diseases associated with a shortage of progesterone. Can I get pregnant by taking Dufaston? This question can be answered by analyzing the composition of the preparation, instructions for use and the mechanism of its action.

Duphaston - the action of the drug

To find out how the drug works and how to take Duphaston correctly, it is necessary to elaborate on the role of progesterone in the life of a woman. Progesterone is a steroid hormone, which in the body of a woman produces adrenals and ovaries. It plays a crucial role in the normal functioning of the reproductive system, it is precisely the level of progesterone that determines the right menstrual cycle, fertilization and successful gestation.

Progesterone is responsible for the formation of the endometrium( internal mucous membrane of the uterus).It is produced at a certain stage of the menstrual cycle, supporting changes in the endometrium necessary for the further development of pregnancy. During the monthly cycle, a decrease in the level of progesterone causes a peeling of the endometrium and menstrual bleeding. At the beginning of pregnancy, when a fertilized egg is attached to the walls of the uterus, the level of progesterone remains high, maintaining the endometrium is normal.

After fertilization, progesterone inhibits uterine contractions, thereby preventing rejection of the fetal egg and ensuring further development of pregnancy. In addition, the hormone dydrogesterone can eliminate various menstrual disorders: premenstrual syndrome, painful and irregular menstruation.

Dufaston has a huge advantage in comparison with other synthetic drugs, synthesized on the basis of male sex hormones. Its structure has nothing to do with them, so the medication does not cause unwanted side effects associated with the appearance of secondary male sexual characteristics( coarsening of the voice, increased hairiness).

The chemical structure of Dufaston is based on a specific combination with carbon molecules, which explains the effectiveness of the drug and its ability to provide the necessary curative effect in a short time.

Dufaston does not have estrogenic, corticoid and androgenic effects, does not change thermogenesis, does not affect the metabolism in the body and has no side effects associated with the use of other synthetic progestins. Dydrogesterone does not have a negative effect on liver function and carbohydrate metabolism. The therapeutic effect of the drug is achieved without disturbing menstrual function and suppressing ovulation.

After oral administration, Dufaston is rapidly absorbed from the digestive tract, reaching a high concentration in the blood after 2 hours. Metabolized in the liver, excreted from the body mainly with urine. The full elimination process takes 72 hours.

Composition and Form of Release

Dufaston is available in the form of tablets for oral administration. Biconvex, white tablets are covered with a film sheath, have bevelled edges, risk on one side and engraving "155" on both sides.

In 1 tablet of the drug contains 10 mg of dydrogesterone + excipients. In the package with the drug there is one blister with 20 Dufaston tablets.

Price

From the chemist's network, Dyufaston is dispensed by prescription. The average cost of the drug is 490-550 rubles per package.

Duphaston or analogue Utrozhestan - what is better?

The analogue of Dufaston is the hormonal preparation Utrozestan. Both medicines have the same therapeutic effect and have the same indications for use. The main difference between the preparations is that Utrozestan contains natural progesterone, isolated from plant raw materials. In addition, there is a difference in the form of release.

Utrozhestan is produced in two varieties: in the form of tablets and candles, which can be injected into the vagina. This form of the drug is considered more preferable, since the active substance quickly enters the bloodstream and has an effective therapeutic effect. Suppositories are much more convenient to use, especially for women with toxicosis, in which taking pills can cause a vomiting attack.

At the same time, Utrozestan has a number of shortcomings. It has a sedative effect, which is absent and Duphaston and causes unsuccessful reactions from the liver. It is difficult to say which of these drugs is better, since the individual features of the patient play a big role in the treatment.

Only the physician can decide which medication to give preference to when choosing the optimal method of treatment. The specialist will select the necessary dosage and scheme of therapy in accordance with the clinical picture and the severity of the pathology.

What is Duphaston prescribed for -

indications Duphaston is prescribed for women with various gynecological diseases caused by a hormonal imbalance associated with a deficiency of progesterone. The drug is used to treat the following conditions:

• For various disorders of the menstrual cycle( dysmenorrhea, irregular cycle)
• With endometriosis
• With pronounced premenstrual syndrome
• Infertility caused by hormonal imbalance
• In case of a threat of miscarriage due to a lack of progesterone
• With secondary amenorrhea
• With uterine bleedingof a different nature
• For disorders caused by surgical or natural menopause

Dufaston is successfully used inpainful periods for the investment state. Hormonal remedy helps to cause monthly if they are delayed in cases when a woman is not pregnant. During pregnancy, the drug will prevent the threat of miscarriage, without adversely affecting the condition of the woman and the fetus.

In some cases, when an important trip or vacation is planned, and the onset of menstruation falls on these days, women use the drug to call menstruation ahead of schedule.

Monthly after Dufaston come at a certain dosage, which should be selected and recommended by a specialist. This use of hormonal drugs is not always justified, as it can lead to negative consequences, so use the drug for this purpose should only after consulting a doctor.

In menopause, Dufaston is prescribed together with other medicines as part of complex hormone therapy. The doctor selects the dosage of the drug individually after a comprehensive examination and on the basis of the results of hormone analyzes.

In any case, the drug should appoint a specialist who individually selects the optimal treatment scheme based on a number of laboratory tests and tells you how to drink Dyufaston correctly.

Instruction for use and dosage

Duphaston dosage and dosage regimens are selected by the physician individually, taking into account the phases of the natural menstrual cycle and the clinical symptoms of the disease.

Infertility

In the treatment of infertility, the drug is prescribed only if there are certain indications. This is the insufficiency of the second phase of the menstrual cycle, or those conditions in which pregnancy ends in a miscarriage.

According to the instructions for the use of Dufaston, with infertility due to luteal insufficiency, therapy should be continued for a period of 6 menstrual cycles and continue according to a certain pattern in the first months of pregnancy. The drug is continued until the 16th week of pregnancy.

Medication is started immediately after ovulation, the next day. If a woman has a 28-day menstrual cycle, which is regular, then the daily dose of the drug should be 10 mg, it can be divided into 2 times. In this case, Dufaston is prescribed from the 14th to the 25th day of the cycle. How to take DUFASTON for a 25-day cycle will be determined by your doctor.

Usually, in such cases, Duphaston is administered from the 16th to the 25th day of the cycle. During this time, in most cases, pregnancy occurs. It should be noted that taking the drug does not have a negative effect on the fetus, and the current pregnancy is no different from the usual.

• In the treatment of endometriosis I prescribe 10 mg of hormone 2 to 3 times a day. This dose should be taken without interruption from the 5th to the 25th day of the cycle.
• In the event of a threat of miscarriage, is prescribed a single dose of 40 mg of Dufaston, after which, according to the standard treatment regimen, 10 mg( 1 tablet) should be taken every 8 hours until dysfunctional symptoms disappear.
• With irregular monthly or severe premenstrual syndrome , the drug is drunk 10 mg twice a day. In these cases, the medication is prescribed from 11 to 25 days of the cycle. In the absence of menstruation( dysmenorrhea) twice a day you need to take 10 mg of the drug from 5 to 25 day cycle.
• To stop uterine bleeding hormone is prescribed for 7 days at a dosage of 10 mg twice a day. To prevent bleeding, the drug is drunk in the same dosage from 11 to 25 days of the cycle.
• For frequently recurring miscarriages, Dufaston is administered at different dosages. Before 20 weeks of pregnancy, take 10 mg of the drug 2 times a day, then gradually reduce the dose.
• When carrying out hormone replacement therapy , the medication is used in combination with estrogens. The standard treatment regimen provides for a single dose of 10 mg per day for 14 days in each menstrual cycle.

Contraindications

Dufaston is not prescribed in the following conditions:

• With increased sensitivity to drug components or dydrogesterone
• For acute heart failure
• For severe liver and kidney damage
• For type 1 diabetes mellitus
• For malignancies
• For susceptibility to thrombosis

With extreme cautionthe drug is prescribed for patients who had a history of pruritus with an anterior history.

Adverse effects of

Dufastone may develop side effects:

• In some cases, liver trouble is manifested in weakness and malaise, jaundice, some patients note that after Dufaston the stomach hurts.
• From the side of the central nervous system, dizziness and headaches are possible.
• The hematopoiesis system can respond to the administration of the drug with symptoms of hemolytic anemia.
• On the part of the genital area, sometimes breakthrough uterine bleeding occurs, sometimes there is soreness and swelling of the mammary glands.
• Allergic manifestations in the form of hives, itching, skin rashes are possible from the skin. In very rare cases, there is a development of such complications as Quincke's edema.

Uterine bleeding when taking the drug is easily cured by increasing the dose of Dufaston. In case of adverse reactions, you should consult a doctor, you may need to adjust the dose, and in case of allergic reactions, the drug should be discontinued.

Dufaston in pregnancy and lactation.

. When pregnancy is advisable, it is recommended to continue taking Dufaston. He will make up for the shortage of progesterone and take on his functions. That is, it will relax the muscles of the uterus and prevent the risk of termination of pregnancy. The drug is taken until the situation becomes stable and the obvious or hidden threat of miscarriage disappears.

Usually, the need for medication is eliminated after 16 weeks of pregnancy. In some cases, if there is a threat of interruption at a later date, the drug intake may be prolonged until the 20th week of pregnancy. Dyuphaston can not be abruptly abolished, as this can provoke an aggravation of the threat, the drug should be phased out gradually.

During lactation, dydrogesterone is excreted in the mother's milk. Therefore, when taking the drug, breastfeeding should be discontinued.

Drug Interaction

When combined with rifampicin and phenobarbital, Dufaston's effectiveness decreases. Cases of incompatibility with other drugs have not been identified.

Special instructions

When appointing Dufastone with estrogens, all the features and contraindications associated with the use of estrogens should be considered. Before starting hormone replacement therapy, which includes Dufaston, it is recommended to collect a complete history to prevent the development of possible complications. During the therapy the doctor should inform the patient about possible changes in the mammary glands. A woman needs to be assigned studies that include mammography and control the tolerability of therapy.

Sometimes, hormone therapy during the menopause is complicated by the appearance of breakthrough bleeding, which can be suppressed with an increased dose of the drug. If the bleeding continues after the completion of the course of treatment, it is necessary to conduct an endometrial biopsy to exclude the development of malignant neoplasms.

Duphaston can not be administered to patients with a genetic intolerance to galactose, malabsorption syndrome, or lactase deficiency. With special care, the drug should be administered simultaneously with estrogen to those patients who suffer from cardiovascular diseases, epilepsy, diabetes mellitus, migraine, kidney pathology.

Dufaston's reception does not adversely affect the ability to drive vehicles and manage production machinery.

Feedback on treatment

Testimonial № 1

My problem is an irregular menstrual cycle, the monthly ones go when they want, they may even disappear for several months. I think that it's not just about nutrition, lack of vitamins or ecology. Another reason in me, I'm very skinny and apparently therefore the normal cycle will not be fixed.

The gynecologist after the examination recommended taking Dufaston. I bought a package of the drug, the tablets are quite expensive, I had to pay 580 rubles. In the package one plate, in which 20 tablets. She started taking the drug according to the scheme prescribed by the doctor. Tablets are easy to take, they are small, they are pleasant to swallow, they do not have taste and smell.

It was treated for a total of three months, menstruation began to come as clockwise, the cycle returned to normal. I just noticed that the monthly stages are much more plentiful than before. But there is an additional plus from the reception - I recovered a bit and began to look better.

Dufaston is very effective, there were no side effects. This drug helped my friend, she had too painful periods, and she also suffered from PMS.After the course of treatment, she also stabilized. So I only speak about this drug positively.

Maria, Kazan

Review No. 2

I first met Dufaston when I had a second child. The first pregnancy was easy, without complications, but during the second there was a threat of miscarriage due to the low content of progesterone. It turns out that this hormonal drug helps to get pregnant and support pregnancy, preventing the threat of miscarriage.

I had to take the drug for a long time. Since the threat persisted, she drank Dufaston before the 20th week of pregnancy. The price is not cheap, to undergo a course of treatment completely, had to be heavily spent. Well, you will not do it for the sake of a future child. In addition, I noticed some side reactions.

At first, taking the drug did not cause any unpleasant sensations, but then after the pill began to notice increased drowsiness, by the end of the working day it was hard, I always wanted to sleep. Maybe the drug is not to blame, it's just that the body reacted so much to pregnancy, but this was not the case with the first child. In the end, everything ended well, I gave birth to my daughter, and this helped me Duphaston.

Oksana, Volgograd

Review No. 3

I've been drinking Duphaston for the third month. I was appointed to treat endometriosis. What can I note. The result of his reception is positive, she began to feel much better. Before that, I had very painful menstruation, back pain, spotting during the cycle.

Now I feel much better. The cycle was normalized, pain and discharge disappeared, there was no constant discomfort and irritation. Just noticed that when taking the drug there was swelling, I gained weight by 3 kg, but this is a hormonal drug, so this is the reaction of the body.

In general, the problem is correctable, on the advice of a doctor I drink diuretics and with the swelling coped, excess weight will also gradually go away. Most importantly, we managed to solve the problem that tormented me over the last few years. For this I thank Dufaston.

Svetlana, Moscow