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Norethisterone 5mg tablets

From: £16.99

A prescription-only hormonal medicine used to postpone an expected period. Start three days before the period is due and take exactly as directed by the prescriber.

Description

What is norethisterone?

Norethisterone is a progestogen medicine with effects similar to the natural hormone progesterone. It has several medical uses. This service offers the 5mg strength only for temporary postponement of an expected period.

How does it delay a period?

For period delay, norethisterone helps maintain the lining of the womb while the tablets are taken. Bleeding is usually postponed until after the course has finished.

How and when to take it

  • Take one 5mg tablet three times a day, exactly as stated on the dispensing label.
  • Start three days before the expected period.
  • Continue for the prescribed number of days; do not exceed the approved course.
  • Try to take the doses at consistent times through the day.
  • Swallow with water. Follow the current Patient Information Leaflet and any individual advice.

What if I forget a tablet?

Take the tablet when remembered and continue at the normal times, unless the prescriber or leaflet says otherwise. Do not take two doses together to make up for a missed dose. Missing doses may make breakthrough bleeding more likely.

When should bleeding return?

A period usually starts within around three days of stopping norethisterone, but this varies. If a period does not occur, pregnancy should be excluded and medical advice may be needed before any further course.

What if my period has already started?

Norethisterone does not reliably stop a period that has already begun. Do not present the product as an emergency way to stop active bleeding.

What should I expect?

Many people can postpone a period when the medicine is started and taken correctly, but results are not guaranteed. Spotting, breakthrough bleeding or cycle changes can occur.

Storage and disposal

Keep the medicine out of the sight and reach of children, store it in the original packaging below the temperature stated in the current leaflet, and return unwanted medicines to a pharmacy rather than putting them in household waste or wastewater.

Additional information

Strength

5mg

Quantity

30 tablets, 60 tablets

Intended delay

Up to 7 days, Up to 17 days

Course explanation

Course How quantity is calculated Public wording
30 tablets 3 tablets daily for 10 days: 3 days before expected onset plus up to 7 days of postponement “30 tablets – intended to delay your expected period by up to 7 days.”
60 tablets 3 tablets daily for 20 days: 3 days before expected onset plus up to 17 days of postponement “60 tablets – intended to delay your expected period by up to 17 days.”

Safety accordion

Do not take this medicine if

  • You are pregnant or think you may be pregnant.
  • You have unexplained vaginal bleeding that has not been assessed.
  • You have or have previously had a blood clot, or have a relevant history requiring specialist assessment.
  • You have current or recent angina, heart attack or another arterial clotting condition.
  • You have liver problems, porphyria, a relevant history of pregnancy-related jaundice or severe generalised itching.
  • You are allergic to norethisterone or any ingredient.

Tell the prescriber before treatment if

  • You have migraine, epilepsy, asthma, kidney disease, heart disease or high blood pressure.
  • You have BMI above 30, lupus, a strong family history of clots, recurrent miscarriage, recent injury, planned surgery or prolonged immobility.
  • You are breastfeeding, have depression or significant mood symptoms, or have an irregular cycle.
  • You already use hormonal contraception or have recently changed it.
  • You take any prescription medicine, pharmacy medicine, supplement or herbal product.

Interactions

Examples include some medicines for epilepsy, tuberculosis and other infections, HIV, cancer, high blood pressure and immune suppression, plus St John’s wort. This list is not exhaustive. The prescriber and pharmacist must check the complete medicine list against an approved current interaction source.

Pregnancy, breastfeeding and contraception

Norethisterone is contraindicated in pregnancy and is not a contraceptive. Patients who are breastfeeding or could become pregnant require individual advice and should use appropriate contraception where needed.

Possible side effects

Possible effects include spotting or bleeding changes, headache, dizziness, tiredness, nausea, breast tenderness, bloating, swelling, mood changes, acne, itching or rash. The Patient Information Leaflet contains the complete current list.

Urgent warning signs

Stop the medicine and seek urgent help for symptoms of a blood clot, stroke, severe allergic reaction, sudden visual change, severe new headache, jaundice or another serious reaction. Emergency wording must be visually prominent and must not be hidden behind a collapsed accordion on mobile.

FAQ’s

What is the active ingredient?

Norethisterone 5mg.

How many tablets do I take each day?

The standard period-delay regimen is one tablet three times daily, but the dispensing label and prescriber instructions must always be followed.

Can I choose 30 or 60 tablets?

Yes, as a preference. The prescriber may approve a different course or decline treatment.

Can I use the 60-tablet course every month?

No repeat or frequent use should be assumed. Each request requires clinical assessment and the service is not intended for unsupervised long-term menstrual suppression.

Will I bleed while taking it?

Spotting or breakthrough bleeding can occur.

Does it affect fertility?

The medicine is not a contraceptive. A temporary cycle change may occur, and pregnancy is possible unless effective contraception is used.

Can I drink alcohol?

There is no generic promise that alcohol is risk-free. Moderate intake does not replace medicine-specific advice, and the patient should follow the leaflet and prescriber guidance.

Can I take painkillers?

All medicines should be disclosed. Some anti-inflammatory medicines may need consideration because of fluid retention or other clinical factors.

What if I feel depressed or notice mood changes?

Contact a healthcare professional promptly, especially for severe mood changes or suicidal thoughts.

What if I take too many tablets?

Contact a doctor, pharmacist or urgent medical service for advice. Do not wait for symptoms.