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Norethisterone

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Pfizer Utovlan 5mg Norethisterone 30 Tablets
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Patient Reviews: How Norethisterone Has Made a Difference

Treatment Information

Table of contents:

What is Norethisterone?

Norethisterone is a synthetic progestin—a man-made hormone similar to progesterone.

It is used to treat heavy or painful periods, premenstrual syndrome (PMS), endometriosis, and to delay your period for special occasions and holidays.

Buy Norethisterone Online in the UK

Norethisterone is only available on prescription and cannot be bought over the counter. However, you can purchase Norethisterone online after completing an online consultation.

All you need to do is fill in our online medical form for our clinician to assess if Norethisterone is suitable for you.

How does Norethisterone work?

During the menstrual cycle, the level of progesterone hormone in the body changes, affecting the lining of the uterus. When progesterone levels are high, the lining of the uterus is thick, allowing an egg to implant and prepare for fertilisation. If the egg is not fertilised, the progesterone level falls again, and the lining of the uterus and the egg cell is shed during a menstrual period (bleeding).

Norethisterone keeps the levels of progesterone high, tricking the body into thinking it is pregnant. As a result, the uterine lining is not shed, so a regular period bleed does not occur.

It can be safely prescribed to women between 18 and 54. Suppose you are outside this limit or are taking a combined contraceptive pill. In that case, we suggest contacting your doctor as there may be alternatives better suited for you to delay your period.

Norethisterone is not a form of contraception and will not protect you against unwanted pregnancy. You should use another form of contraception, such as condoms, while taking Norethisterone.

How do I take Norethisterone?

You should start taking Norethisterone 3 days before your period is due to start for maximum effectiveness.

The usual dosage is one pill three times a day.

Swallow the tablets whole with a glass of water.

Norethisterone tablets can be taken with or without food.

Our doctors can prescribe a maximum of 42 tablets, which can delay your period for up to 14 days.

Your normal period should resume 2-3 days after taking the last tablet. If your period does not start within this time frame, please don't hesitate to contact our clinicians or your regular GP for further advice and assistance.

Do not take Norethisterone if you are pregnant.

What should I do if I forget to take Norethisterone?

If you forget to take Norethisterone at the scheduled time, take it as soon as you remember. Continue to take Norethisterone at the usual time.

Do not take more Norethisterone to make up for a missed dose.

What should I do if I take more Norethisterone than I should?

If you take more Norethisterone tablets than you should, speak to your doctor straight away.

Norethisterone side effects and cautions

Norethisterone is not suitable for all women. If you are unsure whether Norethisterone is suitable for you, speak to your doctor.

Before taking Norethisterone, read the patient information leaflet supplied with your pill pack. The patient information leaflet contains instructions for taking, storing and disposing of Norethisterone tablets, as well as important information regarding the safety of the medicine.

You can read the patient information leaflet for Utovlan (Norethisterone) online.

Who should not take Norethisterone?

Norethisterone should not be taken if you:

  • are pregnant, think you might be pregnant or trying to conceive
  • are breastfeeding
  • have had previous blood circulation problems, such as a blood clot in any part of the body
  • have unexplained and chronic chest pain, shortness of breath or cough
  • have undiagnosed genital bleeding
  • have untreated endometrial hyperplasia
  • have liver or kidney dysfunction
  • have Diabetes

If you have untreated high blood pressure, we recommend contacting your GP to ensure your blood pressure is within the recommended range.

Allergies

Do not take Norethisterone if you are allergic to any of the ingredients of Norethisterone, such as lactose, maize starch, or magnesium stearate.

If you experience the signs of an allergic reaction after taking Norethisterone, stop taking the tablets and seek immediate medical attention by going straight to your nearest hospital's casualty department. Remember to take the packaging and any remaining tablets with you so that the doctors treating you know exactly what you have taken.

Signs of an allergic reaction include:

  • Chest tightening
  • Dry, red, and cracked skin
  • Itchy, red, watery eyes
  • Raised, itchy, red rash (hives)
  • Swelling of the lips, tongue, eyes or face
  • Tummy pain, nausea, vomiting or diarrhoea
  • Wheezing

Norethisterone side effects

All medications carry the risk of side effects, although not everybody gets them. Understanding the risks and remaining vigilant of side effects when taking any medication is important.

Norethisterone use is relatively safe, and side effects are rare.

Possible side effects of Norethisterone may include:

  • Bloating
  • Breakthrough bleeding
  • Breast changes and discomfort
  • Dizziness, drowsiness.
  • Jaundice (yellowing of the skin)
  • Migraines
  • Nausea
  • Persistent headaches
  • Stomach ache
  • Unusual swelling or leg pains, sudden shortness of breath or chest pains

This is not an exhaustive list of side effects. Further information regarding the safety of Norethisterone, including a complete list of side effects, can be found within the patient information leaflet.

If you experience any side effects from taking Norethisterone, regardless of whether they are listed above or in the patient information leaflet, speak to your doctor.

What are the side effects after stopping Norethisterone

Common short-term side effects of norethisterone include:

  1. Headaches,
  2. Breast tenderness
  3. Nausea

These side effects usually go away after you stop taking norethisterone. Other possible side effects include acne,

  1. Weight gain
  2. Loss of sex drive
  3. Water retention
  4. Depression

If these side effects do not go away within a couple of weeks after you stop taking norethisterone, talk to your doctor.

Other safety information

Always seek your doctor's advice before you buy Norethisterone online.

Do not use Norethisterone past the expiry date printed on the packaging.

Never throw away medicine via household or water waste. Take any unwanted or expired medicine to your pharmacy to be disposed of safely.

Always store medicines out of sight and reach of children and pets.

Never share your medicine with anyone else, even if they are experiencing the same symptoms as you.

Our Doctors and Pharmacists can provide you with advice and information should you require it.

Frequently asked questions

How long after taking norethisterone will my period start?

Most people will see their period start within 4 to 5 days of stopping their norethisterone treatment.

Is it safe to delay my period?

Yes, it is safe to delay your period for up to 17 days.

Can I take oral contraceptives alongside Norethisterone?

You should not take Norethisterone if you are already taking a combined contraceptive pill. However, you may be able to take it if you are taking a progestogen-only pill, also known as a “mini-pill”. Speak to your doctor before taking Norethisterone to ensure it is right for you.

Can I have sex while taking norethisterone?

Yes, but you will not be protected against unwanted pregnancy. It is important to use a form of contraception such as condoms if you plan on having intercourse while taking Norethisterone.

Are there other ways I can delay my period?

Yes. If you are taking a combined contraceptive pill, you can delay your period by taking two strips back-to-back. Consult with your GP about whether this would be a suitable option for you.

 

Sources

NHS, 2019. How can I delay my period?

Additional Resources

BLOG

How can you delay your period for a vacation?

Your period… it’s not anyone’s favourite time of the month even when you’re not heading off on holiday, but when you have some time away booked, the last thing you want to have to deal with is mood swings, cramps, worrying about leakage, and having to nip to the bathroom to ‘freshen up’ every few hours – when you’re relaxing on a beach that’s not always going to be practical anyway.To avoid these distractions, consider working out exactly when your period is due and booking your holiday around those dates. But, as every woman knows, predicting a period is as easy as predicting the weather; it’s all rather hit-and-miss.This is why many women choose to find out how to delay their period for their vacation, so they don’t have to worry about it when they are meant to be relaxing and enjoying some time away from home and work. Although it’s not always possible, and the methods aren’t 100% guaranteed. Here are some useful tips if you want to try to delay your period for your vacation.{add_product_block(30)}NorethisteroneAs with anything medical, norethisterone shouldn’t be considered a ‘magic pill’ (even though that’s exactly how it might seem if you’re looking for something to answer the question of how to delay your period for your vacation). However, with the right medical advice, this might be just what you need to delay your period enough to give you your much-needed break in every sense.You should start to take the tablets three days before your period is due. It’s three tablets every day for a maximum of 20 days, so it should cover the first three days, then every day that you want to delay your period, giving you a 17-day delay window. Stop taking the pills, and around three days later, your period will start and everything will go back to normal.Medications do tend to come with some side effects, and norethisterone is no different. Blood clots, strokes, nausea, headaches, and acne are all potentially something that you need to watch out for, plus this is not a contraceptive, so additional measures should be taken to be safe. And, since it can only be taken on prescription, you’ll need to factor in some time to see your GP before you travel if you definitely want to delay your period for your vacation.Contraceptive PillIf you don’t have time to see a doctor or you don’t like the idea of trying out a new pill, then consider your contraceptive pill, as this might work just as well. There are two different forms of contraceptive pill: the combined pill and the progesterone-only pill. Both can be used to delay your period for your vacation, but they need to be taken in different ways for this to be effective.Combined PillIf you take the combined pill, then you will generally take one pill a day for 21 days, and then have a ‘rest’ of seven days before starting up again. If you continue to take the pills during the time you would normally have a break, you can delay your period. Progesterone Only Pill (POP) When you take a POP, you don’t have the seven-day break in between doses; you take one every day throughout the month. That means you can’t take extra as mentioned above when using the combined pill. However, you can switch over to a combined pill and take one every day – remember, however, there may have been a good reason for you to have been prescribed the POP in the first place, and switching might not be good for you. If you’re unsure, it’s always wise to speak to a doctor first.Enjoy Your HolidayYour period shouldn’t stop you from enjoying your holiday, and worrying about it won’t help you relax. If you’re truly concerned, speak to your doctor about the different ways to delay your period for your vacation. It’s best to seek advice from your doctor or a pharmacist, rather than attempting untrusted and potentially dangerous advice.If there's nothing to be done to delay your period for your vacation, preparing for it is still important. If you normally use tampons, for example, then you’ll already have a good idea of how often you need to change throughout the day. You could consider using an internal menstrual cup while away on holiday - these reusable devices can save you time and money in the long run.Additional ResourcesHow To Delay Your PeriodWhat Happens If You Take Norethisterone on the First Day of Your Period?
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How can you delay your period for a vacation?
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How to delay your period

It can be challenging to predict when your period will arrive each month, but this task becomes even more difficult when you have a special event, such as a holiday or a wedding. Fortunately, a few options are available to help you delay your period in the UK.The first option is to take a medication called Norethisterone. Our clinician can prescribe this after a consultation. Norethisterone helps to delay your period by up to 17 days. It works by stopping the natural shedding of the womb lining and, therefore, delaying your period.It is essential to note that Norethisterone should not be taken for more than 17 days without your doctor's prior approval.It is also worth noting that taking Norethisterone does not always guarantee that your period will be delayed – it is simply a form of contraception. It can delay your period, but it should not be used if you want to prevent pregnancy.The second option is to use a menstrual cup. This type of cup is inserted into the vagina to collect menstrual fluid. It is then emptied and rinsed out every 8 to 12 hours, and it can be used to delay your period. This can be a helpful way to delay your period if you only have a short time{add_product_block(30)}How does Norethisterone work?Norethisterone is a derivative of the naturally occurring hormone progesterone and prevents the body from ovulating. It works by increasing the production of a hormone called progesterone, which stops the release of an egg from the ovaries. This blocks the eggs from being fertilised and, therefore, prevents pregnancy.Norethisterone can also delay the start of a period for up to 17 days. This is because the hormone suppresses the production of the body’s natural hormone, oestrogen, which is required for the menstrual cycle to start. Norethisterone can also be used to treat heavy and painful periods and irregular menstrual cycles.How to take Norethisterone?Take norethisterone exactly as your doctor has prescribed. Do not take larger or smaller doses or take them longer than your doctor recommended.Do not stop taking norethisterone suddenly unless advised by your doctor.Keep all scheduled follow-up appointments with your doctor.Avoid alcohol, other drugs, or supplements that can increase your risk of bleeding or other serious side effects.Stay active and maintain a healthy diet to reduce the risk of side effects and complications from long-term use of norethisterone.Talk to your doctor before taking any other medication while taking norethisterone.Store norethisterone at room temperature, away from light and moisture.What happens if you take norethisterone too late?If you take norethisterone too late, it may not effectively postpone your period. Take it as prescribed by your doctor or pharmacist to ensure it works effectively.Does norethisterone reset your cycle?No, norethisterone does not reset your menstrual cycle. It is possible for your next period to be delayed after taking norethisterone, however this is not always the case. Your doctor will be able to advise you on any potential changes to your menstrual cycle.Norethisterone is a hormonal medication and works as a progesterone-like agent to delay your period. It works by stopping the natural hormones which cause the lining of your womb to shed, meaning that your period will be delayed.Additional ResourcesPrimolut N 5mgProvera (Medroxyprogesterone)Utovlan TabletsWhat Happens If You Take Norethisterone on the First Day of Your Period?Pills to Stop Menstruation Immediately
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How to delay your period
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What Happens If You Take Norethisterone on the First Day of Your Period?

In short, if you take norethisterone on the first day of your period, it won’t stop your period. Therefore, it is essential to take norethisterone 3 days before your period begins to achieve the desired results.Here, we’ll look at what happens if you take norethisterone on the first day of your period and when you should take it to effectively delay your period.What happens if I take norethisterone on day 1 of my period?If you take norethisterone on the first day of your period, it’s unlikely to stop your periods from starting. If your period has already started when you take norethisterone, it will not stop it.However, it may still affect your hormone levels, so you may experience a shorter or lighter period than usual, even though it does not completely stop it.Norethisterone is a man-made form of progesterone. The main function of progesterone is to prepare the female body for pregnancy. Each month, a series of changes takes place as part of the menstrual cycle to prepare the body for the release and potential fertilisation of an egg.The menstrual cycle is split into 2 phases:FollicularLutealThe first phase is the follicular phase, where a follicle cell develops in the ovary, stimulating the production of oestrogen and preparing for ovulation. At this point, progesterone levels remain low.When an egg is released, progesterone levels rise during the second half or luteal phase of the cycle, and the follicle that’s left behind transforms into a ball of cells called the corpus luteum. The corpus luteum produces progesterone, signalling to the body to prepare for pregnancy. If pregnancy happens, progesterone levels stay high.If pregnancy doesn’t occur, progesterone levels fall dramatically, and a new cycle begins, starting with your period.Source: Trends in Cardiovascular Medicine (2017)Taking norethisterone a few days before your period will effectively trick your body into thinking it might be pregnant, stopping your womb from shedding and delaying your period until you stop taking it.When should you take norethisterone?Norethisterone is most effective for period delay when it is taken 3 days before your period starts.How to take norethisteroneTo delay your period, the typical norethisterone dosing schedule is 1 tablet 3 times a day.Ideally, you should take norethisterone 3 days before your period is due to start for them to effectively delay your period. Your period should start within 3 days of finishing the norethisterone tablets.You can find out more detailed information about norethisterone and how to take it in the patient information leaflet.Does norethisterone prevent pregnancy?No, norethisterone only delays your period; it does not stop you from getting pregnant. If your period does not start within 3 days of stopping norethisterone tablets, you may be pregnant; speak to your clinician for advice.If you want to prevent pregnancy rather than delay your period, you should think about the contraceptive pill instead.What is norethisterone?Norethisterone belongs to a group of medicines called progestogens, which are similar to the naturally produced female hormone progesterone. Norethisterone is a man-made form of progesterone and is commonly taken to delay your period.Norethisterone is the generic form of the medication. Branded versions are also available from Prescription Doctor. They are:Primolut N 5mgUtovlan 5mgThe branded versions contain the same active ingredients in the same doses as the generic forms, but branded versions tend to be more expensive.How does norethisterone work?During a normal menstrual cycle, progesterone levels naturally fall during your period, but norethisterone keeps your progesterone levels up. Doing so stops your womb lining from shedding, delaying your period.Why might you delay your period?There are several reasons why you might want to delay your period, such as:Occasions: You may choose to delay your period if you have an important occasion coming up, such as a wedding, where you don’t want to risk being on your period or experiencing any of the associated symptoms.Holiday: If you have an upcoming holiday, you may prefer to delay your period rather than be on it while you are away. Find out how you can best delay your period for a holiday by reading our blog.Painful periods: If you experience painful periods, delaying your period can provide some relief.Endometriosis: Sometimes, delaying your period can help manage some of the debilitating symptoms associated with endometriosis.Norethisterone alternatives for period delayIf norethisterone isn’t right for you, Prescription Doctor can provide an alternative called Provera, which contains the active ingredient medroxyprogesterone acetate.SummaryNorethisterone is an effective period delay medication taken by women who want to stop their period from happening at a specific time, perhaps for an important life event. Norethisterone is most effective for period delay when it is taken 3 days before your period starts. If you take it on the day of your period, it won’t delay your period because it works by keeping your progesterone levels high to stop your womb lining from shedding. SourcesGP Notebook, 2024. Delaying menstruation.Trends in Cardiovascular Medicine, 2017. Effect of age and gender on the QTc-interval in healthy individuals and patients with Long-QT syndrome.Wockhardt, 2022. Norethisterone patient leaflet.Additional ResourcesHow To Delay Your PeriodHow To Delay Your Period For A Holiday?Norethisterone For Period Delay Period Delay Pills Pills to Stop Menstruation ImmediatelyPrimolut N For Period Delay
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What Happens If You Take Norethisterone on the First Day of Your Period?
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Pills to Stop Menstruation Immediately

Period delay pills are an effective way to temporarily delay your period. They contain medications that mimic the effects of the hormone progesterone and stop the uterine lining from breaking down. If you start taking them 3 days before your period is due, you won’t bleed until you stop taking the pills. However, you can’t take period delay pills indefinitely.What Are Period Delay Pills?Period delay pills are medications you can use to delay your period. They can be a lifesaver when you don’t want to deal with your period during an important event, and many people use them ahead of:WeddingsHolidaysDates or romantic tripsSporting eventsOther important eventsPeriod delay pills can also be used to manage certain medical conditions, such as:Heavy periodsPainful periodsIrregular periodsPremenstrual tension (PMT)EndometriosisBreast cancerHow Do Period Delay Pills Work?Two hormones control the events of a typical menstrual cycle: oestrogen and progesterone. During the first half of the menstrual cycle (the follicular phase), high levels of oestrogen cause the uterine lining to thicken. Another hormone, called progesterone, maintains the uterine lining during the second half of the menstrual cycle (the luteal phase).Together, oestrogen and progesterone prepare the uterus for pregnancy. If you don’t get pregnant, oestrogen and progesterone levels drop dramatically. This triggers the uterine lining to break down, which causes bleeding (i.e., a period).Period delay pills contain progestogens, which are molecules with similar effects to progesterone. If you take them a few days before your period is due, they artificially maintain your progesterone levels instead of allowing them to fall. This stops your body from initiating the breakdown of your womb lining and allows you to delay your period.Types of Period Delay PillsThere are two types of progestogens used in period delay pills: norethisterone and medroxyprogesterone. Both types mimic the effects of progesterone, stopping the womb lining from breaking down and preventing menstrual bleeding.Examples of norethisterone-containing period delay pills include:Norethisterone (5mg)Primolut NUtovlanProvera is a brand name for medroxyprogesterone period delay pills.Contraceptive Pills vs. Period Delay PillsMany people use contraceptive pills, like Rigevidon, to delay their periods. If you take these pills without a break, you can avoid having a period for as long as you like. However, not everyone can use contraceptive pills. They may be unsuitable for people with certain medical conditions, such as:Blood clotsMigrainesNarrowed or blocked arteriesHeart problemsBreast cancerGallbladder problemsLiver cancerSevere cirrhosis of the liverComplications due to diabetesOthers may want to avoid using contraceptive pills because of their side effects, which may include:HeadachesNauseaBreast tendernessIncreased blood pressureChanges in moodIf you want to postpone your period but can’t or don’t want to take contraceptive pills, period delay pills may be a suitable alternative. If you have any questions or concerns regarding contraceptive pills or period delay pills, it’s always best to speak with your doctor before starting a new medication.When To Take a Period Delay PillIf you want to delay your period with norethisterone, you should take a 5mg dose 3 times a day, starting 3 days before your period is due. Your period should occur within 2-3 days of stopping the medication.Pills containing medroxyprogesterone (such as Provera) should be taken at a dose of 10mg, three times a day. You should start taking the pills 3 days before your period is due, and your period will start around 3 days after stopping.How Long Can You Delay Your Period?The practice of delaying or preventing periods is called menstrual suppression, and it is widely considered safe by medical professionals. You can delay your period indefinitely using a combined contraceptive pill, though many people using this method still experience breakthrough bleeding (i.e., bleeding between periods).Period delay pills are more suitable for temporarily delaying periods. For example, norethisterone can be used to postpone your period for up to 4 weeks. However, they are less effective for long-term menstrual suppression than contraceptive pills. Norethisterone needs to be taken regularly, usually three times a day, to effectively delay menstruation.Norethisterone may also cause side effects such as bloating, irregular bleeding, breast tenderness, and headaches. It’s important to note that norethisterone and medroxyprogesterone period delay pills don’t work as contraceptives and won’t prevent pregnancy.Are Period Delay Pills Safe To Use?For most people, period delay pills are safe to use. However, they may not be suitable for everyone. For example, norethisterone medications are not recommended for people with certain health conditions, such as:EpilepsyMigrainesAsthmaHeart problemsKidney problemsConditions that increase the risk of blood clotsMedroxyprogesterone medications (like Provera) may not be suitable for people with:EpilepsyMigrainesAsthmaHeart problemsKidney problemsLiver problemsHearing problemsDiabetesDepressionHigh blood pressureGallstonesLupusRisk of blood clotsLike all medications, period delay pills may cause side effects. If you aren’t sure whether period delay pills are a suitable option for you, consult your doctor for more information.Additional Resources How To Delay Your PeriodPrimolut N 5mg For Period Delay Utovlan For Period Delay Norethisterone For Period Delay What Happens If You Take Norethisterone on the First Day of Your Period?SourcesWomenshealth.gov, 2021. Your Menstrual Cycle.BMJ, Sexual and Reproductive Health, 2020. Norethisterone and its acetate - what’s so special about them?Specialist Pharmacy Service, NHS, 2024. Choosing a medicine to delay periods.NICE, 2024. Norethisterone.NHS Tayside Area Formulary, 2021. Progestogens and progesterone receptor modulators.
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Pills to Stop Menstruation Immediately

Treatment information

  • Product Name: Utovlan
  • Active Ingredient(s): Norethisterone
  • Administration: Oral
  • Presentation: Tablets
  • Available Strength: 5 mg
  • Exemption: Prescription Only
  • Application: Women over 18
  • Dosage: Take 1 tablet 3 times per day (starting 3 days before your expected period Date)
  • Description: Hormonal treatment that allows women to delay period for up to 14 days
  • Drug class: Progesterons
  • Alcohol consumption: No influence
  • Price: 14.99 GBP
  • https://www.prescriptiondoctor.com/storage/product_images_th/norethisterone-5mg-tablets.jpg
Click here to view the Norethisterone - Patient Information Leaflet

Authored & Reviewed By

Mohamed Imran Lakhi

Mohamed Imran Lakhi

MPharm - Lead Pharmacist
Imran Lakhi is the superintendent pharmacist and founder at Prescription Doctor. He has been at the core of our team.

Published on: 18/01/2017 Reviewed on: 13/03/2024
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