Algest SR 200 Tablet (Progesterone 200 mg Intramuscular Injection)
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Difficulty breathing or swelling of face, lips, or throat
- Chest pain or severe leg pain and swelling
- Yellowing of skin or eyes
- Severe abdominal pain
- Unusual vaginal bleeding
- Severe headache with vision changes
- High fever with chills
If experiencing severe symptoms, call emergency services immediately.
What is biogest 200mg soft gelatin capsule used for?
This medicine contains progesterone 200 mg and is given by intramuscular injection. It is used for luteal support in fertility treatments, threatened miscarriage, and certain menstrual disorders. It must be administered by a healthcare professional.
- Generic Name: Progesterone (Natural Micronized)
- Manufacturer: Biocin Genetics & Pharma
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 biogest 200mg soft gelatin capsule के बारे में (Hindi Summary)
उपयोग: यह दवा प्रोजेस्टेरोन 200 मिलीग्राम इंजेक्शन के रूप में दी जाती है। इसका उपयोग फर्टिलिटी ट्रीटमेंट में ल्यूटियल सपोर्ट, गर्भपात के खतरे, और कुछ मासिक धर्म विकारों में किया जाता है। यह इंजेक्शन डॉक्टर या नर्स द्वारा मांसपेशी में लगाया जाता है। इसे मुंह से नहीं लेना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में इंजेक्शन की जगह पर दर्द, लालिमा, सूजन, सिरदर्द, चक्कर आना, नींद आना, मनोदशा में बदलाव, स्तन में कोमलता, मतली और मासिक धर्म में बदलाव शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन खून के थक्के, गंभीर एलर्जी, और लीवर की समस्या हो सकती है। कोई भी गंभीर लक्षण होने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: यह दवा केवल डॉक्टर या नर्स द्वारा इंजेक्शन के रूप में दी जानी चाहिए। इसे मुंह से न लें। अपने डॉक्टर को सभी दवाओं के बारे में बताएं, खासकर खून पतला करने वाली दवाएं। खून के थक्के, लीवर रोग, या स्तन कैंसर का इतिहास हो तो डॉक्टर को बताएं। शराब से बचें क्योंकि इससे नींद और चक्कर बढ़ सकते हैं। असामान्य रक्तस्राव, तेज सिरदर्द, दृष्टि में बदलाव, या पैर में सूजन हो तो तुरंत डॉक्टर से मिलें।
💊 biogest 200mg soft gelatin capsule Uses & Benefits
[{"condition":"Luteal phase support in assisted reproduction","description":"This medicine is used to support the uterine lining after ovulation induction or embryo transfer in IVF and other fertility treatments.","evidence":"Well-established"},{"condition":"Threatened miscarriage due to luteal phase deficiency","description":"Progesterone supplementation may help maintain early pregnancy when low progesterone is suspected.","evidence":"Moderate"},{"condition":"Recurrent miscarriage associated with luteal phase defect","description":"Used in selected patients to support early pregnancy maintenance.","evidence":"Limited to moderate"},{"condition":"Secondary amenorrhea","description":"Progesterone can be used to induce withdrawal bleeding in women with absent periods due to hormonal imbalance.","evidence":"Well-established"},{"condition":"Abnormal uterine bleeding due to hormonal imbalance","description":"Helps stabilize the endometrium and regulate bleeding in selected non-structural causes.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Luteal support in unexplained infertility","description":"Sometimes prescribed off-label to support the luteal phase in women with unexplained infertility.","evidence":"Limited"},{"condition":"Prevention of preterm birth in selected high-risk women","description":"Progesterone has been studied for preterm birth prevention, but this is not a standard labeled use for all products.","evidence":"Limited"}]
Primary treatment for: Luteal phase support in assisted reproduction
Also treats: Threatened miscarriage, Recurrent miscarriage, Secondary amenorrhea, Abnormal uterine bleeding
📋 Drug Information
| Generic Name(s) | Progesterone (Natural Micronized) |
| Brand Name | Aqsusten 25 Solution for Injection |
| Manufacturer | Biocin Genetics & Pharma |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GYNAECOLOGICAL |
| Action Class | Natural Progesterone |
| Route of Administration | Intramuscular |
| Storage | Store in a cool, dry place below 30°C. Protect from light and moisture. Keep out of reach of children. |
| Shelf Life | Not established from the available information for this specific product. Check the expiry date on the pack. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by delivering progesterone, which binds to intracellular progesterone receptors in target tissues such as the endometrium, myometrium, breast, and brain. This binding activates gene transcription and changes protein synthesis, leading to secretory transformation of the endometrium, relaxation of uterine smooth muscle, and feedback regulation of the hypothalamic-pituitary-ovarian axis. These effects help support implantation and early pregnancy, regulate menstrual bleeding, and suppress ovulation when used in certain regimens.
Mechanism Steps
💡 How to Take biogest 200mg soft gelatin capsule
Strength: 200 mg tablet for intramuscular use
Dosage Information
| Adult Dosage | The dose of this medicine is individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function. For luteal support, a common regimen may involve 200 mg intramuscularly at specific intervals as prescribed. Do not self-administer. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the sedative effects of this medicine. Use with caution and individualize the dose under medical supervision. |
| Renal Impairment | No specific dose adjustment is established for renal impairment. Use with caution and monitor as clinically indicated. |
| Hepatic Impairment | Use with caution in patients with liver disease. Dose adjustment may be needed based on clinical response and liver function tests. |
| Maximum Daily Dose | Not established from the available information for this specific product. Follow the prescribed dose exactly. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of biogest 200mg soft gelatin capsule
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Rifampicin | Major | |
| Ketoconazole | Major | |
| Benzodiazepines | Moderate | |
| Insulin | Moderate |
🚨 Major Interactions
- Warfarin
- CYP3A4 inducers (e.g., rifampicin, carbamazepine, phenytoin)
- CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
⚡ Moderate Interactions
- Benzodiazepines
- Antidiabetic medicines
🍷 Alcohol Interaction
Alcohol may increase drowsiness and dizziness caused by this medicine. It is best to avoid alcohol while using this medicine, especially before driving or operating machinery.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to progesterone or any ingredient in the product","Unexplained vaginal bleeding","History of blood clots or thromboembolic disorders","Severe liver disease","Known or suspected breast cancer","Missed abortion or non-viable pregnancy unless specifically advised"]
⚠️ Warnings & Precautions
["This medicine must be given by a healthcare professional as an intramuscular injection.","Do not take this medicine orally.","Use with caution in patients with a history of blood clots, liver disease, or migraine.","May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.","Do not share this medicine with others."]
🤱 Lactation Safety
Progesterone is present in breast milk. Consult your doctor before using this medicine while breastfeeding. It is generally not recommended unless specifically advised by a specialist.
💊 Overdose Management
Overdose with this medicine is unlikely to cause serious harm because it is given by injection under medical supervision. If accidental overdose occurs, seek immediate medical attention. Treatment is supportive and symptomatic.
⏰ Missed Dose
If you miss a scheduled dose, contact your healthcare provider as soon as possible. Do not double the dose to catch up. Your doctor will advise on the next step based on your treatment plan.
Additional Safety Advice
This medicine must be given only by a healthcare professional as an intramuscular injection. Do not attempt to take it orally or self-inject. Inform your doctor about all your medicines, especially blood thinners, other hormones, and medicines for seizures or diabetes. Tell your doctor if you have a history of blood clots, liver disease, migraine with aura, or breast cancer. Avoid alcohol while using this medicine because it can worsen drowsiness and dizziness. Use effective contraception if pregnancy is not desired, and do not use this medicine during pregnancy unless specifically prescribed for luteal support. Keep all follow-up appointments and report any unusual vaginal bleeding, severe headache, vision changes, or leg swelling immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the sedative effects. Use with caution and monitor closely.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before using this medicine. It may be prescribed for luteal support in certain cases.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist about this medicine before any surgery. It may affect blood clotting and interact with other medicines.
🦷 Dental Procedures
Inform your dentist about this medicine before any dental procedure. It may affect bleeding and interact with other medicines.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you feel dizzy or drowsy after the injection. Consult your doctor before starting any new exercise routine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness or dizziness. Avoid driving or operating heavy machinery until you know how it affects you. Inform your employer if your work involves such activities.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. Your doctor will advise when to stop based on your condition and treatment response.
📅 Long-Term Use Effects
Long-term use of this medicine may require monitoring of liver function, blood clotting, and menstrual bleeding patterns. Prolonged use should be reviewed regularly by your doctor to assess benefits and risks.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Alternative route of administration for some indications.
Evidence: Well-establishedAnother route used for luteal support.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are established. Consult your doctor before receiving any vaccine while on this medicine.
📦 Storage Guide
✅ DO
Store at room temperature below 30°C
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Since it is an intramuscular injection, it must be administered by a healthcare professional. If traveling, arrange for a clinic or hospital to give the injection at the scheduled time. Store it in a cool, dry place away from direct sunlight. Check customs regulations for carrying prescription medicines across borders.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The onset of action depends on the indication and individual factors. Your doctor will monitor your response.
A: No, this medicine is intended for intramuscular injection only.
A: It may be used in pregnancy for specific indications under specialist supervision. Consult your doctor.
🤔 Common Patient Concerns
🔄 Substitutes for biogest 200mg soft gelatin capsule
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Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken as an oral tablet.
Fact: This product is intended for intramuscular injection and should not be taken orally. - Myth: This medicine is safe for everyone.
Fact: It is contraindicated in certain conditions such as unexplained vaginal bleeding and history of blood clots.
🔄 Alternative Options
Generic Alternatives
- Progesterone 200 mg injection