Evaserve Tablet: Complete Guide To Uses, Dosage, And Safety
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe allergic reaction with swelling of face, lips, or throat
- Yellowing of skin or eyes (jaundice)
- Severe abdominal pain or vomiting blood
- Sudden severe headache or vision changes
- Irregular heartbeat or chest pain
- Unusual vaginal bleeding
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is fertinorm-dhea tablet used for?
This medicine is a prescription oral tablet combining micronized dehydroepiandrosterone (DHEA) 75 mg and folic acid 4.5 mg. It is used in fertility treatment to support ovarian function and prevent neural tube defects. It must be taken under medical supervision.
- Generic Name: Dehydroepiandrosterone (Micronized) (75mg) + Folic Acid (4.5mg)
- Manufacturer: Best Biotech
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 fertinorm-dhea tablet के बारे में (Hindi Summary)
उपयोग: यह दवा मुख्य रूप से महिलाओं में प्रजनन क्षमता बढ़ाने और डिम्बग्रंथि के कार्य को सहारा देने के लिए इस्तेमाल की जाती है। इसमें डीएचईए और फोलिक एसिड होता है, जो अंडों की गुणवत्ता सुधारने और गर्भावस्था के दौरान न्यूरल ट्यूब दोष को रोकने में मदद करता है। यह दवा डॉक्टर की सलाह के बिना नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मुँहासे, तैलीय त्वचा, चेहरे पर बाल बढ़ना, मासिक धर्म में अनियमितता और पेट में हल्की गड़बड़ी शामिल हैं। कुछ महिलाओं को स्तनों में कोमलता या मूड में बदलाव भी महसूस हो सकता है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको सांस लेने में कठिनाई, पीलिया या गंभीर पेट दर्द हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को हमेशा डॉक्टर के बताए अनुसार ही लें। इसे भोजन के साथ लेने से पेट की परेशानी कम होती है। अपने डॉक्टर को अपनी सभी दवाओं और स्वास्थ्य समस्याओं के बारे में बताएं। गर्भवती या स्तनपान कराने वाली महिलाएं बिना डॉक्टर की सलाह के इसका सेवन न करें। नियमित रूप से हार्मोन और लीवर की जांच कराते रहें।
💊 fertinorm-dhea tablet Uses & Benefits
[{"condition":"Diminished ovarian reserve in women undergoing fertility treatment","description":"This medicine is used as an adjunct to support ovarian response and improve egg quality in women with low ovarian reserve, often before in vitro fertilization cycles.","evidence":"Limited to moderate; used in specialist fertility practice"},{"condition":"Folic acid supplementation in women of childbearing age","description":"The folic acid component helps prevent neural tube defects in babies and supports normal cell division, especially important before conception and in early pregnancy.","evidence":"Well-established for folic acid"},{"condition":"Age-related decline in endogenous DHEA levels","description":"Some clinicians prescribe DHEA for adults with documented low DHEA levels, although this use remains controversial and requires careful monitoring.","evidence":"Limited"}]
Off-label uses: [{"condition":"Poor ovarian responders in assisted reproduction","description":"Sometimes prescribed off-label to women who respond poorly to standard ovarian stimulation protocols.","evidence":"Limited"},{"condition":"Lupus and autoimmune conditions","description":"DHEA has been studied off-label for fatigue and disease activity in some autoimmune conditions, but evidence is not strong enough for routine use.","evidence":"Limited"}]
Primary treatment for: Diminished ovarian reserve
Also treats: Folic acid deficiency, Age-related DHEA decline
📋 Drug Information
| Generic Name(s) | Dehydroepiandrosterone (Micronized) (75mg) + Folic Acid (4.5mg) |
| Brand Name | fertinorm-dhea tablet |
| Manufacturer | Best Biotech |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GYNAECOLOGICAL |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C in a cool, dry place away from direct sunlight and moisture. Keep the tablets in their original container tightly closed. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the packaging. |
| 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 through two distinct components. Micronized dehydroepiandrosterone is a natural steroid hormone precursor that the body converts into androgens and estrogens in peripheral tissues. In women with diminished ovarian reserve, this conversion may increase intrafollicular androgen levels, which are thought to improve follicle development and egg quality. Folic acid is a water-soluble B vitamin that serves as a coenzyme in one-carbon transfer reactions essential for DNA synthesis, repair, and methylation. By supporting rapid cell division, folic acid helps prevent neural tube defects and supports normal blood cell formation.
Mechanism Steps
💡 How to Take fertinorm-dhea tablet
Strength: Immediate-release oral tablet containing 75 mg micronized dehydroepiandrosterone and 4.5 mg folic acid.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally once daily, preferably with food, or as directed by your physician. The exact dose and duration depend on the indication, your hormone levels, and your response to treatment. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients should use this medicine with caution and only under medical supervision. Lower doses may be appropriate, and regular monitoring of hormone levels and liver function is recommended. |
| Renal Impairment | Dose adjustment may be necessary in patients with kidney impairment. Consult your doctor for individualized dosing. |
| Hepatic Impairment | Dose adjustment may be necessary in patients with liver impairment. Consult your doctor for individualized dosing and monitoring. |
| Maximum Daily Dose | The maximum daily dose should not exceed one tablet (75 mg DHEA + 4.5 mg folic acid) unless specifically prescribed by your doctor. Do not exceed the recommended dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of fertinorm-dhea tablet
✅ 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 | |
| Hormone replacement therapy | Major | |
| Insulin | Moderate | |
| Methotrexate | Moderate | |
| Antacids | Minor | |
| Sulfasalazine | Minor |
🚨 Major Interactions
- Warfarin
- Hormone replacement therapy
⚡ Moderate Interactions
- Insulin and oral hypoglycemics
- Methotrexate
🍷 Alcohol Interaction
Alcohol may increase the risk of liver enzyme abnormalities and can worsen hormonal side effects such as acne and mood changes. It is advisable to limit or avoid alcohol while taking this medicine, especially if you have any liver concerns.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to dehydroepiandrosterone or folic acid","Hormone-sensitive cancers such as breast, uterine, or ovarian cancer","Pregnancy without specialist supervision","Untreated liver disease","Undiagnosed vaginal bleeding"]
⚠️ Warnings & Precautions
["Use only under the supervision of a qualified healthcare professional.","Do not use if you are pregnant or planning pregnancy without medical advice.","Inform your doctor about all medicines and supplements you are taking.","Avoid in patients with a history of hormone-sensitive tumors.","Monitor liver function during long-term therapy.","Keep out of reach of children."]
🤱 Lactation Safety
It is not known whether dehydroepiandrosterone passes into breast milk in significant amounts, but it is generally advised to avoid this medicine during breastfeeding unless clearly needed and prescribed by a doctor. Folic acid is safe in breast milk and is often recommended for nursing mothers.
💊 Overdose Management
Overdose with this medicine may cause severe hormonal side effects such as acne, mood changes, or menstrual irregularities. If you suspect an overdose, contact your doctor or a poison control center immediately. Treatment is supportive and symptomatic, with monitoring of vital signs and hormone levels. Do not induce vomiting unless instructed by a medical professional.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember if it is less than half the dosing interval away. If more than half the interval has passed, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor, usually once daily with food to improve absorption and reduce stomach upset. Do not increase or decrease the dose on your own, because DHEA is a hormone precursor and inappropriate dosing can disturb your natural hormone balance. Inform your doctor about all other medicines, supplements, and herbal products you are taking, especially hormone therapies, blood thinners, and diabetes medicines. Women who are pregnant, planning pregnancy, or breastfeeding must consult their doctor before using this medicine. Regular monitoring of hormone levels, liver function, and blood counts may be required during treatment. Keep this medicine out of reach of children and store it in a cool, dry place away from direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients should use this medicine with caution due to potential hormonal effects and drug interactions. Regular monitoring is advised.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before using this medicine. Folic acid is recommended, but DHEA should only be used under specialist supervision.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine before any surgery. It may need to be stopped temporarily.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine. No specific precautions are usually needed, but maintain good oral hygiene.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is generally safe while taking this medicine. However, if you experience dizziness, fatigue, or unusual muscle pain, consult your doctor before continuing strenuous activities.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is unlikely to affect your ability to drive or operate machinery. However, if you experience dizziness or mood changes, avoid these activities until you feel normal.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects or become pregnant, contact your doctor immediately for guidance.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to persistent hormonal side effects such as acne, hair changes, and menstrual irregularities. Regular monitoring of liver function, hormone levels, and blood counts is recommended. The need for continued use should be reassessed periodically by your doctor.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
If DHEA is not needed, folic acid alone can be taken for neural tube defect prevention.
Evidence: Well-establishedA healthy diet and lifestyle can support fertility and overall health.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. Continue with routine vaccinations as advised by your doctor.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°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. Store it at room temperature and protect it from extreme heat or moisture during travel. If crossing time zones, continue taking your dose at the same local time each day. Check customs regulations for carrying prescription medicines in your destination country.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The effects on ovarian function may take several weeks to months. Folic acid levels rise within hours, but red blood cell folate takes weeks to reach steady state.
A: It is best taken with food to reduce stomach upset and improve absorption.
A: Consult your doctor. Folic acid is beneficial, but DHEA should only be used if specifically prescribed by a specialist.
🤔 Common Patient Concerns
🔄 Substitutes for fertinorm-dhea tablet
View AllAlternative brands with exact same active ingredient:
-
ovaprime dhea 75mg/4.5mg tablet srKiefer Pharmaceuticals ₹440.63 27.7% CHEAPER
-
evalin-sr tabletEvalin Healthcare ₹467.81 23.2% CHEAPER
-
ovalink sr tabletLincoln Pharmaceuticals Ltd ₹574.00 5.8% CHEAPER
-
safeova tabletHBC Lifesciences Pvt Ltd ₹617.70 1.4% COSTLIER
-
evaserve tabletTTK Healthcare Ltd ₹820.80 34.7% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Evaserve Tablet is a general energy booster.
Fact: It is a prescription hormone and vitamin supplement, not a general tonic. - Myth: It can be taken without doctor's advice.
Fact: It requires medical supervision due to hormonal effects.
🔄 Alternative Options
Generic Alternatives
- Micronized DHEA 75 mg + Folic Acid 4.5 mg tablet
Brand Alternatives
- Evaserve Tablet