Ethione CR 15 Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Sudden severe headache, vision changes, or confusion
- Chest pain, shortness of breath, or coughing up blood
- Swelling, pain, or redness in one leg
- Severe abdominal pain, especially with nausea and vomiting
- Yellowing of the skin or eyes, dark urine, or pale stools
- Unusual vaginal bleeding that is heavy or prolonged
- Signs of allergic reaction: rash, itching, swelling of face or throat
If experiencing severe symptoms, call emergency services immediately.
What is nortas cr 15 tablet used for?
This medicine contains Norethisterone 15 mg, a progestogen used to treat heavy menstrual bleeding, endometriosis, and to delay periods. It works by regulating the uterine lining and suppressing ovulation. It is not a contraceptive and should be taken only as prescribed.
- Generic Name: Norethisterone (15mg)
- Manufacturer: Intas Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 nortas cr 15 tablet के बारे में (Hindi Summary)
उपयोग: यह दवा नोरेथिस्टेरोन 15 मिलीग्राम युक्त एक प्रोजेस्टोजन है, जिसका उपयोग भारी मासिक धर्म, एंडोमेट्रियोसिस और मासिक धर्म को स्थगित करने के लिए किया जाता है। यह गर्भनिरोधक नहीं है और इसे डॉक्टर की सलाह के बिना नहीं लेना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, मतली, स्तन में कोमलता और अनियमित रक्तस्राव शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन रक्त के थक्के, यकृत की समस्या और एलर्जी प्रतिक्रिया हो सकती है। यदि आपको सीने में दर्द, सांस लेने में कठिनाई या त्वचा का पीलापन हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। गर्भावस्था के दौरान न लें। धूम्रपान से बचें क्योंकि इससे रक्त के थक्के बनने का खतरा बढ़ सकता है। नियमित जांच के लिए डॉक्टर से मिलते रहें।
💊 nortas cr 15 tablet Uses & Benefits
[{"condition":"Heavy menstrual bleeding (menorrhagia)","description":"This medicine helps reduce heavy menstrual bleeding by thinning the uterine lining and stabilizing the endometrium.","evidence":"Well-established"},{"condition":"Endometriosis","description":"It is used to suppress endometrial tissue growth and relieve pain associated with endometriosis.","evidence":"Well-established"},{"condition":"Menstrual cycle delay","description":"Short-term use to postpone menstruation for convenience or medical reasons.","evidence":"Well-established"},{"condition":"Hormone replacement therapy","description":"Used in combination with estrogen to protect the uterus in postmenopausal women.","evidence":"Well-established"},{"condition":"Breast cancer","description":"Sometimes used as a second-line hormonal treatment in certain types of breast cancer.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Catamenial epilepsy","description":"May be used to reduce seizure frequency related to menstrual cycles.","evidence":"Limited"},{"condition":"Premenstrual syndrome (PMS)","description":"Occasionally prescribed to alleviate severe PMS symptoms.","evidence":"Limited"}]
Primary treatment for: Heavy menstrual bleeding
Also treats: Endometriosis, Menstrual cycle delay, Hormone replacement therapy
📋 Drug Information
| Generic Name(s) | Norethisterone (15mg) |
| Brand Name | nortas cr 15 tablet |
| Manufacturer | Intas Pharmaceuticals Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GYNAECOLOGICAL |
| Action Class | Progestins (First generation) |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. |
| Shelf Life | 24 months from the date of manufacture. |
| 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
Norethisterone is a synthetic progestogen that binds to progesterone receptors in target tissues such as the endometrium, breast, and pituitary. This binding leads to changes in gene expression that inhibit ovulation, thicken cervical mucus, and alter the endometrium. It also has weak androgenic and estrogenic effects. By suppressing gonadotropin release, it reduces estrogen production and endometrial proliferation.
Mechanism Steps
💡 How to Take nortas cr 15 tablet
Strength: Norethisterone 15 mg immediate-release tablet
Dosage Information
| Adult Dosage | The dose of this medicine varies depending on the condition being treated. For heavy menstrual bleeding, a common dose is 5 mg three times daily for 10 days. For endometriosis, doses may range from 10-15 mg daily. For menstrual delay, 5 mg three times daily may be used. 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 effects of this medicine. Use with caution and monitor for adverse effects. |
| Renal Impairment | No specific dose adjustment is provided in the literature. Use with caution in patients with renal impairment. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Dose reduction may be necessary. |
| Maximum Daily Dose | The maximum daily dose depends on the indication and should not exceed 15 mg per day unless otherwise directed by a clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of nortas cr 15 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 | |
| Rifampicin | Major | |
| Carbamazepine | Major | |
| Phenytoin | Moderate | |
| St. John's wort | Moderate |
🚨 Major Interactions
- Warfarin
- Rifampicin
- Carbamazepine
⚡ Moderate Interactions
- Phenytoin
- St. John's wort
🍷 Alcohol Interaction
Alcohol may increase the risk of liver problems and can worsen side effects such as dizziness. It is advisable to limit or avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Pregnancy","History of or active thromboembolic disorders","Severe liver disease","Undiagnosed vaginal bleeding","Known hypersensitivity to norethisterone"]
⚠️ Warnings & Precautions
["Use with caution in patients with a history of blood clots.","May cause fluid retention; caution in hypertension and heart failure.","May affect glucose tolerance; monitor in diabetics.","Avoid in patients with a history of migraine with aura.","Not for use as a contraceptive."]
🤱 Lactation Safety
Norethisterone is excreted in breast milk in small amounts. It may reduce milk production. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose may cause nausea, vomiting, and withdrawal bleeding. There is no specific antidote. Treatment is supportive and symptomatic. Contact a poison control center or emergency department if overdose is suspected.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, 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. Do not exceed the recommended dose or duration. Inform your doctor if you have a history of blood clots, liver disease, migraines, or high blood pressure. Use effective non-hormonal contraception if you are sexually active and not planning pregnancy, as this medicine is not a contraceptive. Avoid smoking while taking this medicine, as it increases the risk of blood clots. Regular follow-up with your doctor is important to monitor for any adverse effects.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to cardiovascular side effects. Use with caution and monitor blood pressure and signs of thromboembolism.
🤰 Pregnancy Planning (TTC)
This medicine is contraindicated during pregnancy. If you are planning to become pregnant, stop this medicine and consult your doctor for alternative treatments.
🏥 Post-Surgery Considerations
Inform your surgeon if you are taking this medicine, as it may increase the risk of blood clots after surgery. Your doctor may advise you to stop it temporarily before surgery.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it may affect bleeding during dental procedures. No specific precautions are usually needed, but your dentist may consult your doctor.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause dizziness or fatigue. Avoid heavy lifting or high-impact exercises if you experience these symptoms. Consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or mood changes that could affect your ability to drive or operate machinery. Avoid driving if you feel dizzy or drowsy. Take breaks if you have a desk job to reduce the risk of blood clots.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. Stopping abruptly may cause withdrawal bleeding or worsening of symptoms. Your doctor will advise you on the appropriate duration of treatment.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of blood clots, liver problems, and bone density loss. Regular monitoring of liver function and blood pressure is recommended. Discuss with your doctor if you need to use it for more than a few months.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Tranexamic acid or NSAIDs for heavy bleeding.
Evidence: Well-establishedWeight loss, exercise, and stress reduction can help manage menstrual disorders.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. However, inform your doctor if you are due for any vaccinations.
📦 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. If traveling across time zones, adjust the timing of your doses gradually to maintain consistent intervals. Check local regulations regarding prescription medicines before traveling internationally.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: For heavy bleeding, you may notice a reduction within 1-3 days. For other uses, it may take longer.
A: No, this medicine is contraindicated during pregnancy as it may harm the fetus.
A: No, this medicine is not a contraceptive. Use a reliable non-hormonal contraceptive method if you are sexually active.
🤔 Common Patient Concerns
🔄 Substitutes for nortas cr 15 tablet
View AllAlternative brands with exact same active ingredient:
-
justnow 15mg tablet crAdwel Green Root Organic Pvt. Ltd ₹96.09 5.1% CHEAPER
-
sysron-ncr 15 tabletSystopic Laboratories Pvt Ltd ₹98.44 2.8% CHEAPER
-
gynaset-cr 15 tabletMankind Pharma Ltd ₹125.62 24.1% COSTLIER
-
crina-ncr 15mg tabletAlembic Pharmaceuticals Ltd ₹129.20 27.6% COSTLIER
-
mendate 15 tablet crKoye Pharmaceuticals Pvt ltd ₹141.80 40% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a contraceptive.
Fact: This medicine is not a contraceptive and does not prevent pregnancy. - Myth: This medicine can be taken without a prescription.
Fact: This medicine is a prescription drug and should only be taken under medical supervision.
🔄 Alternative Options
Generic Alternatives
- Norethisterone 15 mg tablet
Brand Alternatives
- Ethione CR 15 Tablet