Altron 5mg Tablet (Norethisterone 5mg): Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Sudden severe headache with visual changes
- Chest pain, shortness of breath, or coughing up blood
- Swelling, pain, or redness in one leg
- Yellowing of the skin or eyes (jaundice)
- Severe abdominal pain or vomiting blood
- Sudden vision loss or blurred vision
- Signs of allergic reaction: rash, itching, swelling of face, lips, or throat
- Unusual vaginal bleeding that is heavy or prolonged
If experiencing severe symptoms, call emergency services immediately.
What is pronomore 5mg tablet used for?
This medicine contains Norethisterone 5 mg, a synthetic progestogen used to treat heavy or irregular menstrual bleeding, delay periods, and manage endometriosis. It works by mimicking progesterone to regulate the uterine lining. It is a prescription medicine and must be taken under medical supervision.
- Generic Name: Norethisterone (5mg)
- Manufacturer: Zee Laboratories
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 pronomore 5mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा नोरेथिस्टेरोन 5 मिलीग्राम युक्त एक प्रोजेस्टोजन है, जिसका उपयोग भारी या अनियमित मासिक धर्म, मासिक धर्म को स्थगित करने, और एंडोमेट्रियोसिस के इलाज के लिए किया जाता है। यह गर्भाशय की परत को नियंत्रित करने में मदद करती है। यह केवल डॉक्टर के पर्चे पर ही ली जानी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, सिरदर्द, स्तन में कोमलता, अनियमित रक्तस्राव, पेट में असुविधा और मूड में बदलाव शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन खून के थक्के, एलर्जी प्रतिक्रिया, या यकृत की समस्या हो सकती है। कोई भी असामान्य लक्षण होने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को केवल डॉक्टर के निर्देशानुसार ही लें। इसे किसी और के साथ साझा न करें। यदि आप गर्भवती हैं, स्तनपान करा रही हैं, या गर्भधारण की योजना बना रही हैं, तो डॉक्टर से परामर्श करें। धूम्रपान से बचें क्योंकि इससे गंभीर हृदय संबंधी दुष्प्रभावों का खतरा बढ़ सकता है। नियमित जांच के लिए डॉक्टर के पास जाएं।
💊 pronomore 5mg tablet Uses & Benefits
[{"condition":"Heavy menstrual bleeding (menorrhagia)","description":"This medicine helps reduce excessive menstrual blood loss by thinning the uterine lining and stabilizing the endometrium.","evidence":"Well-established"},{"condition":"Irregular or absent menstrual periods","description":"It can help regulate the menstrual cycle and induce withdrawal bleeding in certain hormonal imbalances.","evidence":"Well-established"},{"condition":"Endometriosis","description":"This medicine may be used to reduce pain and slow the growth of endometrial tissue outside the uterus.","evidence":"Moderate"},{"condition":"Delay of menstruation","description":"Short-term use may be prescribed to postpone a period for a specific event, such as surgery or travel, when medically appropriate.","evidence":"Well-established"},{"condition":"Hormone replacement therapy (HRT)","description":"In combination with estrogen, it helps protect the uterine lining in women receiving HRT.","evidence":"Well-established"},{"condition":"Breast pain (mastalgia)","description":"It may be prescribed for cyclical breast pain that is not relieved by other measures.","evidence":"Limited"}]
Off-label uses: [{"condition":"Luteal phase support in assisted reproduction","description":"Sometimes used to support the luteal phase in fertility treatments, though evidence is mixed.","evidence":"Limited"},{"condition":"Catamenial epilepsy","description":"Rarely used to reduce seizure frequency related to the menstrual cycle.","evidence":"Limited"}]
Primary treatment for: Heavy menstrual bleeding (menorrhagia)
Also treats: Irregular menstrual cycles, Endometriosis, Hormone replacement therapy, Breast pain (mastalgia)
📋 Drug Information
| Generic Name(s) | Norethisterone (5mg) |
| Brand Name | pronomore 5mg tablet |
| Manufacturer | Zee Laboratories |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GYNAECOLOGICAL |
| Action Class | Progestins (First generation) |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container, tightly closed. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture, unless otherwise specified 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
Norethisterone is a synthetic progestogen that binds to progesterone receptors in target tissues such as the endometrium, breast, and pituitary gland. By binding to these receptors, it mimics the effects of natural progesterone, leading to changes in gene expression that alter the growth and shedding of the uterine lining. It also suppresses the release of gonadotropin-releasing hormone from the hypothalamus, which reduces the production of follicle-stimulating hormone and luteinizing hormone from the pituitary. This suppression can prevent ovulation and stabilize the endometrium, which helps control abnormal uterine bleeding. Additionally, norethisterone has weak androgenic and estrogenic properties, which contribute to some of its side effects.
Mechanism Steps
💡 How to Take pronomore 5mg tablet
Strength: Norethisterone 5 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 taken two to three times daily for a limited period, often starting on the first day of bleeding. For delaying menstruation, 5 mg may be taken three times daily, starting three days before the expected period. For endometriosis, doses may range from 10 to 15 mg daily. The exact dose and duration must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function, and response to treatment. Do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | There is limited information on the use of this medicine in elderly patients. It should be used with caution, and the dose should be individualized by a clinician based on renal and hepatic function and other medical conditions. |
| Renal Impairment | No specific dose adjustment is provided in the available information for patients with renal impairment. Use with caution and monitor for side effects. Consult a clinician for individualized dosing. |
| Hepatic Impairment | This medicine is contraindicated in patients with severe liver disease. In mild to moderate hepatic impairment, use with caution and consider dose reduction. Consult a clinician for individualized dosing. |
| Maximum Daily Dose | The maximum daily dose depends on the indication and is determined by the prescribing clinician. In clinical practice, doses up to 15 mg per day are commonly used, but higher doses may be prescribed in specific situations under specialist supervision. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of pronomore 5mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Rifampicin | Major | |
| Carbamazepine | Major | |
| Phenytoin | Major | |
| St. John's wort | Major | |
| Ketoconazole | Moderate | |
| Itraconazole | Moderate | |
| Warfarin | Moderate | |
| Ritonavir | Moderate | |
| Paracetamol | Minor | |
| Ibuprofen | Minor |
🚨 Major Interactions
- Rifampicin
- Carbamazepine, phenytoin, phenobarbital
- St. John's wort
⚡ Moderate Interactions
- Ketoconazole, itraconazole
- Ritonavir, other protease inhibitors
- Warfarin
🍷 Alcohol Interaction
Alcohol does not directly interact with norethisterone, but it can worsen some side effects such as nausea, headache, and mood changes. It is advisable to limit alcohol consumption while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known or suspected pregnancy","Undiagnosed vaginal bleeding","History of or current blood clots (deep vein thrombosis, pulmonary embolism)","Active or history of liver disease, including liver tumors","Known or suspected hormone-sensitive cancers (e.g., breast cancer, endometrial cancer)","Severe migraine with aura","Porphyria","Hypersensitivity to norethisterone or any component of the formulation"]
⚠️ Warnings & Precautions
["This medicine is not a contraceptive and should not be used as one.","Smoking increases the risk of serious cardiovascular side effects. Women over 35 who smoke should avoid this medicine.","Use with caution in patients with a history of depression, epilepsy, migraine, asthma, or heart failure.","May cause fluid retention, which can worsen conditions such as epilepsy, migraine, asthma, and heart or kidney disease.","May affect glucose tolerance; diabetic patients should monitor blood sugar closely.","May cause changes in vision; if visual disturbances occur, stop the medicine and consult a doctor.","Do not stop this medicine abruptly without medical advice, as it can cause withdrawal bleeding.","Inform your doctor if you are scheduled for surgery or prolonged immobilization, as the risk of blood clots may be increased."]
🤱 Lactation Safety
Norethisterone is excreted in small amounts in breast milk. It is generally considered safe for use during breastfeeding, but it may reduce milk production. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose with norethisterone is unlikely to cause serious harm. Symptoms may include nausea, vomiting, breast tenderness, and withdrawal bleeding. If a large overdose is taken, seek medical attention. Treatment is supportive and symptomatic. There is no specific antidote.
⏰ 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. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
This medicine should only be taken exactly as prescribed by your doctor. Do not share it with anyone else, even if they have similar symptoms. Before starting this medicine, inform your doctor if you have a history of blood clots, liver problems, high blood pressure, migraine, epilepsy, asthma, or any cancer. Also tell your doctor about all other medicines, supplements, and herbal products you are taking, as some may interact with this medicine. If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits with your doctor before using this medicine. Use a reliable non-hormonal method of contraception if needed, as this medicine is not a contraceptive. Avoid smoking while taking this medicine, as smoking increases the risk of serious cardiovascular side effects. Attend regular follow-up appointments so your doctor can monitor your response and adjust the dose if necessary. Store this medicine in its original packaging, away from moisture and direct sunlight, and keep it out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the side effects of this medicine, especially cardiovascular effects and fluid retention. Use with caution and monitor closely for any signs of blood clots or heart problems.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. It is not recommended during pregnancy. If you become pregnant while taking it, stop the medicine and seek medical advice immediately.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine before any surgery. It may need to be stopped temporarily to reduce the risk of blood clots, especially before major surgery or during prolonged immobilization.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. There is no specific contraindication, but it is important for your dentist to know your complete medication history.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Regular exercise is generally safe while taking this medicine. However, if you experience dizziness, fatigue, or leg pain, avoid strenuous activities and consult your doctor. Prolonged immobility should be avoided to reduce the risk of blood clots.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue in some people. If you experience these effects, avoid driving or operating heavy machinery until you know how the medicine affects you. Most people can continue their normal daily activities, but listen to your body and rest when needed.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Stopping suddenly can cause withdrawal bleeding or worsening of symptoms. Your doctor will advise you on when and how to stop based on your condition and response to treatment.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of blood clots, cardiovascular events, and liver problems. It can also affect bone mineral density with prolonged use. Regular monitoring of blood pressure, liver function, and lipid profile is recommended. Discuss the risks and benefits with your doctor if you need to take it for more than a few months.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Tranexamic acid or nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce heavy menstrual bleeding.
Evidence: Well-establishedA hormone-releasing IUD can effectively reduce heavy bleeding.
Evidence: Well-establishedEndometrial ablation or hysterectomy may be considered for severe cases that do not respond to medication.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. You can receive vaccinations as scheduled. However, inform your healthcare provider that you are taking this medicine before any vaccination.
📦 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
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Keep it in your hand luggage to avoid loss or exposure to extreme temperatures. If crossing time zones, continue taking your doses at the same intervals as prescribed, but consult your doctor for specific advice if you are on a complex schedule. Store the medicine at room temperature and protect it from moisture and direct sunlight. Check the customs regulations of your destination regarding prescription medicines.
💰 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 to 3 days. For cycle regulation, it may take one or more cycles to see the full effect.
A: Yes, this medicine can be used to delay menstruation for a short period when medically appropriate. It should be started 3 days before the expected period and continued until you want your period to start, under your doctor's guidance.
A: Common side effects include nausea, headache, breast tenderness, and irregular bleeding. These are usually mild and often settle with continued use.
A: This medicine is not recommended during pregnancy. If you become pregnant while taking it, stop the medicine and consult your doctor immediately.
A: Some medicines can interact with this medicine, including rifampicin, carbamazepine, and St. John's wort. Always inform your doctor about all medicines you are taking.
A: Store at room temperature between 15°C and 30°C, away from light and moisture. Keep in the original container and out of reach of children.
A: Take the missed dose 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 double dose.
🤔 Common Patient Concerns
🔄 Substitutes for pronomore 5mg tablet
View AllAlternative brands with exact same active ingredient:
-
primotron-n 5mg tabletAmaze Lifestyle Products Pvt Ltd ₹4.88 3.6% CHEAPER
-
premont n 5mg tabletSunny Drug Pharma ₹10.55 108.5% COSTLIER
-
davaindia norethisterone 5mg tabletDavaindia Generic Pharmacy ₹20.63 307.7% COSTLIER
-
stayhappi norethisterone 5mg tabletSarvagunaushdhi Pvt Ltd ₹22.50 344.7% COSTLIER
-
noteron 5mg tabletLittle Greave Pharmaceutical Pvt Ltd ₹28.03 454% 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 should not be used to prevent pregnancy. - Myth: This medicine can be used to terminate a pregnancy.
Fact: This medicine is not an abortion pill and should not be used for that purpose. - Myth: This medicine is safe to take without a prescription.
Fact: This medicine is a prescription-only medicine and must be used under medical supervision. - Myth: Taking this medicine will cause weight gain in everyone.
Fact: Weight changes can occur but are not experienced by everyone. Many people do not gain weight.
🔄 Alternative Options
Generic Alternatives
- Norethisterone 5 mg tablet
Brand Alternatives
- Altron 5mg Tablet
- Primolut N 5mg Tablet
- Regestrone 5mg Tablet