Rephaston 10mg Tablet 10pcs

✔️ Uses of Rephaston 10mg Tablet

Female infertility, menstrual pain, PMS, abnormal uterine bleeding, endometriosis, amenorrhea.

✔️ How does Rephaston 10mg Tablet work?

Dydrogesterone, a progestogen structurally similar to progesterone, regulates menstrual cycles without inducing ovulation or having estrogenic effects.

✔️ Side Effects of Rephaston 10mg Tablet

• Some common side effects of Dydrogesterone may include breast tenderness, swelling in other parts of the body, headaches, migraines, mood swings, depression, acne, abdominal pain, back pain, and vaginal bleeding.
• Most of these side effects are temporary and do not require medical attention. However, persistent side effects should be reported to your doctor.

✔️ Female Infertility:

Female infertility refers to the inability of a woman to conceive after a year of trying to become pregnant. It may also include instances where a woman becomes pregnant but experiences miscarriages or stillbirths, which are classified under infertility.

✔️ Hormone Replacement Therapy (HRT):

Hormone Replacement Therapy (HRT) is a treatment aimed at relieving symptoms associated with menopause. It involves replacing hormones such as estrogen and progesterone, which decline as women approach menopause. HRT can alleviate symptoms like hot flashes, vaginal dryness, mood swings, and sleep disturbances.

✔️ Premenstrual Syndrome (PMS):

Premenstrual Syndrome (PMS) refers to a range of physical and emotional symptoms that many women experience in the weeks leading up to their menstrual period. Symptoms vary among individuals and can fluctuate from month to month. Common symptoms include mood swings, irritability, fatigue, breast tenderness, headaches, and bloating.

✔️ Indications of Rephaston 10mg Tablet

• Treatment of threatened miscarriage
• Treatment of habitual miscarriage
• Treatment of dysmenorrhoea
• Treatment of endometriosis
• Treatment of secondary amenorrhoea
• Treatment of irregular cycles
• Treatment of dysfunctional uterine bleeding
• Treatment of infertility due to luteal insufficiency
• Luteal support as part of an Assisted Reproductive Technology (ART)
• Hormone Replacement Therapy to counteract the effects of unopposed estrogen on the endometrium in women with menopause

✔️ Quick Suggestions:

• Rephaston 10 treats menstrual disorders and maintains a healthy womb lining.
• It may prevent repeated miscarriages and can be used alongside prenatal care.
• Report frequent bleeding or spotting between periods to your doctor.
• Inform your doctor of any history of liver disease or depression.

✔️ Pharmacology

Dydrogesterone, an orally active progestogen, produces a complete secretory endometrium, protecting against the increased risk for endometrium hyperplasia and carcinogenesis induced by estrogens. It has no estrogenic, androgenic, thermogenic, anabolic, or corticoid activity.

✔️ Dosage Guidelines for Rephaston 10mg Tablet

Threatened Miscarriage:

• Initial dose: 40 mg (four tablets) at once.
• Maintenance dose: 10 mg (one tablet) every eight hours until symptoms are remitted.

Habitual Miscarriage:

• Dose: 10 mg (one tablet) twice daily until the twentieth week of pregnancy.

Dysmenorrhoea:

• Dose: 10 mg (one tablet) twice daily from day 5 to day 25 of the menstrual cycle.

Endometriosis:

• Dose: 10 mg (one tablet) two or three times daily from day 5 to day 25 of the cycle or continuously.

Dysfunctional Bleeding (to Arrest Bleeding):

• Dose: 10 mg (one tablet) twice daily for five to seven days. The presentation should be given with estrogen.

Dysfunctional Bleeding (to Prevent Bleeding):

• Dose: 10 mg (one tablet) twice daily from day 11 to day 25 of the cycle. The presentation should be given with estrogen.

Amenorrhoea:

• Dose: An estrogen once daily from day 1 to day 25 of the cycle, together with 10 mg Presentation twice daily from day 11 to day 25 of the cycle.

Irregular Cycles:

• Dose: 10 mg (one tablet) twice daily from day 11 to day 25 of the cycle.

Infertility due to Luteal Insufficiency:

• Dose: 10 mg (one tablet) daily from day 14 to day 25 of the cycle. Continue for at least 6 consecutive cycles. Consider continuation during the first month of pregnancy as per doses used for habitual miscarriage.

Luteal Support as Part of Assisted Reproductive Technology (ART) Treatment:

• Dose: 10 mg three times daily (three tablets daily) starting at the day of oocyte retrieval and continuing for 10 weeks if pregnancy is confirmed.

Hormone Replacement Therapy (HRT):

• In combination with continuous estrogen therapy: Take one tablet daily for 14 consecutive days of a 28-day cycle.
• In combination with cyclical estrogen therapy: Take one tablet daily during the last 12 to 14 days of estrogen therapy.
• For inadequate endometrial response, consider prescribing 20 mg of Dydrogesterone based on biopsy or ultrasound findings.
• Patients unsure of their estrogen therapy type should consult their doctor before taking Presentation.
• Dydrogesterone is not recommended for use before menarche. Safety and efficacy in adolescents aged 12 to 18 years have not been established.

✔️ Guidelines for Taking Rephaston 10mg Tablet

• Take Rephaston 10mg Tablet exactly as advised by your physician.
• Swallow Rephaston 10mg Tablet with a glass of water. Do not crush or chew the medicine.
• Try to take Rephaston 10mg Tablet at the same time each day to maintain consistency.
• Rephaston 10mg Tablet can be taken with or without food, as per your preference.
• Your doctor will determine the correct dose and duration of Rephaston 10mg Tablet based on factors such as your age, body weight, and the specific disease condition being treated.

✔️ Interaction

Carbamazepine, griseofulvin, phenobarbital, and rifampicin may enhance progestogen clearance.

✔️ Contraindications:

• Known hypersensitivity to dydrogesterone or any excipients.
• Known or suspected progestogen-dependent neoplasms (e.g., meningioma).

✔️ Pregnancy & Lactation

Use during pregnancy: Data suggests no harmful effects, but lactation safety is unknown.

✔️ Precautions & Warnings

• Investigate the etiology of abnormal bleeding before initiating treatment.
• Monitor for breakthrough bleeding and spotting during treatment.
• Discontinue treatment if severe headache, a marked increase in blood pressure, or venous thromboembolism occurs.
• Monitor viability and progression of pregnancy during treatment.
• Carefully monitor patients with a history of depression.

✔️ Storage Conditions:

Store below 30°C in a dry place protected from light. Keep out of reach of children.