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Duphaston Tablet

Requires Prescription

Yes

Generic Name

Dydrogesterone

Used For

  • Menstrual disorders (irregular, painful periods)

  • Premenstrual syndrome (PMS)

  • Endometriosis

  • Infertility due to luteal phase defect

  • Threatened or recurrent miscarriage

  • Hormone replacement therapy (HRT) support

Drug Class

Progestins (Synthetic Progesterone)


💊 How It Works

Duphaston contains dydrogesterone, a synthetic hormone that mimics natural progesterone. It helps regulate the menstrual cycle, supports the uterine lining for implantation and pregnancy, and counteracts the effects of unopposed estrogen in hormone replacement therapy.

Duphaston Usage and Safety

Dosage

  • Varies based on the condition being treated.

    • Menstrual irregularities: Usually 10 mg once or twice daily.

    • Support in pregnancy: As prescribed by your doctor.

    • HRT: Given alongside estrogen in a cyclic manner.

Note: Follow the exact dosage and duration prescribed by your healthcare provider.


⚠️ Side Effects

Duphaston is generally well-tolerated. Possible side effects include:

  • Headache

  • Nausea

  • Breast tenderness

  • Bloating

  • Mood changes

  • Breakthrough bleeding

  • Allergic skin reactions (rare)


🔄 Drug Interactions

May interact with:

  • Rifampicin

  • Phenytoin

  • Carbamazepine

  • Barbiturates

  • Herbal products like St. John’s Wort

These may reduce Duphaston’s effectiveness by increasing its breakdown in the liver.


When Not to Use

  • Known hypersensitivity to dydrogesterone

  • Undiagnosed vaginal bleeding

  • Liver dysfunction or liver disease

  • Known or suspected hormone-dependent tumors

⚠️ Precautions

  • Rule out hormone-sensitive cancers (e.g., breast or endometrial cancer) before use.

  • Regular monitoring advised if used for long-term hormone therapy.

  • Not for use as a contraceptive.

📛 Warnings

⚠️ Warning 1

Should not be used alone in HRT; must be combined with estrogen.

⚠️ Warning 2

Monitor liver function during prolonged use.

⚠️ Warning 3

Breakthrough bleeding may occur; investigate if persistent.

Additional Information

🔹 Pregnancy Category

Category B – Generally safe in pregnancy, especially in cases of threatened miscarriage or luteal phase support.

🔹 Storage

Store at room temperature, away from moisture and direct sunlight. Keep out of reach of children.