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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Estro Plus Tablet is a contraceptive agent used as a means of birth control in women who wish to prevent unwanted pregnancy. It works by causing changes in the cervical mucus and uterine lining. This makes it harder for sperm to reach the uterus and a fertilised egg to attach to the uterus. Estro Plus Tablet is also used to treat heavy menstrual bleeding by reducing the intensity and duration of menstrual bleeding.

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Manufacturer/Marketer :

Alembic Pharmaceuticals Ltd

Consume Type :

ORAL

Return Policy :

3 Days Returnable

Expires on or after :

Jan-27

About Estro Plus Tablet

Estro Plus Tablet belongs to the group of combined oral contraceptives used as a means of birth control in women who wish to prevent unwanted pregnancy. It is also used in the treatment of irregular menstrual cycles. It is also found to be useful in the treatment of moderate to severe acne. A combined oral contraceptive (COCP) is nothing but a birth-control pill, colloquially referred to as the ‘’pill,’’ and it is used as a means of oral birth control by women. Menorrhagia is heavy menstrual bleeding lasting longer than seven days, whereas dysmenorrhea is painful periods. Acne vulgaris is a skin condition characterized by pimples, blackheads, and whiteheads on the face.

Estro Plus Tablet is composed of ‘’Ethinyl estradiol and Dienogest.’’ It is essentially an ovulation inhibitor, which inhibits the release of potent eggs from the ovary, thereby preventing pregnancy. It also changes the cervical (cervix is the connection between the uterus and vagina) ambience, making cervical secretions thicker and hostile to any incoming sperm. Hence, it is a very potent contraceptive. In addition, the dienogest component inhibits gonadotropin (sex hormone) production and also suppresses the growth of uterine cells. Therefore, Estro Plus Tablet helps prevent pregnancy. 

In some cases, Estro Plus Tablet may cause certain common side effects such as nausea, breast soreness, headache and irregular periods. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects consistently.

If you are allergic to Estro Plus Tablet or any of its components, please inform the doctor before using Estro Plus Tablet . Keep the doctor informed if you are on treatment for any cardiovascular disease, mental health disorder, liver disease, gallbladder disease or breast/uterine/cervical cancer. Before taking Estro Plus Tablet , inform your doctor of your entire medical and surgical history. Please consult your doctor before taking Estro Plus Tablet during pregnancy or if you are breastfeeding. Do not consume Estro Plus Tablet with alcohol.

Uses of Estro Plus Tablet

Contraception, treatment of menorrhagia and acne vulgaris.

Directions for Use

Swallow it as a whole with water; do not crush, break or chew it.

Medicinal Benefits

Estro Plus Tablet is a combined oral contraceptive and birth control pill. It contains Ethinyl estradiol and Dienogest. Estro Plus Tablet is used to prevent pregnancy by suppressing ovulation and changing the consistency of cervical secretions. In patients suffering from menorrhagia, Estro Plus Tablet reduces the intensity and duration of menstrual bleeding. It also relieves pain during periods (dysmenorrhea). Estro Plus Tablet reduces hair and skin greasiness, providing relief to blackheads/whiteheads and acne-prone skin.

How Estro Plus Tablet Works

Estro Plus Tablet is composed of ‘’Ethinyl estradiol and Dienogest.’’ It is essentially an ovulation inhibitor, which inhibits the release of potent eggs from the ovary, thereby preventing pregnancy. It also changes the cervical (cervix is the connection between the uterus and vagina) ambience, making cervical secretions thicker and hostile to any incoming sperm. Hence, it is a very potent contraceptive. In addition, the dienogest component inhibits gonadotropin (sex hormone) production and also suppresses the growth of uterine cells. Therefore, Estro Plus Tablet helps prevent pregnancy.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Estro Plus Tablet

  • Headache
  • Nausea and vomiting
  • Irregular menstrual cycles
  • Cramps 
  • Abdominal bloating
  • Breast tenderness
  • Hypertension

What if I have taken an overdose of Estro Plus Tablet

Take Estro Plus Tablet only as prescribed by the physician. Do not exceed the recommended dose, as it might cause an overdose. Symptoms of overdose may include vomiting, nausea, and vaginal bleeding. If you experience these symptoms or suspect you have taken an overdose, seek immediate medical attention.

Drug Warnings

Estro Plus Tablet is not recommended for use in women over 35 who smoke. Estro Plus Tablet should not be used in case of any known allergy to either of the components. Estro Plus Tablet is not advisable for use in case of high risk or previous history of any mental health disorders, arterial or thrombotic disorders, cardiovascular health disorders, liver disease, gallbladder disease, history of breast/uterine/cervical cancer or any hormone-sensitive cancer. Women with a history of angioedema should exercise caution while taking Estro Plus Tablet as it may worsen the angioedema. Please consult the doctor before using Estro Plus Tablet during pregnancy or breastfeeding. It is advisable not to consume Estro Plus Tablet with alcohol. Inform the doctor right away if you notice any dark urine, yellowing of the eyes/skin, severe mood changes or any sudden heavy bleeding. Women with a tendency for chloasma/melasma (a skin condition commonly seen in middle-aged women) should avoid sun exposure after taking Estro Plus Tablet .

Drug-Drug Interactions

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DienogestEfavirenz
Critical
EthinylestradiolTranexamic acid
Critical

Drug-Drug Interactions

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DienogestEfavirenz
Critical
How does the drug interact with Estro Plus Tablet 21's:
When Efavirenz is taken with Estro Plus Tablet 21's, it can lower the metabolism of Estro Plus Tablet 21's and increase the risk or severity of side effects.

How to manage the interaction:
Taking Efavirenz with Estro Plus Tablet 21's can possibly result in an interaction, however, it can be taken when advised by a doctor. Do not stop using any medications without talking to a doctor.
EthinylestradiolTranexamic acid
Critical
How does the drug interact with Estro Plus Tablet 21's:
Taking Estro Plus Tablet 21's with Tranexamic acid may increase the risk of blood clot formation.

How to manage the interaction:
Taking Estro Plus Tablet 21's with Tranexamic acid is not recommended, as it can lead to an interaction, but can be taken if a doctor has prescribed it. However, if you suffer from chest discomfort, shortness of breath, blood in the urine, blood in the cough, sudden loss of vision, and pain, redness, or swelling in your arm or leg, consult doctor immediately. Do not stop using any medications without talking to a doctor.
DienogestPhenytoin
Severe
How does the drug interact with Estro Plus Tablet 21's:
Taking Phenytoin with Estro Plus Tablet 21's may reduce the blood levels and effects of Estro Plus Tablet 21's.

How to manage the interaction:
Although taking Phenytoin and Estro Plus Tablet 21's together can result in an interaction, it can be taken if a doctor has prescribed it. If you use Estro Plus Tablet 21's as hormone replacement therapy for menopause, let a doctor know if your symptoms stop being controlled by your medication or if you start bleeding abnormally. Do not discontinue any medications without consulting a doctor.
DienogestDantrolene
Severe
How does the drug interact with Estro Plus Tablet 21's:
Co-administration of Dantrolene with Estro Plus Tablet 21's can cause serious side effects that may affect your liver.

How to manage the interaction:
Taking Estro Plus Tablet 21's with Dantrolene together can possibly result in an interaction, but it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
DienogestCarbamazepine
Severe
How does the drug interact with Estro Plus Tablet 21's:
Taking carbamazepine with Estro Plus Tablet 21's may increase the effect of carbamazepine.

How to manage the interaction:
Although there is a possible interaction, Estro Plus Tablet 21's can be taken with Carbamazepine if prescribed by the doctor. Do not stop using any medications without talking to a doctor.
DienogestMycophenolic acid
Severe
How does the drug interact with Estro Plus Tablet 21's:
Co-administration of Estro Plus Tablet 21's with Mycophenolic acid may decrease the levels and action of Estro Plus Tablet 21's.

How to manage the interaction:
There could be a possible interaction between Mycophenolic acid and Estro Plus Tablet 21's, but they can be taken together if a doctor has prescribed them. Do not discontinue any medications without a doctor's advice.
DienogestPrimidone
Severe
How does the drug interact with Estro Plus Tablet 21's:
Taking Estro Plus Tablet 21's with Primidone may increase the risk of side effects.

How to manage the interaction:
Although there is an interaction between primidone and Estro Plus Tablet 21's, it can be taken if prescribed by a doctor. However, if you experience any unusual symptoms, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
DienogestBosentan
Severe
How does the drug interact with Estro Plus Tablet 21's:
Co-administration of Estro Plus Tablet 21's with Bosentan may decrease the effectiveness of Estro Plus Tablet 21's.

How to manage the interaction:
Although there is a possible interaction, Estro Plus Tablet 21's can be taken with Bosentan if prescribed by the doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
DienogestFosphenytoin
Severe
How does the drug interact with Estro Plus Tablet 21's:
When Estro Plus Tablet 21's is taken with Fosphenytoin, it can increase the risk of severe bleeding.

How to manage the interaction:
Although taking Estro Plus Tablet 21's and Fosphenytoin together can evidently cause an interaction, it can be taken if a doctor has suggested it. If you notice any symptoms like unusual bleeding, it's important to contact a doctor right away. Do not discontinue any medications without consulting a doctor.
EthinylestradiolGriseofulvin
Severe
How does the drug interact with Estro Plus Tablet 21's:
Taking ethinyl estradiol with griseofulvin may reduce blood levels and the effects of ethinyl estradiol.

How to manage the interaction:
Although taking Estro Plus Tablet 21's and Griseofulvin together can cause an interaction, it can be taken if a doctor has suggested it. However, if you use hormone replacement therapy (ethinyl estradiol) for menopause, inform a doctor if your symptoms are no longer controlled or if you deal with unusual bleeding. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • As nausea and vomiting may occur with the use of Estro Plus Tablet , make sure to take it on light, small meals. 
  • Let your doctor know if you are planning to get pregnant. 
  • After starting Estro Plus Tablet , use another alternative non-hormonal contraceptive for at least ten days.
  • Maintaining a healthy weight can go a long way in promoting healthy female reproductive health. Make sure you exercise for at least 30 minutes every day. However, do not engage in very strenuous physical exercise as this can worsen bleeding. 
  • Regularly working night shifts can affect hormone production. Try to avoid night shifts. 
  • Maintain good sexual hygiene and prevent any sexually transmitted diseases by practising only safe sex.
  • Limit your intake of caffeine and alcohol. 
  • Avoid smoking. 
  • Avoid grapefruit juice while taking Estro Plus Tablet as this may interact with Estro Plus Tablet and affect its absorption. 
  • Increase your intake of red vegetables, fruits, dry fruits, spinach, nuts and beans as these help in new blood formation. 
  • Keeping your skin hydrated by drinking enough water can also do wonders for the overall quality of your skin. 
  • Always wash your makeup before sleeping. Never go to bed with makeup on.
  • Exfoliate your skin lightly but regularly. This helps wash away dry and dead cells, cleansing the skin. 
  • Severe nausea or vomiting following the use of the tablet can be considered a missed dose. In this case, additional contraceptive measures are advised. 

Habit Forming

No

Therapeutic Class

CONTRACEPTIVES

Estro Plus Tablet Substitute

Substitutes safety advice
  • Dienoplus Tablet 21's

    23.31per tablet
  • Dienille Tablet 21's

    26.96per tablet
  • Deereg Tablet 21's

    23.31per tablet
  • Dinesys Plus Tablet 21's

    34.24per tablet
  • Estral-D Tablet 21's

    21.39per tablet
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Alcohol

Caution

Exercise caution while consuming alcohol with Estro Plus Tablet as there may be a minor interaction.

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Pregnancy

Caution

There is no evidence of birth defects after unintended use of Estro Plus Tablet during pregnancy. However, Estro Plus Tablet should not be used to induce abortion or to treat a miscarriage. Please consult your doctor in case of any concerns.

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Breast Feeding

Caution

Other forms of contraception are advised as long as breastfeeding continues. Estro Plus Tablet may affect the production of breast milk. Please consult the doctor.

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Driving

Caution

There is not enough literature to explain the effects of Estro Plus Tablet on driving. Do not drive if you experience any side effects that alter your thinking ability or concentration.

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Liver

Caution

Estro Plus Tablet should be used with caution in those with liver disease. Please consult your doctor if you have any concerns.

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Kidney

Caution

Estro Plus Tablet should be used with caution in those with kidney disease. Please consult your doctor if you have any concerns.

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Children

Caution

Use before 18 is allowed. Use below the age of menarche (first period) is not indicated.

FAQs

Estro Plus Tablet is used as a means of birth control in women who wish to prevent unwanted pregnancy. It is also used in the treatment of irregular menstrual cycle and moderate to severe acne.
Estro Plus Tablet works by suppressing ovulation and by changing cervical mucous thickness, thereby preventing pregnancy and acting as an effective birth control method.
Estro Plus Tablet is advisable not to use atleast for a minimum of 4 weeks after delivery after which you can resume its use. Please consult your doctor.
Estro Plus Tablet is not known to affect conception rates as it’s been found that women got pregnant pretty soon after discontinuing Estro Plus Tablet . Please consult your doctor.
Estro Plus Tablet is not recommended or indicated in the treatment of any breast tumours or cancers.
This is not one of the indicated uses of Estro Plus Tablet . For any concerns, please consult your gynaecologist.

Country of origin

India

Manufacturer/Marketer address

Alembic Road, Vadodara - 390 003, Gujarat,INDIA
Other Info - EST0179

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