Normonal CR Tablet is used to treat heavy, painful, or irregular periods, premenstrual syndrome (PMS), and endometriosis. Additionally, Normonal CR Tablet may be used in the treatment of breast cancer. Endometriosis is a disorder in which the uterus's tissue lining (endometrium) grows on the ovaries, intestines, or fallopian tubes. The most common symptom is pelvic pain.

Normonal CR Tablet contains Norethisterone acetate that works by mimicking the activity of the natural hormone progesterone. Thereby, it restores hormone levels in the body and regulates the growth and shedding of the womb lining. Thus, it helps to treat menstrual disorders.

Take Normonal CR Tablet as prescribed by your doctor. You are advised to take Normonal CR Tablet for as long as your doctor has prescribed it for you based on your medical condition. In some cases, you may experience unusual vaginal bleeding or spotting, dizziness, dry mouth, constipation, nausea, diarrhoea, headache, breast pain, and tenderness. Most of these side effects of Normonal CR Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to Normonal CR Tablet or any other medicines, please tell your doctor. Normonal CR Tablet is not recommended for pregnant women as it may harm the unborn baby. If you are breastfeeding, consult a doctor before taking Normonal CR Tablet . It is advised to use effective non-hormonal contraceptives such as condoms to avoid pregnancy while taking Normonal CR Tablet . You are advised to stop smoking while taking Normonal CR Tablet Normonal CR Tablet as it may increase the risk of adverse effects.

Normonal CR Tablet belongs to the class of progestogens used to treat heavy, painful, or irregular periods, premenstrual syndrome (PMS), and endometriosis. Additionally, Normonal CR Tablet may be used in the treatment of breast cancer. Normonal CR Tablet contains Norethisterone acetate, a synthetic hormone that mimics the activity of the natural hormone progesterone. Thereby, it restores hormone levels in the body and regulates the growth and shedding of the womb lining. Thus, it helps to treat menstrual disorders.

• Unusual vaginal bleeding or spotting

• Dizziness

• Dry mouth

• Constipation

• Abdominal pain/cramps

• Nausea

• Diarrhea

• Headache

• Breast pain and tenderness
   

If you are allergic to Normonal CR Tablet or any other medicines, please tell your doctor. Normonal CR Tablet is not recommended for pregnant women as it may harm an unborn baby. If you are breastfeeding, consult a doctor before taking Normonal CR Tablet . It is advised to use effective non-hormonal contraceptives such as condoms to avoid pregnancy while taking Normonal CR Tablet . You are advised to stop smoking while taking Normonal CR Tablet as it may increase the risk of adverse effects. If you are about to undergo any surgery, please inform your doctor that you are taking Normonal CR Tablet as it may increase the effect of certain anaesthetics. If you experience sudden shortness of breath, rapid heartbeat, sudden, severe, sharp pain in the chest, or cough up blood, stop taking Normonal CR Tablet and consult a doctor immediately as these might be signs of a blood clot in the lungs.

Drug-Drug Interaction: Normonal CR Tablet may interact with anticonvulsants (carbamazepine, phenytoin), antiviral drugs (nelfinavir, ritonavir), a medicine used to treat Cushing’s syndrome (aminoglutethimide), antibiotics (co-trimoxazole, rifampicin, tetracycline), immunosuppressant (ciclosporin).

Drug- Food Interaction: Normonal CR Tablet may interact with St. John’s wort (herbal medicine used to treat depression). Also, limit the intake of grapefruit juice with Normonal CR Tablet as it may increase the levels of Normonal CR Tablet in blood.  

Drug-Disease Interaction: Avoid taking Normonal CR Tablet if you have vaginal bleeding, blood clots, severe itching, porphyria (blood disorder), liver problems, angina (chest pain), or if you ever had a heart attack, jaundice, or pemphigoid gestationis (an itchy rash that develops into blisters). If you have asthma, migraine headaches, epilepsy (fits), kidney or heart problems, inform your doctor before taking Normonal CR Tablet .

• CARBAMAZEPINE
• PHENYTOIN
• NELFINAVIR
• RITONAVIR
• AMINOGLUTETHIMIDE
• COTRIMOXAZOLE
• RIFAMPICIN
• TETRACYCLINE
• CICLOSPORIN

• Avoid fried and processed foods.

• Include fiber-rich foods like whole grains, fruits, and vegetables in your diet.

• Avoid refined carbohydrates that are high in sugars.

• Replace animal proteins (like eggs, fish, and meat) with vegetable protein sources (nuts, seeds, and beans).

• Avoid drinking excess alcohol or caffeinated drinks as they can worsen the symptoms.

• Maintain a healthy weight, do moderate exercise regularly.

• Avoid smoking and alcohol intake.

• Normonal CR Tablet may interfere with certain laboratory tests. Therefore, inform your doctor that you are taking Normonal CR Tablet before undergoing any tests.

Premenstrual syndrome (PMS): It is a condition in which a group of symptoms occurs between ovulation and menstruation. Symptoms of PMS include mood swings, fatigue, food cravings, breast tenderness, and irritability.

Endometriosis: It is a disorder in which the tissue lining the uterus (endometrium) grows on the ovaries, intestines, or fallopian tubes. The most common symptom is pelvic pain. Other symptoms of endometriosis include lower back pain, painful periods, heavy menstrual bleeding, pain following sexual intercourse, or discomfort with bowel movements. 

Breast cancer: It is a type of cancer that develops in the breast when the breast cells begin to grow abnormally. The tumor cells invade other healthy breast cells and can travel to lymph nodes which are a primary pathway for the cancer cells to move to other parts of the body. Symptoms of breast cancer include a lump in the breast or tissue thickening which feels different than the normal surrounding tissues, breast pain, redness, swelling, nipple discharge other than breast milk, bloody discharge, unexplained change in shape, size, or appearance of the breast, peeling, flaking or scaling of the skin, and a lump or swelling under the arm.