Tragbal 200mg Capsule belongs to the class of medicines known as hormones used as hormone replacement therapy in menopausal women who have not had a hysterectomy (surgery to remove the uterus). Tragbal 200mg Capsule is also used to treat periods/menstruation in women of childbearing age who have not reached menopause but stopped having periods. It is also used to treat endometrial hyperplasia and female infertility.

Tragbal 200mg Capsule contains progesterone which is a female hormone. It helps regulate ovulation and menstruation in women. Tragbal 200mg Capsule induces secretory changes in the endometrium lining of the uterus, promotes breast development, relaxes the uterus, blocks the maturation and release of a follicle and maintains pregnancy.

Tragbal 200mg Capsule should be taken as advised by your doctor. Do not break or chew the tablet/capsule in the mouth. This medicine may cause certain side effects such as dizziness, headache, mood changes, constipation, diarrhea, bloating, and heartburn. Most of these side effects do not require medical attention and gradually resolve over time. However, if these side effects persist or worsen, consult your doctor immediately.

Tragbal 200mg Capsule should be avoided if allergic to it. This medicine may increase the risk of heart attack, stroke, blood clots or breast cancer; therefore, inform your doctor if you have/had any of these conditions. Also, let your doctor know if you are pregnant or breastfeeding before taking Tragbal 200mg Capsule. This medicine may cause dizziness and drowsiness, so it is advised to avoid driving or performing activities that require concentration. Keep your doctor informed about your health condition and all current and previous medications to rule out any side effects. Avoid alcohol consumption as it might cause increased dizziness and drowsiness.

Tragbal 200mg Capsule is a hormone replacement treatment medication used in menopausal women who have not undergone a hysterectomy (surgery to remove the uterus). Tragbal 200mg Capsule aids in the initiation of the menstrual cycle (periods) in women who have not yet reached menopause but have stopped receiving their periods. It also prevents uterine overgrowth in postmenopausal women receiving oestrogen as hormone replacement therapy (HRT). Tragbal 200mg Capsule contains progesterone, which regulates ovulation and menstruation in women. It causes secretory changes in the uterine endometrium, stimulates breast growth, relaxes the uterus, prevents follicle maturation and release, and keeps the pregnancy going.

• Abdominal pain
• Abdominal bloating
• Headache
• Dizziness
• Drowsiness
• Headache
• Breast tenderness

Tragbal 200mg Capsule should be avoided if allergic to it. Use of Tragbal 200mg Capsule with estrogens should be avoided as it may increase the chance of getting heart attacks, strokes, breast cancer, blood clots and dementia. Do not use Tragbal 200mg Capsule if you are allergic to peanuts, have unusual vaginal bleeding, have had any cancer (breast or uterus cancer), or undergoing estrogen plus progestin treatment. Tell your doctor before using Tragbal 200mg Capsule if you have had a heart attack, stroke, blood clot, liver problems, kidney problems, asthma (wheezing), epilepsy (seizures), diabetes, migraine, endometriosis, lupus, heart problems, thyroid or have high calcium levels in your blood. Consult your doctor if you are pregnant, breastfeeding or planning to get pregnant. Be cautious while driving as Tragbal 200mg Capsule may cause dizziness or drowsiness.

Drug-Drug Interactions: Tragbal 200mg Capsule may have an interaction with medicines, including anticonvulsants (acetazolamide and carbamazepine),  anti-infectives (metronidazole, clindamycin), antidepressants (fluoxetine, paroxetine, sertraline) or herbal preparation (Ginkgo Biloba). 

Drug-Food Interactions: Tragbal 200mg Capsule may interact with grapefruit or grapefruit juice and St. John’s wort plant (used for anti-depression). 

Drug-Disease Interactions: Inform your doctor if you have breast cancer, liver disease, thromboembolism, depression, fluid retention (oedema), glucose intolerance, retinal thrombosis (blocked vein of the retina of the eye), thyroid disease, high cholesterol (hyperlipidemia), uterine bleeding, ovarian cyst and weight gain (obesity).

• ACETAZOLAMIDE
• CARBAMAZEPINE
• METRONIDAZOLE
• CLINDAMYCIN
• FLUOXETINE
• PAROXETINE
• SERTRALINE
• GINKGO BILOBA EXTRACT

• Avoid or limit intake of caffeine-containing beverages, alcohol, and spicy food, as these are known triggering agents for hot flushes.
• Try to be stress-free to improve your mood swings due to hormonal fluctuations. 
• Quit smoking as it will help to reduce hot flushes and your risk of developing chronic conditions like heart disease, stroke, and cancer.
• Do regular exercise and physical activity to minimize hot flushes and improve sleep.
• Try to wear loose clothes before going to bed and sleep in a cool, well-ventilated room. Doing this can prevent symptoms of hot flushes and night sweats. Take minimum sleep of 8 hours.
• Weight-bearing exercises can help in making your bone strong. Aerobics, yoga and activities like tai chi may help in relaxing the body and mind.

• Tell your health care professional that you are taking Tragbal 200mg Capsule if you are scheduled for any laboratory tests.

Female Infertility: It is a condition in which a woman is not able to become pregnant within a year of trying. If a woman gets pregnant but experiences miscarriages or stillbirths, it is also considered infertility.

Hormone replacement therapy (HRT): It is a treatment that replaces/boost hormones that are at a low level and helps relieve symptoms of menopause such as night sweats, hot flushes, vaginal dryness, mood swings, and reduced sex drive.

Amenorrhoea: It is the absence of more than three menstrual periods continuously in a woman of childbearing age due to a lack of progesterone.

Endometrial hyperplasia: It is a condition where the uterus lining (endometrium) becomes unusually thick due to excessive cells (hyperplasia).