Normens Dosage/Direction for Use

The use of NORMENS is restricted to patients in whom there is no possibility of early pregnancy in the cycle concerned.
Metropathia haemorrhagica (dysfunctional uterine bleeding): 1 tablet 3 times daily for 10 days. Bleeding is arrested usually within 1-3 days. A withdrawal bleeding resembling normal menstruation occurs within 2-4 days after discontinuing treatment.
Prophylaxis against recurrence of dysfunctional bleeding: If there are no signs of resumption of normal ovarian function (no rise in the second half of the cycle of the morning temperature, which should be measured daily) recurrence must be anticipated. Cyclical bleeding can be established with 1 tablet twice daily from the 19th to the 26th day of the cycle.
Premenstrual syndrome (including menstrual mastopathy): Premenstrual symptoms such as headache migraine, breast discomfort, water retention, tachycardia, psychological disturbance may be relieved by the administration of 2-3 tablets daily from the 19th to the 26th day of the cycle. Treatment should be repeated for several cycles. When treatment is stopped, the patient may remain symptom-free for a number of months.
Postponement of menstruation: In case of too frequent menstrual bleeding and in special circumstances (e.g. travel, sports) the Postponement of menstruation is possible. 1 tablet NORMENS three times daily for not longer than 10-14 days, starting 3 days before the expected onset of menstruation. A normal period should occur 2-3 days after the patient has stopped taking tablets.
Endometriosis: Long term treatment is commenced on the 5th day of the cycle with 1 tablet NORMENS twice daily for the first few weeks. In the event of spotting, the dosage is increased to 2 tablets twice daily.
After bleeding has ceased, the initial dose is usually sufficient.
Duration of treatment: 4-6 months continuously, or longer if necessary. During treatment, ovulation and menstruation do not occur. After discontinuation of hormone treatment a withdrawal bleeding will occur.
Note: If menstrual bleeding should fail to follow a course of NORMENS, the possibility of pregnancy must be ruled out before a further course is given.