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Nance 200 MG Tablet

Manufactured by: Zee Laboratories
Prescription Required: Yes
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Description

Nance 200 MG Tablet is obtained from plant sources and has a similar action to the female hormone, progesterone. It is used to correct menstrual disorders caused due to a deficiency of this hormone in the body. It is also used as a component in hormone replacement therapy and for maintenance of early pregnancy under specific circumstances.

Side effects

Major & minor side effects for Nance 200 MG Tablet

  • Chest pain and discomfortsevere
  • Fever and chillssevere
  • Difficulty in passing urinesevere
  • Breast pain and tenderness
  • Muscle or joint pain
  • White or brownish discharge from the vagina
  • Headache
  • Dizziness
  • Depression
  • Viral infectionsrare
  • Breast lumpssevererare
  • Loss of vision or blurred visionsevererare
  • Unexpected vaginal bleedingsevere
  • Convulsions (seizures)severe
  • Swelling of face, lips, eyelids, tongue, hands and feet severerare
  • Constipation or diarrhea
  • Nausea or Vomiting
  • Hot flashes
  • Hair loss or thinning of the hair
SEVERE
Contact your doctor immediately if any of these symptoms are experienced on a regular basis.
RARE
Observed in a small fraction of population.
This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.

Highlights

Commonly asked questions for Nance 200 MG Tablet

Onset of action

The time taken for this medicine to show it's effect is subject to vary from one person to another.

Duration of effect

The duration of action of this medicine is subject to vary based on factors like age, dosage form etc.

Safe with alcohol?

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

Is it habit forming?

No habit forming tendencies were reported.

Usage in pregnancy?

This medicine is recommended for use in pregnancy only if the need is clinically established. Consult your doctor before using this medicine.

Usage while breast-feeding?

Use of this medicine is not recommended if you are breastfeeding. This medicine can pass into the breast milk and may harm the nursing infant.

Substitutes

List of substitutes for Nance 200 MG Tablet

Below is the list of medicines, which have the same composition, strength and form as Nance 200 MG Tablet, and hence can be used as its substitute.
Emprogest Ev 200 MG Tablet
Emcure Pharmaceuticals Ltd.
Fulgest 200 MG Tablet
Micro Labs Ltd.
I Gest 200 MG Tablet
Strides Shasun Ltd.
Menocare 200 MG Tablet
Pfizer Ltd.
Prestol 200 MG Tablet
Zuventus Healthcare Ltd.

What is it prescribed for?

Uses of Nance 200 MG Tablet

  • Post menopausal hormonal replacement therapy

    This medicine is used along with estrogen in women who have achieved menopause, but haven't undergone a surgery to remove the uterus (hysterectomy).

  • Amenorrhoea

    This medicine is used to treat absence of menstruation in women of childbearing potential due to a lack of progesterone in their body.

  • Dysfunctional uterine bleeding

    This medicine is also used to treat abnormal bleeding from the vagina due to changes in hormone levels but are not caused by a pregnancy or miscarriage.

  • Endometrial hyperplasia

    This medicine is used to prevent this condition where the female sex hormones are imbalanced and heavy bleeding or intermittent bleeding between periods are experienced.

  • Progesterone deficiency during pregnancy

    This medicine is used for prevention of miscarriages and maintenance of pregnancy in conditions where luteal phase progesterone hormone levels are significantly low. However, it should not be used during later stages of pregnancy (later part of 2nd trimester and the 3rd trimester).

  • Premenstrual syndrome

    This medicine is also used for the treatment of symptoms experienced due to periodic changes in sex hormone levels as a part of the menstrual cycle.

  • Contraception

    This medicine may also be used as a vaginally inserted dosage form to achieve contraception.

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When not to use?

Contraindications of Nance 200 MG Tablet

  • Allergy

    This medicine is not recommended for use if you have a known history of allergy to progesterone or any other ingredient present with it. This medicine might contain peanut oil and should never be used by patients who are allergic to peanuts.

  • Abnormal vaginal bleeding

    This medicine is not recommended for use if you have an abnormal bleeding episode which has not been diagnosed by a doctor.

  • Breast cancer

    This medicine is not recommended for use if you have breast cancer or are suspected to have it. It is not recommended for use if the patient has a history of breast cancer.

  • Miscarriage

    This medicine is not recommended for use if the patient has had an incomplete miscarriage or missed abortion recently.

  • Heart and blood vessel disorder

    This medicine is not recommended for use in patients having an active or historic instance of stroke or heart attack. It should not be used by patients having an active or historic clotting disorder.

  • Liver disease

    This medicine is not recommended for use in patients having a liver disease or impairment of normal liver function.

  • Second and third trimester of pregnancy

    This medicine is not recommended for use during the late stages of the second trimester and for the entire third trimester of pregnancy. It should not be used during pregnancies where luteal phase progesterone deficiency is not clinically established.

Dosage

  • Missed Dose

    Take the missed dose as soon as you remember unless it is almost time for the next scheduled dose. Contact your doctor if you have missed more than one dose.

  • Overdose

    Contact your doctor if an overdose is suspected. The short-term effects of an overdose could be a headache, dizziness, nausea, and vomiting.

Interactions

All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.

Interaction with Alcohol

  • Description

    - Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

  • Instructions

    - Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

Interaction with Medicine

Disease interactions

  • Breast cancer

    severe
    Use of this medicine is not recommended for patients having an active case of breast cancer or are suspected of having it. Report all such instance including occurrence in the past to the doctor so that an informed decision can be taken in regards to the future treatment plan.

  • Liver disease

    severe
    Use of this medicine is not recommended if the patient has a liver disease or the normal liver function is impaired.

  • Thromboembolism

    severe
    Use of this medicine is not recommended in patients having a clotting disorder in which the formed clot moves from one place and lodges in another place.

  • Depression

    moderate
    This medicine should be used with caution in patients having episodes of depression or having a history of depression especially when estrogen is also administered in combination.

  • Retinal thrombosis

    moderate
    Use of this medicine can sometimes cause a loss of vision by blocking the flow of blood from the retina to the heart. Hence caution should be exercised while using it and any abnormality in vision should be reported to the doctor.

Food interactions

  • Information not available.

Lab interactions

  • Blood coagulation tests

    moderate
    Report the use of progesterone to the doctor before undergoing a test to measure the coagulation time. Use of this medicine can interfere with the test results.

  • Liver function tests

    moderate
    Report the use of progesterone to the doctor before undergoing a liver function test. Use of this medicine can interfere with the test and give false results.

  • Thyroid function tests

    moderate
    Report the use of progesterone to the doctor before undergoing a thyroid function test. This medicine can interfere with the test and give a false positive result.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.

General Instructions

Take Nance 200 MG Tablet as prescribed by the doctor. Follow all dosing instruction mentioned on the label. It is advised to take this medicine at bedtime with sufficient quantity of water. Do not take this medicine for durations shorter or longer than recommended by your doctor. You are advised to regularly examine your breasts for the presence of lumps while using this medicine.

Warnings

Warnings for special population

  • Pregnancy

    - This medicine is recommended for use in pregnancy only if the need is clinically established. Consult your doctor before using this medicine.

  • Breast-feeding

    - Use of this medicine is not recommended if you are breastfeeding. This medicine can pass into the breast milk and may harm the nursing infant.

General warnings

  • Dizziness

    - Use of this medicine can cause dizziness and impair the ability to perform tasks requiring cognition and alertness. Caution is advised while driving or performing other tasks that demand a high level of mental alertness. You are advised to take the medicine at recommended times to avoid any such effect.

  • Breast cancer

    - Use of this medicine in conjugation with estradiol for hormone replacement therapy has been associated with instances of breast cancer and hence caution is advised. This medicine should be given with extreme caution to patients with a previous or active case of breast cancer.

  • Blood clotting disorders

    - Use of this medicine is not recommended for patients having a clotting disorder. It is advised to undergo a test to confirm if the medicine can be safely used. Report any instance of such disease to the doctor.

  • Bleeding disorders

    - Use of this medicine is not recommended if you have severe undiagnosed vaginal bleeding.

  • Fluid retention

    - Use of this medicine is known to cause mild to moderate amounts of fluid retention in the body. Hence, caution is advised while administering in patients with diseases like epilepsy, asthma, migraine, heart and blood vessel disorders, kidney impairment etc.

  • Depression

    - Use of this medicine is known to cause a varying amount of depression in different individuals. It should be carefully prescribed in patients having a history of depression. Use of this medicine should be discontinued if the depressive episode becomes more frequent and severe.

  • Metabolic disorders

    - Use of this medicine is known to interfere with the fat and sugar metabolism in the body. it should be prescribed with caution in patients suffering from metabolic disorders like diabetes, high cholesterol etc.

  • Vision abnormalities

    - Use of this medicine can cause blurring of vision and other effects on the eye like proptosis, diplopia etc. Patients should be carefully examined to confirm if they can safely use this medicine. Any side effects like blurred vision, excessive drying of eyes should be reported to the doctor.

  • Other medicine

    - This medicine can interact with a large number of medicines and hence it is recommended to report the use of all medicines including supplements and herbs to the doctor. The vaginal form of this medicine should be used with other gels or ointments after a sufficient time gap.

  • Liver disease

    - This medicine should be used with caution in patients having a liver disease or an impairment of normal liver function.

  • Peanut allergy

    - This medicine is not recommended for use if you have a known history of allergy to peanuts.

  • Use during pregnancy

    - This medicine should be used during pregnancy only when advised by the consulting doctor and the clinical evidence points towards a deficiency of luteal progesterone hormone during the early stages.

Other details

  • Usage does not depend on food timings
  • To be taken as instructed by doctor
  • May cause sleepiness

How it works

This medicine acts by mimicking the actions of progesterone and helps in regulation of ovulation and menstruation in women of childbearing age. Similarly, it is used in hormonal replacement therapy for women who have passed menopause and have not had a uterus removal surgery done.

Legal Status

Approved
Approved
Approved
Approved

Classification

Category
Progestins
Schedule
Schedule H

References

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Information on this page was last updated on 6 Oct 2017

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Disclaimer

We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.