SUSTEN SR 400 mg 10 Tablet

Prescription status:

Prescription required

Manufacturer Name:

Sun Pharmaceutical Industries Ltd

Drug classification:

Oestrogens & Progestins (Synthetic Female hormones)

What is this used for:

• Endometrial Hyperplasia
• Amenorrhea

When to not take this medicine:

• Hypersensitivity or allergy towards this medicine
• Beast or genital cancer
• Ectopic Pregnancy
• Undiagnosed abnormal uterine bleeding
• Bleeding disorders

How should i take the medicine:

Take this medicine with an adequate amount of water as directed by the physician. Do not take this medicine in small or larger amounts than recommended.

How this medicine works:

This medicine mimics the natural progesterone hormone within the body and promotes various functions like development of mammary glands, changes in the uterine wall lining, relaxing the uterine smooth muscle, blocking the follicular ovulation, and maintenance of pregnancy

Side effects

• Headache (Common)
• Breast tenderness (Common)
• Dizziness (Common)
• Abdominal Pain (Common)
• Mood changes (Less common)
• Fatigue (Rare)
• Nausea(Rare)
• weakness (Rare)
• Swelling in the hands, lower legs, and feet (Rare)

Pregnancy warning:

Category B-Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women.

Lactation warning:

Use of this medicine is not recommended for lactating and breastfeeding mothers unless necessary. Inform your doctor about the use of this medicine. All the risks and benefits should be discussed with the doctor before taking this medicine.

Renal dose adjustments:

Care must be taken for individuals with kidney disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative based on creatinine clearance values.

Hepatic dose adjustments:

Care must be taken for individuals with liver disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative.

Drug interactions:

• Metformin-Major

Inform your doctor about the use of either medicines. When these medicines are taken together combination it may cause irregular blood sugar levels and may cause side effects like slow pulse, loss of appetite, nausea, visual changes, or irregular heartbeats. Appropriate dose adjustments or suitable alternate medicine may be considered based on the condition.

• Acetaminophen-Major

Inform your doctor about the use of either medicines. When these medicines are taken together combination it may cause an individual to bleed easily and may cause side effects like slow pulse, nausea, visual changes, or irregular heartbeats. Appropriate dose adjustments or suitable alternate medicine may be considered based on the condition.

• Amoxicillin-Major

Inform your doctor about the use of either medicines. When these medicines are taken together combination it may decrease the effectiveness of this medicine and may cause side effects. Appropriate dose adjustments or suitable alternate medicine may be considered based on the condition.

• Aspirin-Moderate

Inform your doctor about the use of either medicines. When these medicines are taken or used together, it may decrease the effects of this medicine and affect kidney function. If you experience any signs and symptoms like fluid retention, muscle cramps, increased or decreased urination, sudden weight gain or weight loss, swelling, shortness of breath, tiredness, then inform to the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

• Ibuprofen-Moderate

Inform your doctor about the use of either medicines. When these medicines are taken or used together, it may decrease the effects of this medicine and affect kidney function. If you experience any signs and symptoms like fluid retention, muscle cramps, increased or decreased urination, sudden weight gain or weight loss, swelling, shortness of breath, tiredness, then inform to the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

Alcohol interactions:

Consumption of alcohol is not recommended while receiving/taking this medicine as it may cause interactions and lead to serious adverse effects and may worsen the health condition.

Food interactions: NA

Expert Advice:

1. These tablets can be taken, with or without food. Do not crush, chew, or break the tablet. Swallow it whole.
2. Seek emergency medical help if you experience any of the side effects like Dizziness, Light-headedness, fainting, etc.
3. It is recommended to avoid driving or using heavy machinery immediately after consuming this medicine.

Missed dose instructions:

Take this medicine as soon as you remember. However, if it is almost time for your next dose skip the dose and go back to your regular dosing schedule. Do not double dose to make up for the missed dose.

Overdose Instructions:

Seek emergency treatment or contact your physician in case if you experience any unusual signs and symptoms during the treatment with this medicine.

Storage Instructions:

1. Store the medicine in a cool and dry place away from sunlight
2. Keep away from the reach of children
3. Discard the unused medicine safely after use

References:

1. Progestin-Only Oral Contraceptives: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2020 [cited 1 October 2020]. Available from: https://medlineplus.gov/druginfo/meds/a602008.html

2. Progesterone - DrugBank [Internet]. Go.drugbank.com. 2020 [cited 1 October 2020]. Available from: https://go.drugbank.com/drugs/DB00396

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Keep away from direct sunlight

Store in a dry place