Instructions for use for the drug Dicinon - is it effective during menstruation?

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Women begin to use Dicinon during menstruation for several reasons. At its core, Dicinon is a mild, effective medication that helps reduce the intensity of menstrual bleeding. But you should not rush to conclusions, since the drug has contraindications and not all women can take it.

Indications and contraindications

Doctors prescribe Dicinone most often for heavy periods. The instructions for use indicate that the drug has a number of indications and contraindications.

Tablets can be prescribed:

• If menstrual bleeding is excessive (pathological) intensity;
• If menstruation lasts more than 10 days;
• If a woman regularly experiences heavy, painful and prolonged menstruation.

The medication helps reduce the amount of discharge and stop pathological blood loss. The drug can be recommended for use not only for menstrual bleeding, but also for uterine bleeding. Taking it will help stop blood loss, avoid anemia and maintain pregnancy if a woman is at risk of miscarriage.

Important: The medicine can also be taken for gynecological diseases. It is often prescribed to patients with endometriosis, uterine fibroids and other diseases that lead to heavy menstrual bleeding.

The following conditions can also be considered as indications for the use of Dicinon tablets:

• Severe anemia. In this case, blood loss is fraught with serious health consequences;
• Blood diseases associated with blood clotting disorders;
• You can also take the tablets if you are planning to undergo surgery in the near future. When it is not possible to postpone the operation, the doctor may prescribe a drug to delay the onset of menstruation by 2 weeks.

But the medication also has a number of contraindications, these include:

• Arterial hypotension – low blood pressure, which is observed in the patient over a long period of time;
• Breastfeeding period;
• Increased blood viscosity;
• Individual intolerance to the components of the drug.

Dicynon tablets can be part of complex therapy or used individually. But the doctor must prescribe the medication. The doctor determines the dosage and duration of use. You should not experiment with the medicine, as this can lead to serious consequences.

Tablets can cause a deterioration in your health; if such complications occur, you should immediately stop taking the medication and consult a doctor.

When to take Dicinon during pregnancy?

There is nothing worse for a pregnant woman when there is a fear that the unformed child may not be born.
If there is a “threat of miscarriage” or bleeding occurs, the doctor prescribes the patient to take a drug called Dicion. These tablets have hemostatic properties; they restore vascular damage, thereby stopping or preventing bleeding, which usually ends in fetal loss. Problems with blood vessels can also indirectly lead to oligohydramnios during pregnancy, and this is the second problem that can negatively affect the further development of the child. Dicynone during pregnancy is prescribed only if there is a threat of miscarriage. It may be caused by the following reasons:

1. Hormonal disbalance.
2. Arrogant physical activity.
3. Bleeding, the so-called periods during pregnancy.
4. Chromosomal disorders.
5. The cervix has weak tone.
6. Manifestation of infections.
7. Placental abruption.

Sudden termination of pregnancy is possible and dangerous in the first trimester, so Dicinon during early pregnancy is very relevant for women with an increased risk.

pharmachologic effect

Dicinone during menstruation affects a woman’s body as follows:

• promotes blood clotting;
• stimulates bone marrow activity, promotes platelet formation;
• ensures localization of platelets on the walls of blood vessels;
• increases the elasticity of small capillaries and vessels;
• has a hemostatic effect;
• controls the process of fluid circulation in the body;
• prolongs the “life” of platelets and also enhances their activity.

The medication acts as follows: it increases the strength of capillaries and affects the mucous membrane, as a result of which the capillaries become more resistant to external influences.

Simply put, the drug stops heavy bleeding due to the formation of platelets, which glue the vessel together and help stop blood loss.

How does Dicynon work?

The active substance, when introduced into the body, stimulates the production of platelets and their release into the blood from the bone marrow. The medication does not increase fibrin concentration and does not affect the normal prothrombin index. Dicinone eliminates pathological changes in blood clotting, promotes the formation of primary blood clots, has an antiplatelet and angioprotective effect, improves fluid circulation, and restores normal homeostasis during bleeding.

The effect of the drug in tablets develops within 15 minutes after it is dissolved in the stomach cavity and enters the blood. Injections work from the first minutes of being in the body. To stop massive bleeding, the medication needs 20 to 40 minutes.

1 hour after administration, the pharmacological effect of Dicinone reaches its maximum. The drug does not accumulate in the body. It is excreted completely unchanged through the kidneys within 24 hours.

Release form

Dicynone is available in 2 forms: tablets and solution for injection. The dosage of the drug and the duration of its action depend on the form.

Features of the drug in various release forms:

• The tablets, in addition to the main active ingredient (ethamsylate), contain lactose. They start working in about 30 minutes. The active substance reaches its maximum concentration in blood plasma after approximately 2–4 hours. If the patient took the pill in the morning, the effect of taking it will last about 6 hours.
• The injection solution is used less frequently; it can be administered intramuscularly or intravenously. But the drug is administered intravenously only if there is an urgent need. The medication begins to act in about 15 minutes and helps to quickly cope with acute blood loss. If the solution was injected intramuscularly, the effect of the injection can be felt after 30–40 minutes. The duration of action of the drug is about 6 hours.

Tablets are prescribed if regular, heavy menstrual bleeding is observed. But injections can be prescribed when diagnosing a pathological condition associated with the presence of a gynecological disease (endometriosis, fibroids or other pathologies).

Method of use of the drug

The doctor should tell you how to use the medicine. Since there are several options for taking the medicine, it all depends on the patient’s complaints and her condition at the time of therapy.

How to take Dicynon?

• If the drug is prescribed as a prophylactic agent that will help cope with heavy bleeding, then it should be taken 2-3 times a day at a dosage of 250 mg. The start of treatment is scheduled for the 3rd day of the current menstruation. As a result of treatment, it is possible to achieve good results: the bleeding becomes less profuse, the woman’s well-being improves, and weakness and drowsiness disappear.
• If blood loss is intense, then the medication is prescribed in a certain dosage. The standard regimen is to take the drug on the 5th day of the current menstruation, the course of treatment lasts 10 days. If necessary, the doctor can change the medication regimen and extend the course of treatment.
• Dicinone to stop menstruation is taken for 3-4 days at a dosage of 500 mg. It is recommended to start taking the medication 3-4 days before the expected start of menstrual bleeding. But it is worth keeping in mind that menstruation can begin after 2 weeks, there is a high probability of problems with the cycle.
• During pregnancy, tablets are prescribed not only when uterine bleeding occurs, but also if there is malaise on certain days (cyclically, these days coincide with those on which the woman could previously begin menstruation). In this case, the doctor may recommend drinking Dicynon at a dosage of 250 mg.
• If blood loss continues for more than 10 days, the medication is prescribed in a dosage of 250 mg once every 24 hours. But you should not take the medicine for longer than 10 days; if there is no effect from taking the medicine, then the treatment requires correction.

If taking Dicinon is not of a therapeutic nature, but is carried out with the aim of postponing the onset of menstruation for some time, then such “therapy” can be carried out no more than once a year. Otherwise, serious problems with the cycle may occur.

How long can Dicinon be taken during pregnancy?

One-time use is 1 tablet (250 mg).
You need to drink them 3 times a day. This is a nominal dosage. The doctor prescribes a dose for the pregnant woman to take the pills based on her condition and the prerequisites for the threat of miscarriage. Having an overall picture, the doctor determines the course of treatment with Dition, which can last differently for each pregnant woman. The drug is safe in all three trimesters of gestation. Therefore, it can be prescribed both in the first and last month of pregnancy. In addition to tablets, Dition can be administered intramuscularly and intravenously. In the second case, it must be introduced into the body very slowly, so most often it is used drip-wise, combined with other solutions used for intravenous infusions.

Side effects

But we should not forget that the drug has a number of side effects, for this reason it is worth following the recommended dosage and not exceeding it. If side effects occur during complex therapy, then the treatment is subject to correction: the drugs used are canceled or their dosage is reduced.

What side effects may a patient experience when taking Dicynone?

• Dizziness, headaches;
• Nausea, attacks or urge to vomit;
• Allergic reactions of various etiologies (skin itching, urticaria, etc.);
• Decreased appetite, aversion to food and smells;
• Numbness in the limbs, in most cases patients complain of numbness in the legs;
• Stomach pain, heartburn and other unpleasant symptoms associated with disruption of the gastrointestinal tract.

If you try to use the drug to significantly reduce the duration of menstrual bleeding, as well as its intensity, this can have a detrimental effect on the state of a woman’s hormonal levels.

Important: An imbalance of hormones in the body can lead to various complications and affect a woman’s reproductive function.

Experiments with drugs can lead to disruption of the menstrual cycle and the appearance of acyclic bleeding of unknown etiology. Therefore, you should not take the medication if there are clear contraindications to its use.

Hormonal treatment for endometriosis.

Hormones for endometriosis are an almost obligatory part of treatment. This is physiologically justified, because the disease is hormone-dependent. Its main reason is the excessive production of estrogen in a woman’s body.

The doctor prescribes hormonal treatment for endometriosis to solve the following problems:

• normalization of the secretory activity of the ovaries and pituitary gland;
• prevention of further proliferation of endometrioid tissue.

Artificial suppression of menstruation is the essence of hormone therapy. Under the influence of active substances, physiological rejection of the uterine mucosa does not occur. Foci of its growth outside the uterus do not bleed, and the body recovers.

Other treatments include:

• Simulating menopause. The doctor prescribes hormonal drugs that reduce the level of sex hormones to minimum values.
• Suppression of ovulation. For this purpose, medications that contain synthetic androgens (male sex hormones) are used. These substances block the release of a mature egg from the follicle.

Drug treatment of endometriosis includes several groups of hormonal drugs. The doctor selects a treatment regimen individually, taking into account a number of factors:

• individual characteristics of a woman’s body;
• the patient’s desire to have children in the future;
• presence of contraindications.

It is difficult to cure endometriosis without hormones. Alternative treatment can only be considered as an additional treatment. Its effectiveness is difficult to predict. Further development of the disease and relapse cannot be ruled out.

Hormonal oral contraceptives for endometriosis.

Before determining a treatment regimen, the attending physician prescribes tests to determine which hormones are elevated. Each group of drugs for the treatment of a disease has a different pharmacological effect, so self-medication is unacceptable. The decision on conservative treatment or surgery is made only by a qualified specialist.

Advantages and disadvantages of hormonal treatment for endometriosis

The effectiveness of drugs for endometriosis depends on the stage of development of the disease. The highest therapeutic effect is observed at the initial stages of development of the pathological process. Early detection of pathology helps to avoid surgical intervention. The advantages of this treatment are:

• pain relief;
• stopping bleeding;
• restoration of reproductive function.

Along with the therapeutic effect, hormonal pills for endometriosis have a contraceptive effect. They are prescribed to women in the later stages of the disease as preoperative preparation and during the rehabilitation period. After a course of therapy, the woman’s body quickly recovers: the menstrual cycle normalizes and fertility is preserved.

Hormone treatment, like any other, has disadvantages:

• lack of therapeutic effect if the cause of endometriosis is not associated with an increased level of estrogen in the woman’s blood;
• duration of therapy (from 6 to 12 months);
• drug dependence may develop;
• Do not skip taking medications, otherwise breakthrough bleeding will occur;
• after discontinuation of drugs there is a risk of relapse.

With long-term use of hormones, a woman develops adverse reactions. The most common ones include:

• nausea;
• headache;
• violation of metabolic processes;
• depression;
• dysfunction of the circulatory and digestive systems.

Contraindications to hormone treatment

Not all patients are prescribed hormonal therapy. This method of conservative treatment of endometriosis has contraindications:

• endocrine disorders;
• renal and hepatic dysfunction;
• pathologies of the heart, blood vessels, hematopoiesis;
• diabetes;
• stomach ulcer, gastritis;
• tendency to allergies;
• hypersensitivity to individual components of drugs.

It is not advisable for women who are obese or smokers to take hormones. Contraindications include pregnancy, lactation, and the presence of cancer.

Treatment of endometriosis with hormonal drugs is the most effective way. There are various groups of medications that are prescribed to combat the disease. The drug therapy regimen is selected only by the doctor.

Based on materials from https://gormonal.ru