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Reviewed By Hari Kumar , MBBS
Non returnable*
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Manufacturer/Marketer :

Biomi Life Sciences Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Estral-D Tablet

Estral-D Tablet belongs to the group of combined oral contraceptives. It is a hormonal combination that contains both female reproductive hormones oestrogen and progestin. It is used as a means of birth control in women who wish to prevent unwanted pregnancy. It is also used in the treatment of irregular menstrual cycles. It also finds use in the treatment of moderate to severe acne. A combined oral contraceptive (COCP) is nothing but a birth-control pill, colloquially referred to as the ‘’pill,’’ and it is used as a means of oral birth control by women. Menorrhagia is heavy menstrual bleeding lasting longer than seven days, whereas dysmenorrhea is painful periods. Acne vulgaris is a skin condition characterized by pimples, blackheads and whiteheads on the skin of the face.
Estral-D Tablet is composed of ‘’Ethinyl estradiol and Dienogest.’’ It is essentially an ovulation inhibitor, which inhibits the release of potent eggs from the ovary, thereby preventing pregnancy. It also changes the cervical (cervix is the connection between the uterus and vagina) ambience, making cervical secretions thicker and hostile to any incoming sperm. Hence, it is a very potent contraceptive. In addition, the dienogest component inhibits gonadotropin (sex hormone) production and also suppresses the growth of uterine cells. Therefore, Estral-D Tablet helps prevent pregnancy. 
In some cases, Estral-D Tablet may cause certain common side effects such as nausea, breast soreness, headache and irregular periods. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects consistently.
 If you are allergic to Estral-D Tablet or any of its components, please inform the doctor before using Estral-D Tablet . Keep the doctor informed if you are on treatment for any cardiovascular disease, mental health disorder, liver disease, gallbladder disease or breast/uterine/cervical cancer. Before taking Estral-D Tablet , inform your doctor of your entire medical and surgical history. Please consult your doctor before taking Estral-D Tablet during pregnancy or if you are breastfeeding. Do not consume Estral-D Tablet with alcohol. 

Uses of Estral-D Tablet

Contraception, Menorrhagia, Acne vulgaris 

Directions for Use

Swallow it as a whole with water; do not crush, break or chew it.

Medicinal Benefits

Estral-D Tablet is a combined oral contraceptive and birth control pill. It contains Ethinyl estradiol and Dienogest. Estral-D Tablet is used to prevent pregnancy by suppressing ovulation and changing the consistency of cervical secretions. In patients suffering from menorrhagia, Estral-D Tablet reduces the intensity and duration of menstrual bleeding. It also relieves pain during periods (dysmenorrhea). Estral-D Tablet reduces hair and skin greasiness, providing relief to blackhead/whitehead and acne-prone skin. 

Storage

Store at 25°C. Deviations from 15-30°C are acceptable. Protect from direct sunlight. Keep out of reach of children.
Side effects of Estral-D Tablet
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
  • Use hot or cold packs on your breasts to help alleviate discomfort.
  • Choose a supportive, well-fitting bra, preferably one that has been professionally fitted.
  • Practice relaxation techniques to manage stress and anxiety that may accompany severe breast pain.
  • Limit or avoid caffeine consumption.
  • Eat a low-fat diet and focus on foods rich in complex carbohydrates.
  • Rubbing evening primrose oil on your breasts may help balance fatty acids in the cells and reduce pain.
  • Keep track of when your breast pain occurs and any other symptoms to determine if the pain is regular or not.
  • Vitamin E supplements may help reduce pain for women who experience pain linked to their menstrual cycle.
  • Over-the-counter pain relievers like acetaminophen or ibuprofen can provide relief, but be sure to consult your doctor for the correct dosage, as prolonged use may cause side effects.

Drug Warnings

Estral-D Tablet is not recommended for use in women over 35 who smoke. Estral-D Tablet should not be used in case of any known allergy to either of the components. Estral-D Tablet is not advisable for use in case of high risk or previous history of any mental health disorders, arterial or thrombotic disorders, cardiovascular health disorders, liver disease, gallbladder disease, history of breast/uterine/cervical cancer or any hormone-sensitive cancer. Women with a history of angioedema should exercise caution while taking $drug as it may worsen the angioedema. Please consult the doctor before using Estral-D Tablet during pregnancy or breastfeeding. It is advisable not to consume Estral-D Tablet with alcohol. Inform the doctor right away if you notice any dark urine, yellowing of the eyes/skin, severe mood changes or any sudden heavy bleeding. Women with a tendency for chloasma/melasma (skin condition commonly seen in middle-aged women) should avoid sun exposure after taking Estral-D Tablet .

Drug-Drug Interactions

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Drug-Drug Interactions

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How does the drug interact with Estral-D Tablet:
Taking Estral-D Tablet with Tranexamic acid may increase the risk of blood clot formation.

How to manage the interaction:
Taking Estral-D Tablet with Tranexamic acid is not recommended, as it can lead to an interaction, but can be taken if a doctor has prescribed it. However, if you suffer from chest discomfort, shortness of breath, blood in the urine, blood in the cough, sudden loss of vision, and pain, redness, or swelling in your arm or leg, consult doctor immediately. Do not stop using any medications without talking to a doctor.
How does the drug interact with Estral-D Tablet:
When Efavirenz is taken with Estral-D Tablet, it can lower the metabolism of Estral-D Tablet and increase the risk or severity of side effects.

How to manage the interaction:
Taking Efavirenz with Estral-D Tablet can possibly result in an interaction, however, it can be taken when advised by a doctor. Do not stop using any medications without talking to a doctor.
How does the drug interact with Estral-D Tablet:
When coupled with Dabrafenib, the blood level of Estral-D Tablet can be reduced.

How to manage the interaction:
There may be a possibility of interaction between Dabrafenib and Estral-D Tablet, but it can be taken if prescribed by a doctor. If you are taking hormone replacement therapy for menopause, you should notify your doctor if you notice an increase in the frequency or severity of your symptoms, such as hot flashes, vaginal dryness, or irregular bleeding. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Estral-D Tablet:
Taking carbamazepine and Estral-D Tablet may reduce the effects of Estral-D Tablet, which might result in a higher risk of breakthrough bleeding and unplanned pregnancy.

How to manage the interaction:
Although taking carbamazepine and Estral-D Tablet together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
How does the drug interact with Estral-D Tablet:
Taking thalidomide together with Estral-D Tablet may increase the risk of blood clots and that may lead to serious complications.

How to manage the interaction:
Although taking thalidomide and Estral-D Tablet together can result in an interaction, it can be taken if a doctor has prescribed it. However, consult the doctor immediately if you experience symptoms such as chest pain, shortness of breath, difficulty breathing, coughing up blood, sudden loss of vision, pain, redness or swelling in an arm or leg, and numbness or weakness on one side of the body. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Estral-D Tablet:
Pomalidomide can cause serious blood clots, and taking it with Ethinyl estradiol may enhance the risk.

How to manage the interaction:
Although there is a possible interaction between Pomalidomide and Estral-D Tablet, you can take these medicines together if prescribed by a doctor. However, if you experience chest pain, difficulty breathing, coughing up blood, sudden loss of vision, pain, redness, or swelling in an arm or leg, or numbness or weakness on one side of the body, consult a doctor immediately. Do not stop using any medications without a doctor's advice.
How does the drug interact with Estral-D Tablet:
When Estral-D Tablet and Topiramate are taken together, Estral-D Tablet is less effective as a form of birth control.

How to manage the interaction:
Co-administration of Topiramate with Estral-D Tablet can result in an interaction, but it can be taken if a doctor has advised it. If you are taking hormone replacement therapy for menopause, and you notice an increase in the frequency or severity of your symptoms, such as hot flashes, vaginal dryness, or irregular bleeding contact a doctor Do not stop using any medications without a doctor's advice.
How does the drug interact with Estral-D Tablet:
Taking rifabutin with ethinyl estradiol it may significantly reduces the blood levels.

How to manage the interaction:
There may be a possibility of interaction between Estral-D Tablet and Rifabutin, but it can be taken if prescribed by a doctor. If you use hormone replacement therapy for menopause, inform a doctor if experience any unusual symptoms or if you develop unusual bleeding. Do not stop using any medications without talking to a doctor.
Severe
How does the drug interact with Estral-D Tablet:
Dantrolene's beneficial effectiveness can be reduced when used with Estral-D Tablet.

How to manage the interaction:
Co-administration of Estral-D Tablet with Dantrolene can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience a fever, chills, joint pain or swelling, severe fatigue or weakness, unusual bleeding or bruising, skin rash or itching, lack of appetite, nausea, vomiting, or yellowing of the skin or whites of your eyes, consult a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Estral-D Tablet:
Coadministration of Estral-D Tablet with primidone may decrease the blood levels of Estral-D Tablet and reduce its effectiveness.

How to manage the interaction:
Although there is an interaction between primidone with Estral-D Tablet, it can be taken if prescribed by a doctor. However, if you experience abnormal bleeding, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • As nausea and vomiting may occur with the use of Estral-D Tablet , make sure to take it on light, small meals. 
  • Let your doctor know if you are planning to get pregnant. 
  • After starting Estral-D Tablet , use another alternative non-hormonal contraceptive for at least ten days.
  • Maintaining a healthy weight can go a long way in promoting healthy female reproductive health. Make sure you exercise for at least 30 minutes every day. However, do not engage in very strenuous physical exercise as this can worsen bleeding. 
  • Regularly working night shifts can affect hormone production. Try to avoid night shifts. 
  • Maintain good sexual hygiene and prevent any sexually transmitted diseases by practising only safe sex.
  • Limit your intake of caffeine and alcohol. 
  • Avoid smoking. 
  • Avoid grapefruit juice while taking Estral-D Tablet as this may interact with Estral-D Tablet and affect its absorption. 
  • Increase your intake of red vegetables, fruits, dry fruits, spinach, nuts and beans as these help in new blood formation. 
  • Keeping your skin hydrated by drinking enough water can also do wonders for the overall quality of your skin. 
  • Always wash your makeup before sleeping. Never go to bed with makeup on.
  • Exfoliate your skin lightly but regularly. This helps wash away dry and dead cells, cleansing the skin. 
  • Severe nausea or vomiting following the use of the tablet can be considered a missed dose. In this case, additional contraceptive measures are advised. 

Side Effects of Estral-D Tablet

  • Headache
  • Nausea and vomiting
  • Irregular menstrual cycles
  • Cramps 
  • Abdominal bloating
  • Breast tenderness
  • Hypertension

Habit Forming

No

Therapeutic Class

CONTRACEPTIVES

Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Estral-D Tablet works by suppressing ovulation and by changing cervical mucous thickness, thereby preventing pregnancy and acting as an effective birth control method.

Estral-D Tablet is advisable not to use atleast for a minimum of 4 weeks after delivery after which you can resume its use. Please consult your doctor.

Estral-D Tablet is not known to affect conception rates as it’s been found that women got pregnant pretty soon after discontinuing Estral-D Tablet . Please consult your doctor.

Estral-D Tablet is not recommended or indicated in the treatment of any breast tumours or cancers.

This is not one of the indicated uses of Estral-D Tablet . For any concerns, please consult your gynaecologist.

Drug-Drug Interactions Checker List

  • RIFAMPICIN
  • CARBAMAZEPINE
  • PHENYTOIN
  • RIFABUTIN
  • GRISEOFULVIN
  • RITONAVIR
  • NELFINAVIR
  • FELBAMATE
  • TOPIRAMATE

Special Advise

  • Do not skip tablets or delay intake by more than 12 hours. In case of a missed dose, try to catch up as early as possible. However, if the time for the second dose has come too close, revert to your original schedule. 
  • Chart your menstrual cycle and take Estral-D Tablet on Day 1 of your cycle, i.e. Day 1 of your period. 
  • Use a condom or any non-hormonal contraceptive for the first ten days after starting Estral-D Tablet .
  • Please inform the doctor immediately if you notice any breast lump, dark urine, yellowing of the skin, mood changes, headache, palpitations, severe fatigue or any alarming changes in vaginal bleeding. 
  • Call for the doctor right away in case of any stroke symptoms such as breathlessness, confusion, dizziness, left arm pain, jaw pain or sudden vision changes or any pulmonary embolism symptoms such as cough, leg pain and warmth, pain in calf etc.

Disease/Condition Glossary

Oral Contraception: It is birth control taken by mouth by women to prevent pregnancy. It is commonly referred to as the ‘’pill’’. Oral contraceptives contain hormonal preparations of female sex hormones for birth control. 

Menorrhagia: Severe loss of blood during a period lasting more than seven days is called menorrhagia. It is a form of dysfunctional uterine bleeding. Common signs and symptoms include having to use two pads at once, frequent spotting of clothes, blood clots the size of a coin or larger, having to change pads during the night, soakiness of pads and spillage. 

Dysmenorrhoea: Abdominal and uterine pain during periods is referred to as dysmenorrhea. This includes abdominal cramps and pelvic pain during periods. It can be caused by a variety of disorders ranging from more organic diseases such as endometriosis, fibroids and cysts, to psychological conditions such as pre-menstrual dysmorphic disorder. However, in most cases, cramps are common and are a usual symptom of pre-menstrual syndrome. 

Acne vulgaris: Acne is a skin condition in which pores get blocked or clogged, leading to the appearance of whiteheads, blackheads, pimples and greasy skin. It is caused by a bacterium called Propionibacterium acnes. In advanced stages, it can even cause a nose deformity called rhinophyma. 

Have a query?

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Alcohol

Caution

Exercise caution while consuming alcohol with Estral-D Tablet as there may be a minor interaction.

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Pregnancy

Caution

There is no evidence of birth defects after unintended use of Estral-D Tablet during pregnancy. However, Estral-D Tablet should not be used to induce abortion or to treat a miscarriage. Please consult your doctor in case of any concerns.

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Breast Feeding

Caution

Other forms of contraception are advised as long as breastfeeding continues. Estral-D Tablet may affect the production of breast milk. Please consult the doctor.

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Driving

Caution

There is not enough literature to explain the effects of Estral-D Tablet on driving. Do not drive if you experience any side effects that alter your thinking ability or concentration.

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Liver

Caution

Estral-D Tablet should be used with caution in those with liver disease. Please consult your doctor if you have any concerns.

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Kidney

Caution

Estral-D Tablet should be used with caution in those with kidney disease. Please consult your doctor if you have any concerns.

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Children

Caution

Use before 18 is allowed. Use below the age of menarche (first period) is not indicated.

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