Utrozhestan is a popular drug in gynecology and obstetrics, used to treat infertility, miscarriages, and pathological symptoms of menopause. The active active ingredient of utrozhestan is progesterone, a hormone of the corpus luteum, which regulates the process of attachment of a fertilized egg to the wall of the uterus in the early stages of pregnancy. In this connection, urozhestan is used in the first and second trimesters to prevent recurrent miscarriages caused by a lack of progesterone in a woman's body.
Instructions
Step 1
Morning is canceled in the second trimester of pregnancy, and, if necessary, is replaced with other drugs that contribute to the further bearing of the fetus. This drug is used intravaginally during pregnancy, the dose ranges from 400 to 800 mg per day and is divided into 2 doses.
However, the duration of the drug use and its dosage are determined by the attending gynecologist individually for each patient. Cancellation of pregnancy occurs gradually, so as not to provoke a miscarriage (the so-called "drug withdrawal syndrome").
Step 2
It is advisable to reduce the dose very slowly over 4-6 weeks. If we assume that the therapeutic dose of utrozhestan is 400 mg, then after the doctor recommends canceling the drug, within two weeks the drug is taken at a dose of 300 mg (200 mg in the morning and 100 mg in the evening). During this period, careful medical supervision of the condition of the pregnant woman is necessary. First of all, if, with a decrease in dosage, bloody discharge from the vagina, pulling pains in the lower abdomen appeared, an urgent need to contact the attending gynecologist and, possibly, return to the previous dose of morning sickness.
Step 3
Further, in the absence of any complaints and side effects, the cancellation of morning sickness occurs by reducing the dosage by 100 mg in two weeks, that is, for the next two weeks, the woman takes 200 mg of morning sickness per day (still in two doses - 100 mg in the morning and 100 mg in the evening), and another one to two weeks, 100 mg at night. Then the drug is canceled completely, or replaced with an alternative drug.
