evagest (PROGESTERONE)

What is Evagest?

Evagest is commonly used to treat hormonal imbalances, support pregnancy in women with luteal phase defects, and manage menstrual disorders. It works by mimicking the natural hormone Evagest, which regulates the menstrual cycle, supports pregnancy by preparing the uterus for implantation, and prevents the lining from shedding prematurely. It is also used in hormone replacement therapy (HRT).

What is the usual dose of Evagest?

This medicine's dosage depends on why you're taking it and your age. For adult women with certain conditions, the amount is different. For preventing a specific uterine problem after menopause, the dose is 200mg nightly for 12 days out of every 28. For another condition (lack of periods), the dose is higher (400mg nightly) for 10 days. This medicine isn't meant for children.

How do I take Evagest?

Evagest can be taken with or without food. However, taking it with food may help reduce any stomach upset. There are no specific food restrictions when using Evagest, but it is recommended to follow your doctor’s advice regarding dosage timing and any lifestyle adjustments.

For how long do I take Evagest?

• Endometrial Hyperplasia Prevention: Use in 28-day cycles as prescribed by your healthcare provider.
• Secondary Amenorrhea: For 10 days per treatment cycle, or as directed by your healthcare provider​

What is Evagest used for?

Evagest is used for hormone replacement therapy (HRT) in menopause, pregnancy support, menstrual disorders, endometrial protection, and endometriosis. It also helps in preventing preterm birth in some cases.

How long does it take for Evagest to start working?

The effects of Evagest can be felt within a few days to weeks, depending on the condition being treated. For menstrual disorders, it may take a few days to regulate the cycle. For pregnancy support, it helps maintain the uterine lining, and its effects are monitored over weeks. The full benefits, especially in HRT, may take several weeks to become evident.

Is Evagest effective?

Clinical studies support the effectiveness of Evagest in various conditions. For menstrual disorders, it has been shown to regulate cycles and reduce abnormal bleeding. In pregnancy support, it helps maintain uterine lining, reducing the risk of miscarriage. Evidence also confirms its role in HRT, improving menopause symptoms and protecting the endometrium. These benefits are well-documented in research and clinical practice.

How does one know if Evagest is working?

The benefits of Evagest are evaluated by monitoring improvements in symptoms such as menstrual regularity, pregnancy maintenance, and menopause symptom relief. For pregnancy support, doctors check hormone levels and ultrasound scans. In HRT, doctors assess symptom relief and ensure the uterine lining remains protected. Evaluation involves blood tests, patient symptom tracking, and medical exams.

How does Evagest work?

Evagest works by mimicking the natural hormone Evagest in the body. It plays a key role in regulating the menstrual cycle, preparing the uterus for implantation of a fertilized egg, and maintaining pregnancy by preventing uterine contractions. In hormone replacement therapy (HRT), it balances the effects of estrogen and protects the uterus from potential risks like endometrial cancer.

Who should avoid taking Evagest?

Warnings for Evagest include caution in individuals with a history of blood clots, liver disease, or breast cancer. It should be used cautiously in people with depression or heart disease.

Contraindications include active liver disease, unexplained vaginal bleeding, and allergy to Evagest. It should also be avoided in pregnancy unless prescribed for support. Always consult a doctor before use.

Can I take Evagest with vitamins or supplements?

Evagest has minimal interactions with vitamins or supplements. However, taking vitamin E in high doses may increase the risk of blood clots when combined with Evagest, as both can have anticoagulant effects. It’s advisable to monitor the use of herbal supplements like St. John's Wort, which may decrease Evagest's effectiveness. Always consult a healthcare provider before combining supplements with Evagest.

Can I take Evagest with other prescription drugs?

1. Anticoagulants (e.g., warfarin): Evagest may reduce the effectiveness of blood thinners, increasing the risk of clotting.
2. CYP450 enzyme inhibitors (e.g., ketoconazole, ritonavir): These can increase Evagest levels, potentially enhancing side effects.
3. Anticonvulsants (e.g., phenytoin, carbamazepine): These may reduce Evagest levels, lowering its effectiveness.

Can Evagest be taken safely while pregnant?

Evagest is commonly used during pregnancy to support the uterine lining and prevent miscarriage, particularly in women with a history of pregnancy loss or luteal phase defects. It is generally considered safe when used as prescribed during pregnancy. However, its use should be monitored to avoid potential side effects. Consult a healthcare provider for individualized guidance.

Can Evagest be taken safely while breastfeeding?

Evagest is excreted in breast milk in small amounts, but it is generally considered safe for use during lactation. There is no significant evidence suggesting that it negatively affects the infant. However, if high doses or long-term use is required, it’s important to consult a healthcare provider to ensure it’s the best choice while breastfeeding.

Is Evagest safe for the elderly?

For women over 65, using Evagest alone or with estrogen hasn't been proven safe or helpful. In fact, combining estrogen and Evagest can increase the chances of stroke, breast cancer, and possibly dementia. Doctors don't recommend this combination to prevent heart problems or dementia.

How should I store Evagest?

Evagest needs to be kept at a temperature between 68° to 77°F (20° to 25°C). This is the recommended storage temperature to maintain the effectiveness of the medication.

Does Evagest make people tired or drowsy?

Yes, drowsiness is common. Take it at bedtime and avoid driving or operating machinery if affected​.

Does Evagest cause stomach upset?

Yes, abdominal bloating (12%) and nausea (8%) are reported. Consult a doctor if symptoms are severe​.

Does Evagest affect sleep?

Evagest pills can make you sleepy or dizzy, especially when you first start taking them. Some women get very sleepy. If this affects your sleep, talk to your doctor right away.

Does Evagest make it hard to think or concentrate?

Dizziness and confusion are possible, particularly during initial therapy. Avoid tasks requiring focus if affected​.

Does Evagest affect mood?

Mood changes, including depression (19%), have been reported. Notify your doctor if symptoms worsen​.

Does Evagest interfere with sexual function?

Breast tenderness and vaginal discharge may occur, potentially affecting sexual comfort, though libido effects are not explicitly note.

Does Evagest affect appetite?

No significant effects on appetite were reported​.

Does Evagest cause weight gain?

Some people may gain or lose weight while taking this medicine. How often this happens isn't known. If your weight changes, talk to your doctor.

Does Evagest cause headaches?

Evagest pills can sometimes cause headaches. If you get a headache while taking them, talk to your doctor. A really bad headache needs immediate medical help.

Does Evagest limit driving?

This medicine might make you feel dizzy or sleepy. If this happens, don't drive or use any tools or machines. If you get too dizzy to drive safely, pull over, stop driving, and call your doctor right away.

Is it safe to drink alcohol while taking Evagest?

Alcohol may worsen drowsiness or dizziness. Avoid combining them​.

Is it safe to drink coffee or tea while taking Evagest?

No specific interaction with caffeine is noted, but excessive use might exacerbate restlessness or sleep issues​.

Is it safe to exercise while taking Evagest?

Exercise is generally safe. Avoid strenuous activities if dizziness or fatigue occurs​.

What are Evagest possible harms and risks?

Common side effects of Evagest include headache, breast tenderness, mood changes, fatigue, and dizziness.

Significant adverse effects may include severe allergic reactions, blood clots, liver issues, and abnormal vaginal bleeding. In rare cases, it can cause depression or pregnancy-related complications. Contact a doctor if any severe side effects occur.