LOEVA
Composition Natural micronized progesterone 400/300/200 SR Tab and 200/100 SR
Indication Luteal Phase defects, Assisted reproductive technology, Olegomenorrhea, Amenorrhoea; Dysfunctional uterine bleeding
Mechanism of Action

Progesterone binds to the progesterone and estrogen receptors. Target cells include the female reproductive tract, the mammary gland, the hypothalamus, and the pituitary. Once bound to the receptor, Progesterone will slow the frequency of release of gonadotropin releasing hormone (GnRH) from the hypothalamus and blunt the pre-ovulatory LH (luteinizing hormone) surge. In women who have adequate endogenous estrogen, progesterone transforms a proliferative endometrium into a secretory one. Progesterone is essential for the development of decidual tissue and is necessary to increase endometrial receptivity for implantation of an embryo. Once an embryo has been implanted, progesterone acts to maintain the pregnancy. Progesterone also stimulates the growth of mammary alveolar tissue and relaxes uterine smooth muscle. It has little estrogenic and androgenic activity.

Pharmacokinetic's

Absorption After oral administration of progesterone as a micronized formulation, maximum serum concentrations were attained within 3 hours.

Distribution Progesterone is approximately 96 percent to 99 percent bound to serum proteins, primarily to serum albumin (50 to 54 percent) and transcortin (43 to 48 percent).

Metabolism Progesterone is metabolized primarily by the liver largely to pregnanediols and pregnanolones. Pregnanediols and pregnanolones are conjugated in the liver to glucuronide and sulfate metabolites. Progesterone metabolites which are excreted in the bile may be deconjugated and may be further metabolized in the gut via reduction, dehydroxylation, and epimerization.

Excretion The glucuronide and sulfate conjugates of pregnanediol and pregnanolone are excreted in the bile and urine. Progesterone metabolites are eliminated mainly by the kidneys. Progesterone metabolites which are excreted in the bile may undergo enterohepatic recycling or may be excreted in the feces.

Side effects

* drowsiness, dizziness

* breast pain

* mood changes

* headache

* constipation, diarrhoea, heartburn

* bloating, swelling in your hands or feet

Precaution

Discontinue medications if there is sudden partial or complete loss of vision, proptosis or diplopia; migraine and embolic disorders; epilepsy, migraine, asthma, cardiac or renal dysfunction. History of depression, glucose tolerance and diabetic patients. May impair ability to drive or operate machinery. Avoid sudden withdrawal of progesterone; lactation.

Dosage

Progestogen component of menopausal hormonal replacement therapy: Adult: 200 mg daily as a single daily dose at night for 12-14 days of each mth.

Amenorrhoea; Dysfunctional uterine bleeding: Adult: 400 mg daily for 10 days.