Product image of Kliogest (Norethisterone Acetate, Estradiol) supplied by GNH India

Kliogest

Active Ingredient:
Norethisterone Acetate, Estradiol
Origin:
EU

Kliogest (Norethisterone Acetate, Estradiol)

Norethisterone acetate and estradiol, the active ingredients in Kliogest, are a combined estrogen‑progestogen presented as an oral tablet for oral use. It is used for hormonal contraception and menstrual disorder management in women of reproductive age.

GNH India supplies Kliogest as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Novo Nordisk A/S

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Indications & Clinical Uses

  • Kliogest, a combined estrogen‑progestogen, is indicated for conditions related to the reproductive hormonal axis.
  • Contraception: prevents pregnancy by suppressing ovulation and stabilising the endometrium.
  • Menstrual disorder management: regulates cycle length and reduces abnormal uterine bleeding.
  • Irregular bleeding: helps achieve a predictable bleeding pattern in women with cycle irregularities.

How It Works

  • Kliogest delivers exogenous estradiol and norethisterone acetate, which bind to estrogen and progesterone receptors respectively. The estrogen component provides negative feedback to the hypothalamic‑pituitary axis, reducing follicle‑stimulating hormone release, while the progestogen suppresses luteinising hormone surge, together inhibiting ovulation and stabilising the endometrial lining.

Side Effects

Kliogest may cause a range of adverse reactions. Most are mild and reversible.

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Breast tenderness: discomfort or swelling of breast tissue.
  • Headache: transient tension‑type headaches.
  • Spotting: irregular light bleeding between periods.

Serious or Rare Side Effects

  • Thromboembolic events: deep‑vein thrombosis or pulmonary embolism.
  • Severe hypertension: sudden increase in blood pressure.
  • Liver dysfunction: abnormal liver enzymes or jaundice.
  • Allergic reactions: rash, itching, or swelling of face and throat.
  • Visual disturbances: sudden vision changes or loss.

Precautions & Warnings

  • Before prescribing Kliogest, clinicians should consider several safety factors.
  • Assess thrombotic risk: avoid in women with history of clotting disorders.
  • Evaluate liver function: contraindicated in severe hepatic disease.
  • Review smoking status: smoking >15 cigarettes/day increases cardiovascular risk.
  • Counsel on missed doses: provide guidance on backup contraception.
  • Monitor blood pressure: watch for hypertension development.
  • Store at room temperature: keep in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Kliogest can interact with other medicines, altering its effectiveness or safety.

Major Interactions (Avoid)

  • Enzyme inducers (rifampicin, phenytoin, carbamazepine): may reduce contraceptive efficacy.
  • Selective estrogen receptor modulators (tamoxifen, raloxifene): may antagonise estrogen activity.

Moderate Interactions (Monitor Closely)

  • Antifungal azoles (ketoconazole, itraconazole): may increase hormone plasma levels.
  • Antidepressants (SSRIs, SNRIs): may raise risk of bleeding.
  • Antihypertensives (beta‑blockers, ACE inhibitors): may require blood pressure monitoring.

Frequently Asked Questions

Kliogest is a combined estrogen‑progestogen oral tablet indicated for hormonal contraception and for the management of menstrual disorders such as irregular bleeding and dysmenorrhoea in women of reproductive age.

The estradiol component provides negative feedback to the hypothalamic‑pituitary axis, reducing follicle‑stimulating hormone release, while norethisterone acetate acts as a progestogen to suppress the luteinising hormone surge. Together they inhibit ovulation and stabilise the endometrium, preventing pregnancy and regulating the menstrual cycle.

The specific dosing regimen for Kliogest is determined by the prescribing clinician based on the patient’s medical history, age, and therapeutic goals. Patients should follow the prescriber’s instructions and not alter the dose without medical advice.

Kliogest is contraindicated during pregnancy because it is intended to prevent conception. Women who become pregnant while taking the product should discontinue use and seek medical advice. Limited data are available for breastfeeding; clinicians usually advise against use while nursing unless the benefits outweigh potential risks.

To order Kliogest, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any required import documentation.

Kliogest contains norethisterone acetate and estradiol, whereas many other combined pills use ethinyl‑estradiol as the estrogen component. Estradiol is a natural estrogen, which may be associated with a different side‑effect profile, but overall contraceptive efficacy is comparable when taken as directed.

Kliogest tablets should be stored at room temperature, below 25 °C, in the original blister pack or container. Protect them from excess moisture, heat and direct sunlight to maintain potency throughout the shelf life.

Kliogest is taken orally, usually once daily at the same time each day, as directed by the prescriber. It is commonly started on the first day of the menstrual period or as part of a prescribed cycle regimen.

Serious risks include thromboembolic events such as deep‑vein thrombosis or pulmonary embolism, severe hypertension, liver dysfunction, and rare allergic reactions. Patients should seek immediate medical attention if they experience unexplained leg pain, shortness of breath, severe headache, jaundice, or swelling of the face and throat.

Kliogest is contraindicated in women with a history of thromboembolic disorders, uncontrolled hypertension, severe liver disease, known hypersensitivity to its components, or who are pregnant. It should also be avoided by smokers over 35 years of age due to increased cardiovascular risk.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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