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, constitute a combined estrogen‑progestogen oral contraceptive presented as a tablet for oral use. It is indicated for contraception in women of reproductive age by suppressing ovulation and inducing cervical mucus and endometrial changes that prevent implantation.

GNH India supplies Kliogest as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, with distribution aligned to EU regulatory standards. The company ensures product quality through rigorous testing and maintains appropriate handling for stability, though the tablet is stored at ambient temperature.

Manufacturer / TM Owner

Novo Nordisk A/S

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Indications & Clinical Uses

  • Kliogest, a combined estrogen‑progestogen oral contraceptive, is used for hormonal contraception.
  • Contraception: prevents pregnancy by inhibiting ovulation and altering cervical mucus and endometrial lining.
  • Menstrual cycle regulation: helps achieve more predictable menstrual bleeding patterns.
  • Reduction of menstrual-associated symptoms: may lessen dysmenorrhea and premenstrual discomfort.

How It Works

  • Kliogest combines norethisterone acetate, a synthetic progestogen, with estradiol, an estrogen. The estrogen component provides negative feedback to the hypothalamic‑pituitary axis, reducing follicle‑stimulating hormone release, while the progestogen suppresses the luteinizing hormone surge, together preventing follicular development and ovulation. Additionally, progestogen‑induced changes thicken cervical mucus and render the endometrium less suitable for implantation.

Side Effects

Kliogest may cause a range of adverse reactions, varying in frequency and severity.

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Headache: tension‑type or migraine‑like pain.
  • Breast tenderness: swelling or discomfort.
  • Spotting or irregular bleeding: breakthrough bleeding between periods.
  • Mood changes: irritability or mild depressive symptoms.
  • Weight gain: modest increase in body weight.

Serious or Rare Side Effects

  • Deep vein thrombosis: blood clot formation in deep veins.
  • Pulmonary embolism: clot traveling to lungs.
  • Stroke: cerebrovascular accident.
  • Myocardial infarction: heart attack.
  • Severe hypertension: markedly elevated blood pressure.
  • Liver dysfunction: jaundice or abnormal liver enzymes.
  • Allergic reactions: rash, swelling, or anaphylaxis.

Precautions & Warnings

  • Before prescribing Kliogest, clinicians should consider several safety measures.
  • Assess cardiovascular risk: evaluate history of thrombosis before prescribing.
  • Screen for contraindications: avoid in smokers over 35 and in women with estrogen‑dependent tumors.
  • Monitor blood pressure: check regularly during therapy.
  • Consider drug interactions: avoid concomitant use of strong enzyme inducers that may reduce efficacy.
  • Store at ambient temperature: keep tablets in original packaging, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Potent CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce contraceptive efficacy.
  • Selective estrogen receptor modulators (e.g., tamoxifen): may antagonize contraceptive effect.
  • Anticoagulants (e.g., warfarin): may increase bleeding risk.

Moderate Interactions (Monitor Closely)

  • Antiepileptics (e.g., phenytoin): may lower hormone levels.
  • Antidepressants (SSRIs): may increase side‑effect profile.
  • Certain antibiotics (e.g., tetracycline): generally minimal effect but monitor breakthrough bleeding.

Frequently Asked Questions

Kliogest is a combined estrogen‑progestogen oral contraceptive indicated for the prevention of pregnancy in women of reproductive age. It works by suppressing ovulation and altering cervical mucus and the endometrial lining to prevent implantation, providing reliable hormonal birth control when taken as directed.

Norethisterone acetate is a synthetic progestogen that blocks the luteinizing hormone surge, while estradiol supplies estrogenic feedback that suppresses follicle‑stimulating hormone release. Together they inhibit follicular development, prevent ovulation, thicken cervical mucus, and make the endometrium unsuitable for implantation.

The dosing regimen for Kliogest is determined by the prescribing healthcare professional based on the product’s labeling and the patient’s clinical needs. The prescriber selects the appropriate tablet strength and schedule, typically following a cyclic 21‑day active tablet course with a hormone‑free interval, but exact details must be obtained from the prescribing information.

Kliogest is classified as pregnancy category X, meaning it must not be used during pregnancy because it can harm the fetus. It is also not recommended for breastfeeding women, as the hormonal components may pass into breast milk and affect the infant. Alternative contraception methods should be considered in these situations.

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

Kliogest contains norethisterone acetate and estradiol, whereas many other combined pills use ethinyl estradiol as the estrogen component. The use of estradiol may offer a more physiological estrogen profile, potentially reducing certain estrogen‑related side effects, but overall efficacy and safety remain comparable when the tablet is taken correctly.

Kliogest tablets should be stored at ambient temperature, below 25 °C, in their original blister pack or container. They must be kept away from excess moisture, heat and direct sunlight to maintain potency throughout the shelf life. Do not refrigerate or freeze the tablets.

Kliogest is taken orally, usually once daily at the same time each day, following the regimen prescribed by the healthcare provider. The tablets are swallowed with water and should not be chewed or broken. Consistent daily intake is essential for maintaining contraceptive effectiveness.

The most serious risks include thromboembolic events such as deep vein thrombosis, pulmonary embolism, stroke, and myocardial infarction, especially in women with cardiovascular risk factors or who smoke. Other severe concerns are severe hypertension, liver disorders, and rare allergic reactions that may require immediate medical attention.

Kliogest is contraindicated in women with a history of thromboembolic disease, estrogen‑dependent tumors, uncontrolled hypertension, active liver disease, or known hypersensitivity to its ingredients. It should also be avoided by smokers over 35 years of age and by anyone who is currently pregnant or breastfeeding.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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