Gravibinan (250/5mg) 1ml Ampoule Injection

Gravibinan (250/5mg) 1ml Ampoule Injection

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  • Manufacturer Bayer Pakistan (Pvt.) Ltd.
  • Generic Name Hydroxyprogesterone Caproate, Estradiol Valerate

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Product Information

  • Description
  • Ingredients
  • Drug Class
  • Dosage Form
  • Uses
  • Dosage
  • In case of Overdose
  • Missed Dose
  • How To Use
  • When Not to Use
  • Side Effects
  • Precautions & Warnings
  • Drug Interactions
  • Food Interactions
  • Storage/Disposal
  • Description

    Hydroxyprogesterone caproate USP 250mg and estradiol valerate 5mg are steroidal hormones used in veterinary medicine to control reproductive disorders and maintain the reproductive cycle and pregnancy in livestock, specifically cattle and sheep. HP stimulates milk production and promotes uterine health by triggering intra-muscular injection, while E2 valerate stimulates the development and secretions of ovaries and mammary glands, producing fertile eggs, and stimulating milk let-down. These hormones bind to specific intracellular receptors, which then move to the cell's nucleus and bind to DNA, initiating hormone-responsive genes for protein production. The produced proteins act as intracellular signaling molecules to initiate various physiological responses that maintain pregnancy and reproductive cycling in these animals.

  • Ingredients

    Hydroxyprogesterone Caproate, Estradiol Valerate
  • Drug Class

    Progestogen; Progestin; Progestogen Ester; Antigonadotropin

  • Dosage Form

    injection
  • Uses

    Unveiling its multifaceted uses and transformative applications as follows:

    • Used to restore estrogen production for women who have undergone estrogen deprivation as part of a medical therapy, such as ovulation suppression for ovarian stimulation or treating estrogen-sensitive conditions like endometriosis.
    • Used to treat menopause symptoms such as hot flushes, night sweats, and vaginal dryness.
    • Used for the prevention of osteoporosis or bone fractures.
  • Dosage

    Tailoring Treatment for Optimal Health, Prescribed Medication Dosage is:

    • Hydroxyprogesterone caproate USP 250mg-
    • Prescription purpose- Prevent premature births and treatment of infertility
    • Typical dose- 250 mg once a week, starting between weeks 16 and 20 of pregnancy and continuing until 36 weeks pregnant or longer if needed
    • Estradiol valerate 5mg-
    • Prescription purposes- Treat menopausal symptoms such as hot flashes and vaginal dryness and prevent bone loss (osteoporosis)
    • Typical starting dose- 0.5 to 1.5 mg/day orally or topically for estrogen-deficient women.
    • Dose may be increased every 1 to 2 months until symptoms are resolved or threshold dose is reached (up to 5mg/day)
  • In case of Overdose

    An overdose of Hydroxyprogesterone caproate USP 250mg and Estradiol valerate 5mg requires urgent medical attention. A treatment approach centered on providing supportive care is vital in these situations. Monitoring the patient's vital signs, managing any complications, and making efforts to reverse the effects of the overdose are essential components of this care. If the overdose recently occurred, gastric lavage or induced vomiting may be recommended to empty the stomach of any residual medication. Depending on the individual's condition and the severity of symptoms, the healthcare provider may use certain drugs or employ specific procedures to stabilize the patient and restore their internal balance. It is essential to understand that an overdose of these substances can lead to severe adverse effects, and seeking immediate professional help significantly improves the chances of a positive outcome. An overdose of Hydroxyprogesterone caproate USP 250mg and Estradiol valerate 5mg requires urgent medical attention. Your doctor will provide you with supportive care, which involves monitoring your vital signs and managing any complications. They may also consider procedures like gastric lavage or induced vomiting to remove the medication from your stomach. Your doctor may also administer specific medications or employ different procedures depending on your condition and the severity of your symptoms. Their primary goal is to stabilize you and restore your internal balance. It is crucial to emphasize that an overdose of these substances can have severe adverse effects, and seeking immediate professional assistance significantly enhances your chances of a positive outcome.

  • Missed Dose

    Skipping a dose of hydroxyprogesterone caproate USP 250mg and estradiol valerate 5mg is not usually dangerous, but you should take it as soon as possible if you miss it. If it is almost time for your next scheduled dose, simply skip the missed dose and take the next dose according to your normal schedule. Do not take more to make up for the missed dose because it may lead to side effects. If you are unsure about what to do, it is best to consult with your doctor or seek professional medical advice. It is important to remember that the best results are achieved when these medications are used as directed and on a regular schedule. Would you like assistance with anything else?

  • How To Use

    Before using hydroxyprogesterone caproate USP 250mg and estradiol valerate 5mg, you should read the medication guide provided by your pharmacist. Wash your hands with soap and warm water, then dry well before using the medication. Ensure you have been prescribed this medication by your healthcare provider and are aware of the correct dosage. Typically, the usual dose is 200 mg/mL of hydroxyprogesterone and 20 mg/mL of estradiol. These medications should be administered intramuscularly (IM) in the buttock once a week, usually on days 1, 15, 29, and every month thereafter. Used needles should be disposed of in a safe container. Contact your pharmacist to locate a safe disposal site for the syringes or needles. Avoid contacting this medication with your eyes or mouth. If contact does occur, rinse with water immediately. Let your doctor know if you have any changes in your medical conditions or medications before each dose. This medication may cause dizziness or drowsiness. If you experience these side effects, avoid driving or operating heavy machinery. This medication can cause other side effects such as nausea, headaches, abdominal discomfort, and depression. Notifying your healthcare provider about any side effects that become bothersome is important. If you miss a dose, contact your healthcare provider to discuss when to take the missed dose and when to take the next dose. Remember, these are general directions and may not be specific to your prescription strength, form, or route of administration. Always follow the specific directions provided by your physician or pharmacist and refer to the instructions printed on the prescription bottle. If you have any further questions regarding the directions for using this medication, consult with your pharmacist or healthcare provider.

  • When Not to Use

    Discerning instances where this medication may not be appropriate:

    • Have a history of stroke or blood clots
    • Have liver tumors or liver disease
    • Have breast cancer or a history of breast cancer
    • Have uterine cancer or a history of uterine cancer
    • Are pregnant or breastfeeding
    • Have unusual vaginal bleeding or breast pain
  • Side Effects

    Unraveling the side effects lurking behind this medications are as follows:

    • Nausea
    • Vaginal bleeding
    • Headaches
    • Breast tenderness
    • Mood changes
    • Fatigue • Joint pain
    • Soft tissue inflammation
    • Skin reactions
    • Eczema
    • Hepatotoxicity
    • Edema
    • Leg pain
    • Vision changes
    • Vaginal itching
  • Precautions & Warnings

    The warnings and precautions associated with Hydroxyprogesterone Caproate and Estradiol Valerate are not provided.

  • Drug Interactions

    The drug interactions with hydroxyprogesterone caproate and estradiol valerate include:

    • CYP3A4 Inducers (e.g., carbamazepine) – Can reduce hormone levels.
    • Anticoagulants (e.g., warfarin) – Can alter the effects of anticoagulants.
  • Food Interactions

    Hydroxyprogesterone Caproate and Estradiol Valerate have no documented food interactions that affect their efficacy or safety.

  • Storage/Disposal

    Hormone replacement therapy can involve a combination of hydroxyprogesterone caproate (250 mg) and estradiol valerate (5 mg) to alleviate various symptoms in women who have had a hysterectomy. These hormones work synergistically to address different menopausal concerns. Hydroxyprogesterone caproate is typically prescribed to reduce the risk of osteoporosis, while estradiol valerate is given to alleviate symptoms such as hot flashes and vaginal dryness.Monitoring and balance of hormone levels under the supervision of a healthcare provider are essential for the safest and most effective treatment. It is vital to engage in informed decision-making with your healthcare provider to carefully consider the potential benefits, risks, and personal preferences associated with hormone replacement therapy. By working closely with your doctor and actively participating in the management of your treatment, you can achieve the best possible outcomes from hormone replacement therapy.

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