6:37 pm - 01/29/2008

Primolut-Nor Use

Hi everyone!

This is my first time posting but I have been using this site regularly for all the great advice! I have a question about the use of Primolut Nor... is it considered a birth control pill? I've read the flyer and googled it but the information just isn't clear to me like the Yasmin instructions or the HBC page on here. The thing is I live in Jordan and these are the pills I happen to have and can't really access other birth control pills cause I'm unmarried and without a gyno. My boyfriend and I use condoms but they restrict the sensations for the both of us.

So yeah, does Primolut Nor constitute as a birth control pill? If so, how is it used most effectively? I really want the utmost protection possible. Thanks a lot!

pink_pulse Another Point...29th-Jan-2008 02:40 pm (UTC)
Oh, and the pills I have are 5 mg with 20 tablets in them. That may make a difference in the use. Thanks again!
misslynn 29th-Jan-2008 02:54 pm (UTC)
in a quick google of primolut nor, which i'd never heard of, i do not believe it is to be used as birth control. it does not have either of the typical hormones that are in oral contraceptives, and its indications seem to be for inducing periods. sorry, but you'd better stick to condoms or find another method you are comfortable with if you don't want to get pregnant.
queensugar 29th-Jan-2008 04:02 pm (UTC)
it does not have either of the typical hormones that are in oral contraceptives

Just to correct that: Primolut Nor contains norethindrone acetate, which is the same progestin used in some birth control pills, including Ortho Micronor. For more info, see my other comment in this post. :)
misslynn 29th-Jan-2008 04:04 pm (UTC)
my fault. it did not look familiar to me and i knew there wasn't estrogen in it. i thought someone should tell her something, but i was somewhat misinformed :)
queensugar 29th-Jan-2008 04:11 pm (UTC)
No problem, I'm incredibly confused on this one myself. Some sites announce it as a contraceptive, others say that it does not provide any pregnancy protection.

I wonder... and this is very much a guess... if this product does have a contraceptive effect, and if it is primarily marketed in countries where oral contraceptives are culturally disapproved or prohibited, so that is marketed as relief for disordered bleeding or to delay periods -- i.e. I'm getting some hits from heavily orthodox religious sites that discuss it as a way to avoid menstrual contact restrictions for an event like a marriage, and those same highly orthodox views generally frown on contraception.

It does appear to be a much higher dose than Ortho Micronor though, if the sites I'm finding can be believed. One would think that would make it more effective rather than less, but I'm not certain on that -- or it may be that the dosage is much too high to allow it for use as a long-term contraceptive, even though it would offer protection.

I just wish I could find some straightforward, reliable information on this that I could read. :(
pink_pulse 30th-Jan-2008 03:26 am (UTC)
OMG – I love you, haha. Your research was so thorough! I got a lot of the same religious sites and foreign language stuff… I needed something straightforward too! Hence the post on here :-). I didn’t want to risk anything without a universal agreement with it being a contraceptive pill or not. I will probably go to a pharmacy to pick up some more bottles though cause in general delaying your period can be pretty useful!
pink_pulse 30th-Jan-2008 03:26 am (UTC)
Thanks for the taking the time to reply though! I’m just glad someone tried to help me out :-)
queensugar 29th-Jan-2008 04:00 pm (UTC)
Man, I see why you would be confused!

After doing some Googling (this brand name does not appear to be used in most English-speaking countries, so I'm having a hard time finding ones I can read, heh), I'm getting some really conflicting results.

For the most part, Primolut is indicated to treat amenorrhea or disordered bleeding, and to delay periods temporarily. Some sites list those conditions as the only indications for prescribing Primolut, and most say nothing about contraceptive effects.

However, some sites say that it can be used as a hormonal contraceptive.

Here's one thing to consider: Primolut Nor uses the same progestin that is used in the birth-control pill Ortho Micronor. Micronor uses 0.35 mg of norethindrone acetate per pill; so as long as Primolut Nor contains an equal or greater amount of that progestin (and please double check that against the prescribing info), then it would function the same.

Unfortunately, since I cannot read any actual prescribing information (or can't find it in English), I can't say for sure. If it is a contraceptive, then it is a progestin-only pill; that means it must be taken continuously (no placebo week; you take an active pill every day), and it must be taken very regularly (i.e. on or about the exact same time every day). So you'd likely want to get a lot more than only 20 tablets.

Bottom line: I would ask a health care professional to be certain, unless you happen to have a link for English prescribing info I could read through. :)
paraxeni 29th-Jan-2008 06:03 pm (UTC)
I was prescribed it to delay a period (also to induce a missing period) when I was a teenager, and was told by my GP that it was not a contraceptive, and should never be relied on to prevent pregnancy. Unfortunately I'm posting this from my phone so I can't provide links, but it's called Primolut N or just Primolut in the UK, so searching for that might produce better results.
queensugar 29th-Jan-2008 06:20 pm (UTC)
Those are the links I searched, yes.
paraxeni 29th-Jan-2008 11:47 pm (UTC)
Damn. Just logged in on my PC to see that I replied to you, when I meant to actually make a new comment to the OP! Sorry if this confused you. The phone has a broken scroll key, so it sometimes selects things I don't want it to!
paraxeni Reposting original comment29th-Jan-2008 11:55 pm (UTC)
I was prescribed it to delay a period (also to induce a missing period) when I was a teenager, and was told by my GP that it was not a contraceptive, and should never be relied on to prevent pregnancy.

Norethindrone is known as norethisterone in the UK, and I've found these links:

http://www.netdoctor.co.uk/ate/womenshealth/206955.html

http://www.patient.co.uk/showdoc/30003232/ : this says "Norethisterone does not stop ovulation. If you need contraception you should discuss this with your doctor who may suggest a combined oral contraceptive pill. "

NHSDirect says "If you are not currently taking the contraceptive pill, see your GP. They may be able to prescribe medication, known as norethisterone, which can delay your period. Norethisterone is based on female sex hormones called progestogens, and sustains the lining of your uterus so that it is not shed as a period. You can take norethisterone for a limited time to delay your period. However, it may not be suitable for women with a history of thrombosis (blood clots in the veins), and it is important to remember that it does not act as a contraceptive."


Also, from my memory of taking it (only for two weeks) it's not something to be taken long-term like birth control. The side effects I had from such a high dose were horrible.
pink_pulse Re: Reposting original comment30th-Jan-2008 03:27 am (UTC)
Someone with experience! Thanks so much for the information! Now that I know it’s clearly not a contraceptive I’ll look into other forms of protection. I had used it before for mere days when delaying my period, and my aunt told me it wasn’t a birth control pill, but I though she said that to keep me out of trouble :-P. Anyway, again, thanks for the insight, it is much appreciated :-).
tusacutusa Re: Reposting original comment9th-May-2008 07:07 pm (UTC)
Hi
I suffered from endometriosis a few years back and was prescribed Primolut Nor. I also had a condition known as Aplastic Anemia, whereby the platelet (what helps coagulate the blood) count is so low that the menstrual cycle must be deterred in order to prevent a hemorrhage.
I was on Primolut for about 2 years and have nothing but good things to say about it. It did not make me feel depressed, my face didn't break out (a side effect I often find with other BC pills), didn't gain any weight, didn't experience breast tenderness (another side effect I encountered with other pills) and best of all I skipped my period altogether. It did however affect my libido, though it may not be the same for everyone.
Primolut is readily available in Europe and since I lived in Italy at the time that's what I was prescribed. However, once I returned to the States I immediately asked my doctor if I could stay on it as a method of birth control since I had done so well on it (side effect-wise). She said that it was no problem. I took it for another year after that and then stopped because I had become single.
Since now I'm looking for another method of BC other than early withdrawal, I asked my current gyno if I could go back on it but she said that it's only about 80% effective since it contains progesterone only, and that a combination pill would be more secure.
To sum up, it seems there isn't a clear answer on this medication with regards to birth control. Some doctors say it's ok to use as a method of BC, others say the opposite. Some sites say its use should be short-term, however I used it for over 2 years with no problems.
I'm sorry to be so ambivalent, but I just wanted you to hear it from someone who's actually used it in the past. I'm including a website you may find useful. You may also want to look into natural birth control methods. I'm including a couple of sites as well.
Best of luck!

Primolut Nor
http://home.intekom.com/pharm/schering/primlutn.html#PREGNANCY

Natural Birth Control
http://ladycomp-babycomp.com/show.php/index

http://www.drweil.com/drw/u/id/QAA364519
tusacutusa Re: Reposting original comment9th-May-2008 07:09 pm (UTC)
By the way, I meant to say "from someone who has ALSO used it in the past."
dichotomous Re: Reposting original comment21st-Dec-2008 04:39 am (UTC)
Hi, I know this is an old comment that I'm replying to, but I am about to start taking norethindrone to delay my period, and was looking for additional information and this came up in Google's search results. My doctor prescribed 5 mg 1 x a day, and gave me 10 pills, but everything I've seen says to take it 3 x day starting 3 - 5 days before you expect your period. I don't have enough pills to do that, so I am hoping what I've been prescribed will be enough. You mention in your comment that you had "a high dose." Do you happen to remember what your dose was, and when you had to start taking it, and how often you took it?
draco_girl66 i have severe worries and need help!10th-Jan-2010 12:12 pm (UTC)
hi, sorry i am posting on this very old post however i have a severe problem and i am very unsure of the results.
i was google-ing primolut nor and came across this post so i am hoping you would be able to help me.
i had normal bleeding however after the start of my final year thesis in uni and because of stress, i started to have delays in my period cycle...i told my gp about this and he prescribed me primolut as a period inducing method. i had to take 2 pills for 5 days and then stop...after 2-3 days bleeding must occur...the first time it tried, it worked like a charm...but this month and very recently i had another delay and he told me to use the same system, which i did...but it has been 9 days and still nothing.
i have been noticing a LOT of side effects from this med. i have severe chest pains, breathing problems constant coughing for no apparent reason, swollen feet, stabbing pains in the abdomen when peeing and headaches...i told my doctor about it and consulted others but they still insist on primolut...has anyone had such repercussions? i am extremely worried since my period is STILL late! i am 100% sure i am not pregnant, i took the tests.

ps. i am from lebanon so i have the same problem as in jordan...

any suggestions?
queenb2010 Re: i have severe worries and need help!7th-Apr-2010 08:10 am (UTC)
Hi I am having a similar problem I was taking primolut for around a month and my gyno told me to stop taking them so I would get my period and be able to have a blood test it has been 10 days and I am still waiting and have also done a pregnancy test which was negative when am I going to ever start my period ?
helenyao I also have problem using Primolut N12th-Nov-2011 11:34 am (UTC)
Hi All,

Doctor introduced me Primolut-N to delay my period and control bleeding too much (I have a fibre in the womb which made me have longer time bleeding and faster to have period again). The first time (10 days 20 pills) the result was good. But the second time I took it too early and stopped too early (3 days 3 pills then stopped), then I bleeded a lot, until I started to take it 3 pills a day for 3 days, the bleeding stopped. I felt very bad in this experence and now decided to have surgery to cut my fibre instead of taking this pills.

If anyone have good ideas about my case please do not hesitate to give comments. Thanks a lot.
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