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Cyclenorm-E Tablet is used as hormonal replacement therapy. It is used to treat hypoestrogenism (oestrogen deficiency), osteoporosis (thinning of bones) and menopausal symptoms. It contains ethinylestradiol that regulates the menstrual cycle and ovulation by replacing the oestrogen levels in the body. This medicine may sometimes cause side effects such as nausea, vomiting, breast pain, hair loss, vaginal spotting, and irregular vaginal bleeding. Inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.

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Written By Dr. Lakshmithulasi Yarragunta , PharmD (PB)
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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More about the Product

Manufacturer/Marketer :

Nutri Pharma

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Cyclenorm-E Tablet

Cyclenorm-E Tablet is an oral prescription medication used to manage conditions caused by low estrogen levels in the body. It is primarily prescribed to treat moderate to severe hot flashes and other symptoms associated with menopause. Additionally, it is used to address female hypogonadism, which occurs when the body does not produce enough natural estrogen.

For the best results, you must take Cyclenorm-E Tablet consistently at the same time every day to keep your hormone levels stable. You can take this tablet with or without food, though taking it with a meal or at bedtime can help reduce mild stomach upset. Making simple lifestyle adjustments, such as eating a balanced diet and doing regular exercise, can also support your treatment outcomes.

While taking Cyclenorm-E Tablet, some people may experience mild side effects like nausea, mild headaches, or breast tenderness. However, you must contact your doctor immediately if you notice serious symptoms like sudden chest pain, severe leg swelling, or difficulty breathing. These can be signs of more serious health issues that need urgent medical attention.

Talk to your doctor before starting Cyclenorm-E Tablet if you have a history of high blood pressure, diabetes, gallbladder issues, or liver damage. Do not take this medicine if you have unexplained vaginal bleeding, a history of blood clots, heart disease, or certain hormone-sensitive cancers.

Smoking while taking Cyclenorm-E Tablet greatly increases the risk of serious cardiovascular complications, such as blood clots and stroke. Some other medicines can also interact with Cyclenorm-E Tablet and lower its effectiveness or increase side effects, so it is important to share your full medication list with your pharmacist. If you are pregnant, breastfeeding, or are an older adult, consult your doctor to discuss if this medication is safe for your specific needs.

Uses of Cyclenorm-E Tablet

Cyclenorm-E Tablet is used in the treatment of conditions caused by low estrogen levels in the body. The detailed uses of Cyclenorm-E Tablet are as follows:

  • Estrogen deficiency: Cyclenorm-E Tablet helps replace natural estrogen when your body does not produce enough of it due to ovarian conditions or other medical issues.
  • Menopause symptoms: Cyclenorm-E Tablet works to relieve hot flashes, night sweats, and sleep disturbances by stabilising your body's estrogen levels.
  • Female hypogonadism: Cyclenorm-E Tablet supports natural development and helps regulate menstrual cycles in young women with underactive ovaries.

Key Benefits

Cyclenorm-E Tablet helps restore healthy estrogen levels, reducing symptoms caused by estrogen deficiency while supporting your long-term health.
The benefits of this medication include:

  • Relieves symptoms caused by low estrogen levels
  • Helps reduce the frequency and severity of hot flashes and night sweats
  • Supports healthy bone strength and density, lowering the long-term risk of fractures
  • Promotes normal menstrual cycle development when appropriate
  • Supports healthy physical growth and development in young women with estrogen deficiency
  • Provides long-term support for overall hormone balance and well-being
Side effects of Cyclenorm-E Tablet
  • Eat a balanced diet rich in fruits, vegetables, whole grains, and healthy fats.
  • Engage in regular moderate exercise, avoiding excessive strenuous activity.
  • Practice relaxation techniques like deep breathing, meditation, or yoga to manage stress.
  • Ensure adequate sleep and hydration.
  • Track your menstrual cycle to monitor patterns and symptoms.
  • If you experience pelvic pain, bloating, or irregular periods, let your doctor know because these symptoms may indicate an ovarian cyst.
  • A light abdominal massage could provide some relief from discomfort.
  • Avoid heavy lifting, bending, or straining, as it can worsen ovarian cyst symptoms.
  • Lower abdominal pain may be reduced by applying a heated pad.
  • Engage in stress-reduction practices such as yoga, deep breathing, or meditation.
  • Inflammation of Vagina needs immediate attention and cannot be ignored.
  • Get a physical examination and prevent wearing clothes that can hold heat and moisture.
  • Avoid using vaginal sprays or perfumed soaps that increase itching and irritation.
  • Follow your doctor's instructions, and rest well with proper medication.
  • Take a balanced diet and get regular screenings to reduce inflammation.
  • Eat a healthy balanced diet.
  • Reduce stress with relaxation techniques such as yoga or meditation.
  • Keep track of your menstrual cycle any irregularities.
  • Have regular check ups to exclude other health problems.
  • Exercise but do not exercise to the extent of overheating.
  • Hydrate well, eat well (particularly iron and vitamins).
  • Stay hydrated by drinking plenty of water to help eliminate toxins.
  • Incorporate probiotic-rich foods like yogurt or kefir into your diet to support gut health.
  • Maintain good genital hygiene and keep the area clean and dry.
  • Refrain from intercourse until your treatment is complete.
  • Wear breathable, cotton underwear to minimize moisture buildup.
  • Apply coconut oil or diluted tea tree oil to the affected area for antifungal benefits.
  • Consider using probiotic suppositories to promote vaginal health.
  • Consult a healthcare provider if you suspect a vaginal infection.
  • Finish taking all prescribed medication as directed by your healthcare provider to get optimal treatment results.
  • Attend follow-up appointments to confirm the infection has cleared.
  • Use hot or cold packs on your breasts to help alleviate discomfort.
  • Choose a supportive, well-fitting bra, preferably one that has been professionally fitted.
  • Practice relaxation techniques to manage stress and anxiety that may accompany severe breast pain.
  • Limit or avoid caffeine consumption.
  • Eat a low-fat diet and focus on foods rich in complex carbohydrates.
  • Rubbing evening primrose oil on your breasts may help balance fatty acids in the cells and reduce pain.
  • Keep track of when your breast pain occurs and any other symptoms to determine if the pain is regular or not.
  • Vitamin E supplements may help reduce pain for women who experience pain linked to their menstrual cycle.
  • Over-the-counter pain relievers like acetaminophen or ibuprofen can provide relief, but be sure to consult your doctor for the correct dosage, as prolonged use may cause side effects.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.

Directions for Use

  • Cyclenorm-E Tablet can be taken with or without food. But it is best to take it at the same time each day for better efficacy.
  • It is recommended to take Cyclenorm-E Tablet once daily or as advised by your doctor.
  • Swallow Cyclenorm-E Tablet as a whole with a glass of water.
  • Do not crush, chew, or break it.

How Cyclenorm-E Tablet Works

Cyclenorm-E Tablet works by acting as a direct replacement for the estrogen that your ovaries would normally produce. Estrogen is a key hormone that interacts with cells throughout your body to regulate your menstrual cycle, protect your bones, and help control your body temperature. When your natural estrogen levels drop, it can cause physical symptoms like hot flashes and lead to gradual bone loss. When you take Cyclenorm-E Tablet, the medicine binds to estrogen receptors in your tissues, mimicking the effects of natural estrogen. This process restores your hormonal balance, calms the temperature-regulation centre in your brain, and helps maintain healthy bone structures.
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Alcohol

Unsafe

You are recommended not to consume alcohol along with Cyclenorm-E Tablet to avoid unpleasant side effects.

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Pregnancy

Unsafe

Cyclenorm-E Tablet should not be taken during pregnancy as it may harm the baby and cause serious complications to the baby and mother. Consult your doctor for further advice.

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Breast Feeding

Unsafe

Cyclenorm-E Tablet is not recommended for breastfeeding mothers as it is known to cause harm to the baby. Consult your doctor for further advice.

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Driving

Safe if prescribed

Cyclenorm-E Tablet does not impact your ability to drive or use machinery.

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Liver

Caution

Cyclenorm-E Tablet should be taken with caution, especially if you have any history of liver disease. Your doctor may adjust the dose of this medicine or prescribe a suitable alternative based on your condition.

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Kidney

Caution

Cyclenorm-E Tablet should be taken with caution, especially if you have a history of kidney disease. Your doctor may adjust the dose of this medicine or prescribe a suitable alternative based on your condition.

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Children

Caution

Cyclenorm-E Tablet is not recommended for children below 12 years of age as safety and efficacy are not established. Consult a child specialist for further advice.

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Heart

Unsafe

Cyclenorm-E Tablet is contraindicated in cardiac patients due to its adverse effects.

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Geriatrics

Unsafe

Cyclenorm-E Tablet is not safe for use in elderly patients aged 65 or older due to its severe side effects.

What if I have taken an overdose of Cyclenorm-E Tablet

If you suspect an overdose or if you experience severe symptoms like severe nausea, vomiting, or unusual vaginal bleeding, seek immediate medical attention or contact your local poison control centre right away.

Diet & Lifestyle Advise

  • Boost calcium and vitamin D: Eat plenty of dairy products, leafy greens, and fortified foods to support bone density, as low estrogen can lead to bone thinning.
  • Incorporate weight-bearing exercise: Activities like walking, jogging, or resistance training help keep your bones strong and support cardiovascular health during treatment.
  • Follow a heart-healthy diet: Eat foods low in saturated fats and cholesterol. Estrogen therapies can impact your lipid levels, so a diet rich in fibre, whole grains, and healthy fats is beneficial.
  • Avoid smoking: Smoking while using this medication significantly increases your risk of serious cardiovascular events, such as blood clots, stroke, and heart attacks.
  • Limit alcohol intake: Keep alcohol consumption low, as alcohol can alter how your liver processes estrogen and can increase your risk of certain side effects.
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How Soon It Starts Working

The time required for Cyclenorm-E Tablet to start to work: Cyclenorm-E Tablet ideally shows its action within 4 to 6 hours after administration The time for which the effects of Cyclenorm-E Tablet last: The effect of Cyclenorm-E Tablet lasts for 3 to 4 days.

What if you forget to take Cyclenorm-E Tablet

If you miss a dose of Cyclenorm-E Tablet, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and return to your regular daily schedule. Do not take a double dose to make up for a missed one. If you have questions about missed doses, talk to your doctor or pharmacist.

Storage

• Store Cyclenorm-E Tablet tablets at controlled room temperature, between 20°C to 25°C (68°F to 77°F).

Drug Warnings

  • Set a daily alarm: Take Cyclenorm-E Tablet at the exact same time every day to prevent breakthrough bleeding and maintain steady hormone levels.
  • Monitor your blood pressure: Check your blood pressure regularly, as estrogen therapy can sometimes cause blood pressure to rise.
  • Watch for signs of blood clots: Regularly inspect your legs for unexplained warmth, swelling, redness, or pain, and seek immediate help if these occur.
  • Keep up with cancer screening: Follow your doctor’s advice for regular breast and cervical cancer screenings, including mammograms when recommended. Report any breast lumps, nipple discharge, or unusual vaginal bleeding to your doctor promptly.
  • Inform your healthcare providers: Tell your dentist, surgeon, and other doctors that you are taking Cyclenorm-E Tablet. If you are having major planned surgery, your doctor may advise stopping this medicine 4-6 weeks before the procedure to lower the risk of blood clots.

Drug-Drug Interactions

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  • Antiseizure medicines (e.g., carbamazepine, phenytoin, or phenobarbital): May increase the breakdown of Cyclenorm-E Tablet in your liver, making the hormone therapy less effective.
  • Certain antibiotics (e.g., rifampin): Antibiotics can speed up how your body processes this medicine, which may reduce its clinical effectiveness.
  • Herbal supplements (e.g., St. John's Wort): May lower the active levels of Cyclenorm-E Tablet in your blood, decreasing its therapeutic effect.
  • Thyroid hormones (e.g., levothyroxine): Cyclenorm-E Tablet may change how your body processes thyroid medication, meaning your doctor might need to adjust your thyroid dose.

Drug-Drug Interactions

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How does the drug interact with Cyclenorm-E Tablet:
Taking Cyclenorm-E Tablet with Tranexamic acid may increase the risk of blood clot formation.

How to manage the interaction:
Taking Cyclenorm-E Tablet with Tranexamic acid is not recommended, as it can lead to an interaction, but can be taken if a doctor has prescribed it. However, if you suffer from chest discomfort, shortness of breath, blood in the urine, blood in the cough, sudden loss of vision, and pain, redness, or swelling in your arm or leg, consult doctor immediately. Do not stop using any medications without talking to a doctor.
How does the drug interact with Cyclenorm-E Tablet:
When Cyclenorm-E Tablet and clindamycin are taken together, the effects of Clindamycin can be reduced.

How to manage the interaction:
There may be a possibility of interaction between Cyclenorm-E Tablet and clindamycin, but it can be taken if prescribed by a doctor. Do not stop using any medications without a doctor's advice.
How does the drug interact with Cyclenorm-E Tablet:
Coadministration of Cyclenorm-E Tablet with Mycophenolic acid may lower the blood levels and effects of Cyclenorm-E Tablet, making it less effective as a form of birth control.

How to manage the interaction:
There could be a possible interaction between Mycophenolic acid and Cyclenorm-E Tablet, but they can be taken together if a doctor has prescribed them. However, if you are taking hormone replacement therapy for menopause, and you notice an increase in the frequency or severity of your symptoms, such as hot flashes, vaginal dryness, or irregular bleeding, consult a doctor. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Cyclenorm-E Tablet:
Taking Cyclenorm-E Tablet with rifampicin can decrease the blood levels of Cyclenorm-E Tablet, which may make the medication less effective.

How to manage the interaction:
Although there is an interaction between Rifampicin and Cyclenorm-E Tablet, they can be taken together if prescribed by a doctor. Do not discontinue any medicine without consulting a doctor.
How does the drug interact with Cyclenorm-E Tablet:
When coupled with Dabrafenib, the blood level of Cyclenorm-E Tablet can be reduced.

How to manage the interaction:
There may be a possibility of interaction between Dabrafenib and Cyclenorm-E Tablet, but it can be taken if prescribed by a doctor. If you are taking hormone replacement therapy for menopause, you should notify your doctor if you notice an increase in the frequency or severity of your symptoms, such as hot flashes, vaginal dryness, or irregular bleeding. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Cyclenorm-E Tablet:
Taking carbamazepine and Cyclenorm-E Tablet may reduce the effects of Cyclenorm-E Tablet, which might result in a higher risk of breakthrough bleeding and unplanned pregnancy.

How to manage the interaction:
Although taking carbamazepine and Cyclenorm-E Tablet together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
How does the drug interact with Cyclenorm-E Tablet:
Phenytoin may lower ethinyl estradiol levels in the blood and its effects. You may be more likely to experience breakthrough bleeding and unexpected pregnancy if you use low-dose oral contraceptives.

How to manage the interaction:
Although taking Phenytoin and Cyclenorm-E Tablet together can result in an interaction, it can be taken if a doctor has prescribed it. If you are on hormone replacement therapy for menopause, inform a doctor if your symptoms are no longer being controlled or if you are experiencing abnormal bleeding. Do not stop using any medications without a doctor's advice.
How does the drug interact with Cyclenorm-E Tablet:
Taking ethinyl estradiol with griseofulvin may reduce blood levels and the effects of ethinyl estradiol.

How to manage the interaction:
Although taking Cyclenorm-E Tablet and Griseofulvin together can cause an interaction, it can be taken if a doctor has suggested it. However, if you use hormone replacement therapy (ethinyl estradiol) for menopause, inform a doctor if your symptoms are no longer controlled or if you deal with unusual bleeding. Do not stop using any medications without a doctor's advice.
How does the drug interact with Cyclenorm-E Tablet:
When Cyclenorm-E Tablet is taken with phenobarbital, Cyclenorm-E Tablet may become les effective.

How to manage the interaction:
Although taking phenobarbital and Cyclenorm-E Tablet together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you use hormone replacement therapy for menopause, inform a doctor if your symptoms are no longer controlled or if you experience unusual bleeding. Do not stop using any medications without talking to a doctor.
EthinylestradiolFosphenytoin
Severe
How does the drug interact with Cyclenorm-E Tablet:
When Fosphenytoin is taken with Cyclenorm-E Tablet, Fosphenytoin may lower the blood levels and effects of Cyclenorm-E Tablet.

How to manage the interaction:
There may be a possibility of interaction between Cyclenorm-E Tablet and Fosphenytoin, but it can be taken if prescribed by a doctor. If you use hormone replacement therapy for menopause, inform a doctor if your symptoms are no longer controlled or if you experience unusual bleeding. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

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  • Grapefruit juice: May slow down the breakdown of Cyclenorm-E Tablet in your liver, which can raise hormone levels in your blood and increase the risk of side effects.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[HORMONES]

FAQs

Light spotting or breakthrough bleeding can occur, especially during the first few months of treatment. This is usually temporary. However, if the bleeding is heavy, lasts for a long time, occurs after being symptom-free, or happens after menopause, contact your doctor promptly to rule out other causes.
Some people may notice mild weight changes while taking Cyclenorm-E Tablet. Fluid retention or bloating can make you feel as though you have gained weight, while true fat gain is less common. Maintaining a healthy diet and regular exercise may help. If you experience significant or persistent weight changes, speak with your doctor.
Yes. If you are scheduled for major surgery, tell your doctor that you are taking Cyclenorm-E Tablet. Because hormone replacement therapy can increase the risk of blood clots, your doctor may advise you to stop taking it about 4–6 weeks before surgery and restart it only when it is safe to do so.
Yes. If you are taking Cyclenorm-E Tablet for an extended period, your doctor may recommend regular blood pressure checks, breast and pelvic examinations, cervical screening, and mammograms when appropriate for your age and risk factors. Your doctor may also monitor your cholesterol levels or liver function if needed.
You should not take Cyclenorm-E Tablet if you have a history of blood clots, as estrogen therapy can increase the risk of forming new clots. Talk to your doctor to discuss safer alternative treatments.
Many people begin to feel relief from symptoms like hot flashes within a few weeks of starting Cyclenorm-E Tablet. However, it can take up to a few months to experience the full benefits. Talk to your doctor if your symptoms do not improve.
Cyclenorm-E Tablet can pass into breast milk and may also decrease the amount of milk your body produces. It is generally not recommended while breastfeeding. Talk to your doctor or pharmacist about alternative options.
It is best to limit alcohol while taking Cyclenorm-E Tablet. Alcohol may affect how your liver processes the medicine, which can alter hormone levels and increase the risk of side effects, especially in people with liver disease. Talk to your doctor or pharmacist about how much alcohol is safe for you.
Yes, you can take Cyclenorm-E Tablet with or without food. If you find that it makes you feel nauseous, taking it with a meal or at bedtime may help prevent this. Talk to your doctor if nausea persists.
If you still have your uterus (womb) and are using estrogen therapy for menopause or estrogen replacement, your doctor will usually prescribe a progestogen along with estrogen. This helps reduce the risk of endometrial hyperplasia and endometrial cancer that can occur with estrogen-only therapy. Women who have had a hysterectomy may not need a progestogen. Always follow your doctor's advice.
Estrogen therapy is not suitable for everyone. People with a history of hormone-sensitive cancers, such as breast or endometrial cancer, should generally avoid Cyclenorm-E Tablet unless specifically advised by their specialist. Long-term estrogen therapy may require regular screening, including breast examinations, mammograms when appropriate, and gynaecological check-ups. Talk to your doctor about your individual risks and recommended monitoring.

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Country of origin

INDIA

Manufacturer/Marketer address

Healthcare Division-II, Rampur Road Village, Kunja, Ponta Sahib 173025(H.P)
Other Info - CYC0044
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