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Duphaston

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Duphaston (dydrogesterone) is a synthetic progestogen used to treat various conditions caused by a lack of progesterone, including endometriosis, irregular cycles, and infertility. It supports the lining of the womb and helps regulate the menstrual cycle, providing a therapeutic option for women requiring hormonal support.


Ingredient
Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Dydrogesterone
Manufacturer
Abbott
Product Form
Tablet
Regulatory Classification
Rx
Primary Category
Hormone Therapy
Product Category
Genito-Urinary System, Sex Hormones, Progestogens
Pharmacological Class
Progestogens
Manufacturer Description
A progestogen hormone used to treat a wide range of conditions related to female hormonal imbalances.
Mechanism of Action
Duphaston is a synthetic hormone similar to progesterone. It works by regulating the growth and shedding of the womb lining. It helps balance the effects of oestrogen and is used in various conditions where the body doesn't produce enough natural progesterone.
Route of Administration
Oral
Onset Time
Rapidly absorbed; peak levels in 0.5-2.5 hours
Duration
12-24 hours
Contraindications
Unexplained vaginal bleeding, History of progestogen-related tumours, Severe liver disease, Hypersensitivity to dydrogesterone
Severe Adverse Events
Haemolytic anaemia, Hypersensitivity reactions, Liver dysfunction, Angioedema
Common Side Effects
Headache, Nausea, Breast pain
Uncommon Side Effects
Dizziness, Menstrual disorders, Bloating, Weight gain
Drug Interactions
Rifampicin, St John's Wort, Phenytoin, Carbamazepine
Pregnancy Safety Warnings
Can be used under medical guidance for threatened miscarriage. Consult doctor if breastfeeding.
Age Restrictions
Generally for adult women; used in adolescents with caution
Storage Guidelines
Store in a dry place at room temperature.
Related Products
Utrogestan, Provera

Duphaston FAQ

Can Duphaston be taken on an empty stomach?

Yes. Dydrogesterone’s absorption is not significantly affected by food, so the tablet may be taken with or without meals. Consistency in timing helps maintain stable hormone levels.

How long does it take for Duphaston to start working for menstrual irregularities?

Most women notice a regularisation of their cycle within one to two menstrual periods after beginning therapy, although individual response times can vary.

Is Duphaston safe for women with a history of blood clots?

Because dydrogesterone has a low androgenic and estrogenic activity, it does not markedly increase clotting risk, but any history of thrombosis should be discussed with a prescriber before use.

What does the imprint on a Duphaston tablet look like?

In the UK, the 10 mg Duphaston tablet is typically embossed with “D 10” on one side and the manufacturer’s logo on the other, though minor variations may exist between batches.

Can I travel internationally with Duphaston?

Yes, but carry the medication in its original packaging with a copy of the prescription. Some countries require a doctor’s letter for hormone-related drugs, so check the destination’s import regulations before travel.

Does Duphaston interact with herbal supplements like St. John’s Wort?

St. John’s Wort is a strong inducer of the CYP3A4 enzyme, which can lower dydrogesterone levels and reduce efficacy. Patients using such supplements should inform their prescriber.

Will Duphaston cause weight gain?

Weight changes are not a common side effect of dydrogesterone. Any noticeable weight fluctuation should be evaluated for other causes.

Is Duphaston detectable in drug-testing for athletes?

Dydrogesterone is not listed as a prohibited substance by major sporting agencies (e.g., WADA). However, athletes should verify current regulations before competing.

How should Duphaston be disposed of if I have leftover tablets?

Do not throw tablets into household waste. Return unused medication to a pharmacy’s take-back service or follow local hazardous-waste disposal instructions.

Can Duphaston be used together with a combined oral contraceptive?

Co-administration is possible, but overlapping hormonal effects should be reviewed. Generally, a prescriber will assess the need for both agents and adjust dosing accordingly.

Duphaston: Brand Overview and Core Information

Duphaston is a prescription medication marketed in the United Kingdom that contains dydrogesterone as its sole active ingredient. It is supplied as a 10 mg oral tablet (pill) and is classified within the women’s health therapeutic area. Dydrogesterone is a synthetic progestogen that mimics the activity of natural progesterone, a hormone essential for the normal functioning of the female reproductive system. In the UK, Duphaston is regulated by the Medicines and Healthcare products Regulatory Agency (MHRA) and is available only with a prescription.

How Duphaston Works in the Body

Dydrogesterone exerts its effects by binding to progesterone receptors in target tissues such as the uterus, breast, and brain. This interaction triggers the same downstream pathways that natural progesterone would activate, leading to:

  • Preparation of the endometrium (the uterine lining) for implantation and support of early pregnancy.
  • Stabilisation of the menstrual cycle by counter-acting the estrogen-driven growth phase of the endometrium.
  • Reduction of uterine contractility, which helps maintain a suitable environment for a developing embryo.

Because dydrogesterone is chemically distinct from natural progesterone, it is less likely to be converted into androgenic or estrogenic metabolites, providing a more focused pro-gestational effect with fewer hormonal side-effects. Oral absorption of the 10 mg tablet is rapid, with peak plasma concentrations typically reached within 2-4 hours. The drug is metabolised primarily in the liver and excreted in the urine.

Approved Medical Uses

Menstrual Disorders

  • Irregular or absent periods (oligo/amenorrhoea) caused by inadequate progesterone production.
  • Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) in which progesterone supplementation can help stabilise mood and physical symptoms.

Threatened or Recurrent Miscarriage

  • Use in early pregnancy to support the luteal phase when endogenous progesterone is insufficient, as confirmed by clinical guidelines from the Royal College of Obstetricians and Gynaecologists (RCOG).

Luteal-Phase Support in Assisted Reproduction

  • Administered after ovulation induction or embryo transfer to improve endometrial receptivity, in accordance with NICE recommendations for in-vitro fertilisation (IVF) cycles.

Endometriosis

  • Prescribed to alleviate pain and reduce ectopic endometrial growth by opposing estrogen-driven proliferation.

Polycystic Ovary Syndrome (PCOS)

  • Utilised to regularise menstrual cycles and provide progestogenic protection in women who are not receiving combined oral contraceptives.

These indications are authorised by the MHRA based on clinical trials and established practice within the UK.

Evidence-Based Off-Label Applications

  • Infertility treatment (beyond assisted reproduction) - Small observational studies suggest that dydrogesterone may improve ovulation rates in selected PCOS patients, but it remains off-label.
  • Management of pre-eclampsia risk - Limited data indicate potential benefit in high-risk pregnancies, yet robust evidence is lacking.

Disclaimer: Off-label use of Duphaston must be overseen by a qualified healthcare professional, with a thorough risk-benefit assessment for each individual patient.

Patient Suitability and Contra-Indications

Who Should Use Duphaston?

  • Women of reproductive age who have documented progesterone deficiency or related menstrual disorders.
  • Pregnant women under specialist supervision when luteal-phase support is indicated.

Absolute Contra-Indications

  • Known hypersensitivity to dydrogesterone or any tablet excipient.
  • Proven or suspected hormone-dependent neoplasia (e.g., breast or endometrial cancer).
  • Active, severe liver disease (e.g., hepatic failure).

Relative Contra-Indications

  • Pregnancy - first trimester: While Duphaston is used for luteal support, it should only be prescribed after careful evaluation of risks.
  • Renal impairment: Dose adjustment may be required, though specific guidelines are limited.
  • Concurrent use of strong CYP3A4 inducers (e.g., rifampicin) which can reduce dydrogesterone plasma levels.

Special Populations

  • Breastfeeding: Limited data; the decision to continue therapy should involve a risk assessment.
  • Elderly women (post-menopausal): Use is generally unnecessary, as endogenous progesterone production is low and indications are rare.

If any of the above conditions apply, discussion with a healthcare provider is essential before initiating therapy.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Mild nausea or stomach discomfort - usually transient.
  • Breast tenderness - may occur during the first weeks of treatment.
  • Headache - often mild and resolves without intervention.

Serious Adverse Events

  • Allergic reactions (rash, itching, swelling of face or throat) - seek urgent medical attention.
  • Venous thromboembolism - very rare but reported; immediate evaluation required if unexplained leg pain or swelling occurs.

Drug Interactions

  • Enzyme inducers (e.g., carbamazepine, phenytoin) may lower dydrogesterone levels, potentially reducing efficacy.
  • Antifungal agents such as ketoconazole can increase plasma concentrations, warranting closer monitoring.
  • Combined oral contraceptives: No clinically significant interaction, but overlapping hormonal effects should be reviewed by a prescriber.

Food and Lifestyle Interactions

  • Alcohol: No direct contraindication, but excess consumption may exacerbate nausea.
  • Driving or operating machinery: Dydrogesterone does not impair cognitive function; however, severe headache or dizziness should be reported.

Patients are advised to provide a complete medication and supplement list to their prescriber to minimise interaction risk.

Dosing and Administration Guidelines

  • Standard regimen: One 10 mg tablet taken orally once daily, preferably at the same time each day.
  • Luteal-phase support: Typically started after ovulation induction and continued for 10-12 weeks of gestation, as directed by the treating obstetrician.
  • Menstrual regulation: May be prescribed for 5-10 days each cycle, aligned with the luteal phase, according to clinical judgment.

Special populations

  • Renal or hepatic impairment: No fixed adjustment is mandated, but clinicians may start with a lower dose and titrate based on response.
  • Pregnancy: The 10 mg dose is commonly used; higher doses are not recommended without specialist guidance.

Administration tips

  • Swallow tablets whole with a glass of water.
  • Food does not significantly affect absorption; tablets may be taken with or without meals.

Missed dose

  • If a dose is missed and the scheduled time is within 6 hours, take it as soon as remembered.
  • If more than 6 hours have passed, skip the missed dose and resume the regular schedule. Do not double-dose.

Overdose

  • Symptoms may include severe nausea, vomiting, and abdominal pain.
  • Seek urgent medical care; treatment is supportive, and activated charcoal may be considered if presentation is early.

Discontinuation

  • For most indications, abrupt cessation is acceptable.
  • In the context of luteal-phase support, clinicians may taper the dose over a few days to reduce the risk of withdrawal bleeding.

Monitoring and Follow-Up

  • Baseline assessment: Menstrual history, pregnancy status, liver function tests if hepatic disease is suspected.
  • During therapy: Review of symptom relief, menstrual pattern, and any adverse reactions at each follow-up visit (typically every 4-6 weeks).
  • Pregnancy monitoring: Ultrasound evaluation of fetal development and placental health as per obstetric protocol.

Routine laboratory monitoring is not mandatory for standard dosing, but clinicians may order tests based on individual health status.

Storage and Handling

  • Store the tablets in the original blister pack at room temperature (15-30 °C), away from excessive moisture and heat.
  • Keep out of reach of children and pets.
  • Do not use the medication after the expiry date printed on the packaging.
  • Dispose of unused tablets through a pharmacy-based drug-take-back programme or according to local waste-disposal guidelines.

Medication-Specific Glossary

Progesterone Receptor
A cellular protein that binds progesterone (or dydrogesterone) to trigger hormonal signalling involved in menstrual regulation and pregnancy maintenance.
Luteal Phase
The second half of the menstrual cycle, occurring after ovulation, characterised by progesterone production to prepare the endometrium for possible implantation.
Endometrium
The inner lining of the uterus that thickens under estrogen influence and is stabilised by progesterone to support an embryo.

Medical Disclaimer

This article provides educational information about Duphaston and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Duphaston is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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