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HYDROXYPROGESTERONE:

Its main function, like other Progesterone derivatives is preparation of uterus for nidation and maintenance of pregnancy. The latter is probably due to decreased uterine motility and inhibition of immunological rejection of the foetus: progesterone decreases T-cell function find cell mediated immunity.

Indications: Habitual & threatened abortion, infer­tility due to corpus luteum insufficiency, primary & secondary amenorrhoea, uterine hypoplasia.

Dosage: Habitual abortion: 250-500mg i.m: weekly.

Threatened abortion: 500 mg i.m. 2-3 times weekly. Infertility: 250 mg i.m.3 days after rise in basal body temp.

Contra-indications: History of herpes of preg­nancy, previous or existing liver tumours. Special Precautions: Diabetes. Exclude preg­nancy in indications other than threatened or habitual abortion. Intra abdominal haemorrhage due to malignant liver tumours.

Side-effects: G.I. disturbances, weight gain oedema, acne, increased appetite, urticaria, allergic skin rashes, mental depression. Drug Interaction : Potentiates CNS depression by alcohol, barbiturates, hypnotics, opioid analgesics, sedatives and neuroleptics, MAOIs, atropine, and tricyclic antidepressants potentiate antimuscarinic effects. Incompatibility with aminophylline, ben-zylpenicillin, chloramphenicol, sodium-succinale.

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