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Cyclogest contains progesterone which is a natural, female sex hormone, produced in the body. This medicine works by adjusting the hormonal balance within the body. Cyclogest may be used for the treatment of: Pre-menstrual including pre-menstrual tension and depression Puerperal (post-natal) depression How to use Do not swallow Cyclogest The usual dose is 200mg once a day or 400mg twice a day by vaginal or rectal insertion. For premenstrual tension, start using Cyclogest on day 12 or 14 of your menstrual cycle. This can be planned and marked onto your calendar, day 1 is the first day of your monthly period, counting forward to day 12 or 14 as advised by your doctor. The pessary may be inserted into either the vagina or rectum (back passage) depending upon the following certain other conditions. You should insert Cyclogest into the: Vagina if you have: Colitis (inflammation of the colon causing frequent attacks of diarrhoea with mucous or blood) Problems controlling your bowel movements (faecal incontinence). Rectum (back passage) if you have: A vaginal infection (especially moniliasis) Or have recurrent cystitis (a burning pain on passing water) Recently given birth To use a barrier method of birth control such as a diaphragm, cap or condom. Such devices may not work properly in the presence of the vegetable fat from the pessary. How to insert Cyclogest Always wash your hands before and after inserting the pessary. To insert into the: Vagina - place the pessary between the lips of the vagina and push the pessary upwards and backwards. You may find it easier to do this if you are lying down or squatting. Rectum (back passage) - gently push the pessary into the rectum for about one inch. Your muscles will hold the pessary in place when it is in far enough. Squeeze your buttocks together for a few seconds. Warnings and precautions Do not use Cyclogest and tell your doctor if you: Have ever had any unexpected and unexplained bleeding from your vagina which was not due to your normal monthly period. Check with your doctor or pharmacist before using Cyclogest if you: Ever had liver problems such as jaundice (yellowing of the skin and whites of the eyes). Pregnancy and breast-feeding If you are pregnant, think you may be pregnant, planning a family or breast-feeding, ask your doctor or pharmacist for advice before using this medicine. Side Effects Tell your doctor if you notice any of the following side effects or notice any other effects not listed: Diarrhoea Soreness in your rectum (back passage) Flatulence (wind). Do not worry if you find changes in your menstrual cycle. You may find that your monthly period will start earlier than usual or it may be delayed. After using Cyclogest you may notice some leakage after the pessary has dissolved. Do not worry, this is quite normal when using medicines that are inserted into the vagina or rectum. If you notice any side effects, they get worse, or if you notice any not listed, please tell your doctor or pharmacist. Storage Information Keep out of the reach and sight of children Store as directed on the pack. Ingredients The active substance (the ingredient that makes the medicine work) is progesterone. The other ingredients are vegetable fat. Specifications Cyclogest are off-white Pessaries (in a pack of 15 pessaries).
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