2025 Guidelines for the Evaluation and Management of Adults With Congenital Heart Disease
December 19, 2025
Brand Name :
Dimetriose
Synonyms :
gestrinone
Class :
Antigonadotropic Agent
Dosage Forms & Strengths
Capsule
2.5 mg
Take a dose of 2.5 mg two times in a week starting on first day of cycle and second dose 3 days later
Repeat this on same two days preferably at same time every week and duration of treatment is generally 6 months
Not determined
Refer to adult dosing
it may enhance the metabolism when combined with oxcarbazepine
Actions and Spectrum
The progestogenic action of gestrinone allows it to mimic the effects of progesterone. The menstrual cycle, pregnancy, and other reproductive processes all involve progesterone. The progestogenic actions of gestrinone can decrease ovulation and assist control the menstrual cycle.
Frequency not defined
Acne
Weight gain
Hirsutism
Menstrual disturbances
Oily skin
Fluid retention
GI disturbances
Altered libido
Hot flushes
Voice change
Headache
Breast size reduction
Muscle cramp
Depression
Arthralgia
Nervousness
Change in appetite
Black Box Warning
None
Contraindication/Caution:
Contraindication:
Caution:
Pregnancy consideration:
Pregnancy category: N/A
Lactation: Excretion into human milk is unknown
Pregnancy Categories:
Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester.
Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women.
Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.
Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.
Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.
Category N: There is no data available for the drug under this category.
Pharmacology
Progesterone-like progestogenic actions are displayed by gestrinone. Target tissues bind to include the uterus and ovaries contain progesterone receptors.
Inhibiting the production of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) is the result of this progestogenic action’s inhibition of gonadotropin-releasing hormone (GnRH) secretion.
Pharmacodynamics
gestrinone also has androgenic activity so it can bind to and activate androgen receptors.
This action contributes to its efficacy in treating conditions like endometriosis and fibrocystic breast disease.
Pharmacokinetics
Absorption
gestrinone is absorbed through the gastrointestinal tract and enters the bloodstream.
Distribution
gestrinone is distributed throughout the body via the circulatory system.
Metabolism
gestrinone undergoes extensive metabolism in the liver.
Elimination and excretion
gestrinone is eliminated from the body primarily through the urine and feces.
Administration
gestrinone is typically administered orally in the form of tablets.
Patient information leaflet
Generic Name: gestrinone
Why do we use gestrinone?
gestrinone has been used to manage endometriosis in this condition the tissue like the lining of the uterus grows outside the uterus.
gestrinone is used for various medical purposes related to gynecology.