Isteranda

Levonorgestrel, the active ingredient in Isteranda, is a progestin presented as a unknown/unknown for oral use. It is used for emergency contraception and ongoing pregnancy prevention in women of reproductive age.

GNH USA supplies Isteranda as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Levonorgestrel acts as a hormonal contraceptive to prevent unintended pregnancy.

Emergency contraception: Provides post‑coital protection when taken within the recommended time frame to reduce the risk of pregnancy. Prevention of pregnancy: Used as a regular oral progestin to inhibit ovulation and maintain contraceptive efficacy in women seeking ongoing birth control. Family planning: Supports women in managing fertility as part of a broader contraceptive strategy.

Levonorgestrel may cause a range of adverse reactions, most of which are mild and transient.

Common Side Effects: - Nausea or abdominal discomfort - Headache or dizziness - Breast tenderness - Irregular menstrual bleeding or spotting - Fatigue or mild mood changes - Lower abdominal cramping

Serious or Rare Side Effects: - Severe allergic reaction (anaphylaxis) - Persistent high blood pressure - Deep vein thrombosis or pulmonary embolism - Severe abdominal pain indicating ectopic pregnancy - Unexplained vaginal bleeding lasting more than two weeks

Before using Isteranda, consider the following safety measures. - Contraindications: Do not use if you have a known hypersensitivity to levonorgestrel or any tablet components. - Medical history: Inform your healthcare provider of any history of thromboembolic disorders, liver disease, or hormone‑sensitive cancers. - Drug interactions: Review concomitant medications with a clinician, especially enzyme‑inducing agents. - Pregnancy testing: Verify you are not already pregnant before taking emergency contraception. - Breastfeeding: Discuss potential effects with a healthcare professional if you are nursing. - Store at ambient temperature: Keep below 25 °C, in the original packaging, protected from moisture and direct sunlight.

Levonorgestrel may interact with other medicines, altering its effectiveness or safety profile.

Major Interactions (Avoid): - Rifampicin, carbamazepine, phenytoin, or other strong enzyme inducers that may reduce contraceptive efficacy. - St. John’s wort, a herbal inducer of hepatic metabolism, which can lower levonorgestrel levels.

Moderate Interactions (Monitor Closely): - Antifungal agents such as ketoconazole that may increase plasma concentrations. - Antiretroviral drugs (e.g., protease inhibitors) that can affect hormone metabolism. - Certain antibiotics (e.g., griseofulvin) with potential modest impact on effectiveness.