GNH USA

Europe — EMA

Lafamme

GNH USA supplies Lafamme (Dienogest/Estradiol Valerate), a combined oral contraceptive for contraception and menstrual regulation. Request a quote for supply.

Dienogest, Estradiol Valerate

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What is Dienogest, Estradiol Valerate?

Dienogest, the active ingredient in Lafamme, is a combined oral contraceptive presented as a tablet for oral use. Together with estradiol valerate, it provides both progestogenic and estrogenic activity to prevent ovulation, alter cervical mucus, and stabilize the endometrium, thereby preventing pregnancy and assisting in the regulation of menstrual cycles for women of reproductive age.

GNH USA supplies Lafamme as a licensed, GDP‑compliant international pharmaceutical supplier, providing reliable access to hospitals, pharmacies, and clinics worldwide through stringent quality assurance and regulatory compliance.

What is Dienogest, Estradiol Valerate used for?

Lafamme, a combined oral contraceptive, acts on the hormonal regulation pathway to prevent pregnancy and manage menstrual disorders. - Contraception: prevents ovulation and pregnancy by suppressing the luteinizing hormone surge. - Menstrual cycle regulation: provides more predictable bleeding patterns and reduces dysmenorrhea. - Polycystic ovary syndrome (PCOS): helps normalize hormonal balance and regularize periods.

What are the side effects of Dienogest, Estradiol Valerate?

Lafamme may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects: - Nausea: mild stomach upset often occurring at treatment initiation. - Breast tenderness: temporary swelling or discomfort of the breasts. - Headache: mild to moderate headaches that usually resolve with continued use. - Breakthrough bleeding: irregular spotting between periods. - Weight change: slight increase or decrease in body weight.

Serious or Rare Side Effects: - Venous thromboembolism: blood clots in deep veins or lungs, requiring immediate medical attention. - Arterial thrombosis: clot formation in arteries, which can lead to stroke or heart attack. - Severe allergic reaction: rash, swelling, or difficulty breathing indicating anaphylaxis.

What precautions apply to Dienogest, Estradiol Valerate?

Before prescribing Lafamme, clinicians should evaluate patient history and consider specific safety measures. - Contraindicated in active thromboembolic disease: avoid use in patients with current deep vein thrombosis or pulmonary embolism. - Smoking over 15 cigarettes per day: increased cardiovascular risk, especially in women over 35. - History of hormone‑dependent tumors: avoid in patients with breast, ovarian, or endometrial cancer. - Uncontrolled hypertension: monitor blood pressure and discontinue if severe. - Liver disease: use with caution in patients with severe hepatic impairment. - Store below 25°C: keep tablets in original packaging, protect from moisture and light.

What does Dienogest, Estradiol Valerate interact with?

Lafamme can interact with other medications, altering its effectiveness or safety profile.

Major Interactions (Avoid): - Strong CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce contraceptive efficacy. - Anticoagulants (e.g., warfarin): may increase clotting risk and require dose adjustment. - Protease inhibitors (e.g., ritonavir): can decrease hormone levels, compromising protection. - St. John’s wort: herbal inducer that lowers oral contraceptive effectiveness.

Moderate Interactions (Monitor Closely): - Antiepileptic drugs (e.g., phenytoin): may modestly reduce hormone levels, monitor cycle control. - Selective serotonin reuptake inhibitors (SSRIs): may increase risk of mood changes or breast tenderness.

Frequently asked questions

What is Lafamme used for?+
Lafamme is a combined oral contraceptive that contains the progestogen dienogest and the estrogen estradiol valerate. It is prescribed to prevent pregnancy and to help regulate menstrual cycles, providing more predictable bleeding patterns for women of reproductive age.
How does Dienogest/Estradiol valerate work?+
The progestogen dienogest binds to progesterone receptors, while estradiol valerate is converted to estradiol, an active estrogen. Together they suppress the hypothalamic‑pituitary‑ovarian axis, preventing the luteinizing hormone surge that triggers ovulation, and they also thicken cervical mucus and alter the endometrium to block fertilisation and implantation.
What is the usual dose of Lafamme?+
The dosing regimen for Lafamme is determined by the prescribing clinician. Typically, the product is taken as one tablet daily at the same time each day, but the exact schedule and duration should follow the healthcare professional’s instructions and the product label.
Is Lafamme safe in pregnancy or breastfeeding?+
Lafamme is not intended for use during pregnancy and should be discontinued if pregnancy occurs. It is also generally not recommended while breastfeeding because hormonal contraceptives can affect milk production and infant exposure. Women should discuss alternative contraception with their healthcare provider if they are pregnant or nursing.
How do I order Lafamme from GNH USA?+
To order Lafamme, submit an enquiry on the product page at gnh-usa.com, specifying the required quantity. GNH USA works with hospitals, pharmacies, and procurement teams worldwide, confirming trade or institutional credentials before providing pricing, availability, shipping details, and any necessary import documentation.
How does Lafamme compare with other combined oral contraceptives?+
Lafamme contains dienogest, a progestogen with a relatively low androgenic profile, combined with estradiol valerate, an estrogen that mimics natural estradiol. Compared with older formulations that use ethinyl‑estradiol, Lafamme may offer a more physiological estrogen exposure and a lower risk of certain estrogen‑related side effects, while maintaining effective contraception.
How should Lafamme be stored and handled?+
Lafamme tablets should be stored below 25 °C in their original blister pack, protected from moisture and direct light. Keep the medication out of reach of children and do not use after the expiry date printed on the packaging.
How is Lafamme administered?+
Lafamme is taken orally, usually once daily at the same time each day. The tablet is swallowed whole with water and should be started on the first day of the menstrual cycle or as directed by a healthcare professional.
What are the most serious risks associated with Lafamme?+
Serious risks include venous thromboembolism (deep‑vein thrombosis or pulmonary embolism) and arterial thrombosis, which can lead to stroke or heart attack. Women with a history of clotting disorders, smoking heavily, or having uncontrolled hypertension should be closely monitored or avoid use.
Who should not use Lafamme?+
Lafamme is contraindicated in women with active or recent thromboembolic disease, known or suspected hormone‑dependent cancers (such as breast, ovarian, or endometrial cancer), severe uncontrolled hypertension, severe liver disease, and in those who are pregnant or breastfeeding. It should also be avoided by smokers over age 35.
Information provided on this page is for educational use by procurement and clinical professionals. Always consult a licensed healthcare provider for medical advice and prescribing decisions. GNH USA supplies this product subject to applicable regulatory and licensing requirements.

Product details

Drug
Dienogest, Estradiol Valerate
Route
Oral Use
Manufacturer
Bayer B.V.
Origin
EU

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