GNH USA

Europe — EMA

Madinance

GNH USA supplies Madinance (Chlormadinone acetate/Ethinylestradiol), a combined estrogen‑progestogen oral contraceptive for prevention of pregnancy

Chlormadinone Acetate, Ethinylestradiol

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What is Chlormadinone Acetate, Ethinylestradiol?

Chlormadinone acetate, the active ingredient in Madinance, is a combined estrogen‑progestogen oral contraceptive presented as a tablet for oral use. It prevents pregnancy and helps regulate menstrual cycles in women of reproductive age. Combined with ethinylestradiol, it provides both estrogenic and progestogenic activity, which together suppress ovulation and create cervical mucus changes that reduce the chance of fertilisation.

GNH USA supplies Madinance as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, and meets stringent quality standards.

What is Chlormadinone Acetate, Ethinylestradiol used for?

Madinance, a combined estrogen‑progestogen oral contraceptive, is indicated for hormonal regulation of reproduction. - Prevention of pregnancy: provides reliable contraceptive protection when taken as prescribed. - Regulation of menstrual cycles: helps achieve more predictable bleeding patterns in women with irregular cycles. - Management of dysmenorrhea: reduces menstrual pain and flow in women using hormonal contraception.

What are the side effects of Chlormadinone Acetate, Ethinylestradiol?

Madinance may cause a range of adverse reactions. Patients should be aware of both common and serious possibilities.

Common Side Effects: - Nausea: mild to moderate upset stomach. - Breast tenderness: discomfort or swelling of the breasts. - Headache: intermittent mild to moderate pain. - Spotting or breakthrough bleeding: irregular light bleeding. - Weight gain: modest increase in body weight. - Mood changes: irritability or mood swings.

Serious or Rare Side Effects: - Venous thromboembolism: blood clots in deep veins or lungs. - Arterial thrombosis: clot formation in arteries leading to stroke or heart attack. - Hypertension: elevated blood pressure requiring medical attention. - Severe liver dysfunction: jaundice or abnormal liver enzymes. - Anaphylactic reaction: rare severe allergic response requiring emergency care.

What precautions apply to Chlormadinone Acetate, Ethinylestradiol?

Before prescribing Madinance, clinicians should consider several safety aspects. - Contraindicated in pregnancy: product is classified as pregnancy category X and must not be used. - Avoid in smokers over 35 years: increased risk of cardiovascular events. - Screen for thromboembolic risk: assess personal or family history of clotting disorders. - Monitor blood pressure: hormonal components may elevate blood pressure. - Store at ambient temperature: keep below 25°C in the original packaging, protect from moisture.

What does Chlormadinone Acetate, Ethinylestradiol interact with?

Madinance can interact with other medicines, altering its effectiveness or safety.

Major Interactions (Avoid): - Strong enzyme inducers (e.g., rifampin, carbamazepine): may markedly reduce contraceptive efficacy. - Other estrogen‑containing products (e.g., hormone therapy): increase risk of thromboembolic events.

Moderate Interactions (Monitor Closely): - Antifungal azoles (e.g., ketoconazole): may increase plasma levels of ethinylestradiol. - Certain anticonvulsants (e.g., phenytoin): may alter hormone metabolism. - Antiretroviral agents (e.g., protease inhibitors): may affect hormone concentrations.

Frequently asked questions

What is Madinance used for?+
Madinance is a prescription oral tablet that combines chlormadinone acetate and ethinylestradiol. It is used primarily to prevent pregnancy and to help regulate menstrual cycles in women of reproductive age.
How does chlormadinone acetate work in Madinance?+
Chlormadinone acetate acts as a progestogen, binding to progesterone receptors and suppressing the hypothalamic‑pituitary‑ovarian axis. Together with ethinylestradiol, it inhibits ovulation, thickens cervical mucus, and alters the endometrium, creating conditions that prevent fertilisation and implantation.
What is the usual dose of Madinance?+
The dosing regimen for Madinance is determined by the prescribing healthcare professional. Typically, it is taken once daily at the same time for a 21‑day active phase followed by a hormone‑free interval, but the exact schedule must be individualized.
Is Madinance safe to use during pregnancy or breastfeeding?+
Madinance is classified as pregnancy category X, meaning it must not be used by women who are pregnant or planning to become pregnant. It is also not recommended during breastfeeding because hormonal exposure may affect milk production and the infant.
How do I order Madinance from GNH USA?+
To order Madinance, submit an enquiry on the product page at gnh-usa.com, specifying the required quantity. GNH USA supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.
How does Madinance compare with other combined oral contraceptives?+
Madinance contains chlormadinone acetate, a progestogen with a relatively high anti‑androgenic profile, combined with ethinylestradiol. Compared with other combined pills that use levonorgestrel or desogestrel, Madinance may offer different side‑effect patterns, such as reduced acne, but overall contraceptive efficacy remains comparable.
What are the storage requirements for Madinance?+
Madinance tablets should be stored at ambient temperature, below 25 °C, in the original blister pack. They must be kept away from excess moisture, heat and direct sunlight to maintain potency.
How is Madinance administered?+
Madinance is taken orally, usually once daily at the same time each day. The typical regimen involves 21 consecutive active tablets followed by a hormone‑free interval, during which withdrawal bleeding occurs.
What are the most serious risks associated with Madinance?+
The most serious risks include venous or arterial thromboembolism, hypertension, severe liver dysfunction, and allergic reactions such as anaphylaxis. Patients with a history of clotting disorders, smoking over age 35, or uncontrolled hypertension should avoid use.
Who should not use Madinance?+
Madinance is contraindicated in women who are pregnant, have known or suspected estrogen‑dependent tumors, have a history of thromboembolic disease, uncontrolled hypertension, liver disease, or are smokers over 35 years old. It should also be avoided in individuals with known hypersensitivity to any component of the tablet.
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
Chlormadinone Acetate, Ethinylestradiol
Route
Oral Use
Manufacturer
Acis Arzneimittel Gmbh
Origin
EU

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