Dinomac Tablet is an oral hormonal treatment containing Dienogest 2 mg, developed for managing endometriosis in reproductive-aged women. It creates a local progestogenic environment, suppressing estrogen-induced proliferation of endometrial tissue, thereby alleviating pelvic pain, dysmenorrhea, and irregular bleeding. Dinomac provides a long-term, non-surgical treatment option for women seeking consistent symptom control without complete hormonal shutdown.

• HORMONES & MENOPAUSAL SYMPTOMS > Endometriosis
  Dinomac is indicated for the long-term treatment of endometriosis. By targeting ectopic endometrial tissue and minimizing estrogen stimulation, it helps control chronic pelvic pain, menstrual irregularities, and associated inflammation. This therapy is often chosen by women who want to avoid invasive interventions or the side effects of more aggressive hormone suppression.

Dienogest is a fourth-generation oral progestin with high endometrial selectivity. It reduces estrogen-dependent cell growth by inhibiting aromatase expression and promoting decidualization of endometrial tissue. Its partial ovulation-suppressing effect is sufficient for therapeutic purposes while still preserving future fertility. Compared to GnRH analogs, it has a gentler hormonal profile and a lower risk of hypoestrogenic side effects such as hot flashes or bone demineralization.

• Dosage - Take one 2 mg tablet daily at the same time, with or without food
• Initiation - Can be started on any day of the cycle, regardless of menstrual regularity
• Administration - Maintain strict 24-hour dosing intervals, If a dose is missed, take it within 12 hours; otherwise, skip and continue as usual
• Duration of Use - Minimum recommended treatment duration is 6 months, Long-term use is possible if well tolerated and symptoms persist
• Discontinuation - Medical consultation is advised before stopping therapy, Normal menstruation usually returns within a few weeks of discontinuation
• Precautions - Not to be used as a birth control pill, Recommend non-hormonal contraception if pregnancy prevention is required, Mild to moderate side effects such as nausea, breast tenderness, or spotting may occur initially

• Store below 25°C in a dry place away from sunlight.
• Keep the tablets in the original blister until use. Ensure the product is out of reach of children.

• Frequent: irregular menstrual bleeding, breast tenderness, headache
• Occasional: decreased libido, acne, nausea
• Rare: liver enzyme elevation, mood changes, thromboembolic events
• Report severe symptoms like jaundice, persistent depression, or leg pain to a healthcare provider promptly