Drug side effects
Hello Doctor, my prescription is as follows: 1.
VOREN EM 50mg 2.
Propranolol 10mg.
I would like to inquire about side effects: My last menstrual period was from April 25 to April 30, and I started taking the medication on June 9.
As of now, my period has not yet arrived.
Could these two medications affect my menstrual cycle?
Cai Xiaojie, 20~29 year old female. Ask Date: 2022/06/11
Dr. Lin Manying reply Obstetrics and Gynecology
Ms.
Tsai: Hello, it should not be a medication issue.
Hualien Hospital of the Ministry of Health and Welfare is concerned about your health.
Reply Date: 2022/06/11
More Info
When considering the potential effects of VOREN EM (which contains the active ingredient Etoricoxib, a non-steroidal anti-inflammatory drug or NSAID) and Propranolol (a beta-blocker) on the menstrual cycle, it is important to understand how each medication works and their known side effects.
VOREN EM (Etoricoxib): This medication is primarily used to relieve pain and inflammation. While NSAIDs can sometimes affect menstrual cycles by altering prostaglandin levels, which play a role in the regulation of menstruation, Etoricoxib is less commonly associated with menstrual irregularities compared to other NSAIDs. However, some women may experience changes in their menstrual cycle due to various factors, including stress, changes in physical activity, or other medications.
Propranolol: This medication is used to treat various conditions, including hypertension, anxiety, and migraine prevention. Propranolol can have effects on the hormonal system, and while it is not directly linked to menstrual irregularities, some women have reported changes in their menstrual cycles while taking beta-blockers. The mechanism is not fully understood, but it may relate to the medication's effects on stress and anxiety levels, which can influence menstrual regularity.
Menstrual Cycle and Medications: It is essential to recognize that many factors can influence the menstrual cycle, including stress, lifestyle changes, weight fluctuations, and other medications. If you started taking these medications on June 9 and have not had your period since then, it could be due to a combination of factors, including the medications, stress, or other underlying health issues.
Recommendations:
1. Monitor Symptoms: Keep track of any additional symptoms you may be experiencing, such as changes in mood, weight, or physical health. This information can be helpful for your healthcare provider.
2. Consult Your Doctor: It is crucial to discuss your concerns with your healthcare provider. They can evaluate your situation more thoroughly, consider your medical history, and possibly run tests to rule out other causes of missed periods, such as pregnancy or hormonal imbalances.
3. Consider Lifestyle Factors: Reflect on any recent changes in your life that might be contributing to the delay in your menstrual cycle. Stress, changes in diet, exercise, and sleep patterns can all play significant roles in menstrual health.
4. Medication Review: If your healthcare provider determines that either VOREN EM or Propranolol is affecting your menstrual cycle, they may consider adjusting your medication regimen or exploring alternative treatments.
In conclusion, while both VOREN EM and Propranolol can potentially influence menstrual cycles, they are not commonly known to cause significant menstrual irregularities. However, individual responses to medications can vary widely. It is best to consult with your healthcare provider to address your specific concerns and determine the best course of action for your health.
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