Implantation Bleeding- VyWhy

Last updated on 2022-06-01 20:46:44


While planning for pregnancy, bleeding seen around the time of your actual menstrual date could be disheartening. But it can be implantation bleeding, too, which is a good thing.

Vaginal bleeding that occurs during the menstrual cycle and pregnancy can be divided into three types, namely,

  1. Ovulation Bleeding - When there is a release of an egg from the ovary, a light spotting is seen, which is called ovulation bleeding. It usually happens around the mid-cycle on the 14th day.

  2. Menstrual Bleeding - When the released egg is not fertilized by the sperm, it breaks down, resulting in menstruation which is usually moderate to heavy bleeding. It occurs around the 28th day in a regular 28-day cycle.

  3. Implantation Bleeding - If the egg released during ovulation is fertilized by the sperm and is implanted onto the uterine wall, it produces implantation bleeding. It occurs between the 20th and 24th days of a typical 28-day menstrual cycle.

What Is Implantation Bleeding?

The implantation of the fertilized egg on the uterine wall produces slight vaginal bleeding. It usually occurs around the time of menstruation which people assume to be regular periods. In the case of implantation bleeding, the amount of blood that comes out is very minimal. It actually serves as an indicator of pregnancy. However, not all women experience it, and only one-fourth of women who get pregnant undergo implantation bleeding.

What Causes Implantation Bleeding?

Ovulation (release of an egg from the ovary) usually occurs in the mid-cycle. After the egg is released from the ovary, it usually waits for a day or two for fertilization to take place. When the sperm reaches the egg during those days, the egg and sperm fuse together in the process called fertilization. After 10 days to 14 days of fertilization, the fertilized egg implants itself into the uterine wall. As a result, there is a breakage of blood vessels present on the wall of the uterus, which causes implantation bleeding.

What Other Symptoms Accompany Implantation Bleeding?

Of the very few identifiable, early pregnancy symptoms, implantation bleeding is an important one. The accompanying signs may be helpful to differentiate between the actual menstruation and implantation bleeding. Although the signs may be similar to that of premenstrual symptoms, the intensity of the pain is less than a regular period.

The following are the accompanying early pregnancy symptoms:

  • Headaches.

  • Nausea and vomiting.

  • Mild abdominal cramps.

  • Mood swings.

  • Lower back pain.

  • Tenderness of breasts.

How Long Will an Implantation Bleeding Be Present?

Implantation bleeding usually lasts only for about two hours to three hours. With some, it can be present for three full days. When you have been sexually active, and your menstrual cycle lasted less than three days with no or minimal abdominal cramps and not much bleeding, there are chances for it to be implantation bleeding. However, suppose you have dark or bright red bleeding like you usually get on menstruation for more than three days. In that case, the chances of it being implantation bleeding are significantly less. The implantation bleeding is less likely to occur in people who have already had an egg attachment. In contrast, women in their first pregnancy have an increased chance of implantation bleeding.

How Is Implantation Bleeding Different From Normal Menstrual Bleeding?

The amount of menstrual bleeding differs for every woman. Despite the difference in the flow of menstrual bleeding, the following are the key differences that help distinguish implantation bleeding from actual menstruation.

1. Clotting:

In the case of menstrual bleeding, there will be the presence of blood clots, although the amount of blood clots present differs. When it comes to implantation bleeding, there should not be any blood clots.

2. Color of Bleeding:

Bright to dark red is the color of the menstrual bleeding, while implantation bleeding has a light pink to dark brown color.


The term 'implantation bleeding' is a misnomer because in terms of implantation bleeding, there is only slight spotting. There is no actual bleeding as seen in menstruation. The spotting can either be intermittent or constant but with a light flow.

Why Do Both Implantation and Menstrual Bleeding Occur at the Same Time?

Since both implantation and menstruation occur about 10 days to 14 days after the release of egg or ovulation, the time of implantation bleeding or menstrual bleeding is almost similar. Implantation bleeding is usually expected in the week of the actual menstruation date.

Is Implantation Bleeding a Cause for Concern?

Implantation bleeding is not a cause for concern for the developing fetus and usually results in a healthy pregnancy. However, it is not normal if there is spotting or heavy bleeding for a few days after your missed periods. Immediate medical attention with a gynecologist is a must.

What Should I Do to Check if My Bleeding Is Implantation Bleeding?

In addition to the above-mentioned key features, implantation bleeding can be confirmed by taking a pregnancy test. When pregnancy occurs, the amount of human chorionic gonadotropin (hCG) increases in the body, which is detected in urine with the help of a urine pregnancy test. Since implantation bleeding is an indicator of pregnancy, taking a home pregnancy test after three to five days of your missed periods helps confirm it.


The sight of vaginal bleeding can be upsetting. However, if it turns out to be implantation bleeding, the chances of pregnancy are high. Try taking a home pregnancy test to confirm pregnancy after three to five days of missing your periods. Not planning for pregnancy, then implantation bleeding signals you to reach out to a healthcare provider to find the best possible solution. It is also recommended to seek the consultation of your treating doctor when you experience bleeding days after your missed period to avoid any complications.

Meprate - Uses | Dosage | Side Effects | Drug Warnings

21-12-2018 · Overview: Meprate is a progestin (a form of progesterone), which is used as a contraceptive pill. It inhibits ovulation by inhibiting LH surge and follicular development. …


Meprate is a progestin (a form of progesterone), which is used as a contraceptive pill. It inhibits ovulation by inhibiting LH surge and follicular development. Meprate is used to regularize the menstrual cycle as it has Progestin, which is a form of the hormone progesterone. The hormone progesterone is responsible for the shedding of the endometrium (inner lining of the uterus) during menstruation, so it is also used to prevent the thickening of the endometrium. It is also used in a higher dose as a contraceptive.


Medroxyprogesterone acetate is the Progestin that is found in Meprate tablets. It is available as 2.5 mg, 5 mg, and 10 mg tablets, which are taken orally. It is the synthetic form of progesterone hormone. If the body lacks natural progesterone, this tablet is used to replace it.

What Is Meprate Used For?

Medroxyprogesterone is used to:

  • Regulate irregular menstrual bleeding.

  • Prevent thickening of the inner lining of the uterus (endometrial hyperplasia). As a result, it prevents cancer from developing in the uterus.

  • Reduce the symptoms of menopause like a hot flush.

  • Stop abnormal bleeding from the uterus.

  • Induces periods in women having amenorrhea (absence of periods).

  • As a contraceptive pill.

Medroxyprogesterone acetate prevents pregnancy by preventing the proper development of the ovum by reducing the secretion of Gonadotropin-releasing hormone (GnRH) from the hypothalamus. It also increases the mucus secretion in the cervix, making it hard for the sperm to reach the egg.

Endometrial hyperplasia is due to more estrogen in the absence of progesterone. Due to the lack of progesterone, the uterine lining keeps getting deposited because of estrogen. In such a case, progestin helps shed the endometrium and prevents its thickening. Endometrial hyperplasia may lead to uterine cancer.

Can Meprate Be Used to Delay Periods?

Meprate will delay periods if you start taking it a few days before the date of your periods. You will mostly not get your periods for as long as you take the tablet. Once you stop, you will have some withdrawal bleeding in a few days. Never take this tablet without consulting a doctor.

Can Meprate Be Used to Avoid Pregnancy?

Meprate contains Progestin, which is used as a contraceptive. Meprate prevents pregnancy by preventing ovulation and the endometrium from thickening if taken in higher doses. It is used to treat irregular menstruation, prevent cancer, and reduce symptoms of menopause.

How Does Meprate Work?

Meprate contains Medroxyprogesterone, which is a synthetic derivative of the female hormone progesterone. Progesterone is naturally produced by the ovaries during the menstrual cycle. This affects the endometrium by changing the proliferating stage to the secretory stage. This stops the growth of the endometrium and secretes the hormones and other proteins which are required for pregnancy if conception occurs or else menstruation takes place. It maintains the normal menstruation cycle by regularizing the menses and helps to achieve hormonal balance.


Meprate is available as 2.5 mg, 5 mg, and 10 mg. The dosage can vary according to the condition you are using it for, so it is always necessary to consult your doctor before taking this medication.

  • For abnormal or irregular bleeding or amenorrhea. The dosage usually prescribed is 5 or 10 mg daily for 10 days, starting from the 16th day of the menstrual cycle.

  • For endometrial hyperplasia prevention: 5 or 10 mg every day for 12 to 14 consecutive days every month.

Missed Dose:

If in case you forget to take a dose, take the next dose, and do not take the missed dose. It is not advisable to double the doses.

How To Take Meprate?

Meprate tablets should be taken as directed by your doctor. This tablet should be taken as a whole without crushing or chewing it. For better results, it should be taken at a fixed time every day. Do not discontinue the medication on your own.

What Are the Warnings and Precautions for Meprate?

It is important to inform your treating doctor about any pre-existing health condition or any allergy. Medroxyprogesterone acetate should be avoided or taken with precaution if you have any of the following condition:

• While on this tablet, if you feel chest pain, dizziness, shortness of breath, headache, pain in the groin, and slurred speech, get medical assistance right away. This is because the tablet increases the risk of heart disease and stroke.

• It might cause pancreatitis (inflammation of the pancreas). Inform the doctor immediately if you develop severe abdominal pain, fever, chills, nausea, vomiting, etc.

• If you are pregnant or suspect pregnancy, then stop the drug and inform your doctor, as it can affect the fetus.

• Smoking should be avoided, as it increases the risk of stroke.

• The risk of heart disease is high if you are obese, diabetic or have high cholesterol.

• There is also a risk of blood clots, heart attack, stroke, breast and uterine cancer with this drug.

Tell your doctor if you have a history of any heart disease, stroke, blood clots, cancer, asthma, diabetes, epilepsy, hypertension, kidney disease, liver disease or any thyroid problem. Some precautions and dosage might need to be altered depending on the condition.

What Are the Contraindications for Meprate?

Medroxyprogesterone should be avoided in the following conditions:

  • Vaginal bleeding of unknown cause.

  • Impaired liver function.

  • Pregnancy.

  • Uncontrolled diabetes.

  • Uncontrolled hypertension.

  • History of mental illness or depression.

  • Breast cancer.

  • Allergic to Medroxyprogesterone.

The following side effects may occur while taking this tablet:

  • Nausea.

  • Vomiting.

  • Abdominal cramps.

  • Mood swings.

  • Dizziness.

  • Headache.

  • Decrease urine output.

  • Pain in the breast.

  • Depression.

  • Puffy eyes.

  • Weakness.

  • Weight gain or loss.

  • Spotting.

  • Fever.

  • Blurred vision.

  • Pain on urination.

  • Dark spots on the face.

  • Heart attack.

  • Stroke.

  • Hot flush.

  • Blood clots.

  • Reduces bone density.

  • Sleeplessness.

  • Acne.

  • Abnormal hair growth.

  • Liver and kidney problems.

  • Allergic skin rashes.

As Meprate has many possible side effects and drug interactions, it is better to consult a gynecologist before taking this medicine.

Will Meprate Affect the Baby If Taken While Pregnant?

Medroxyprogesterone, if taken during pregnancy, can affect the baby. It might not cause abortion but can cause some bleeding. Some studies have found that taking Meprate during the first trimester increases the incidence of birth defects.

Does Medroxyprogesterone Cause Constipation?

Yes, constipation is a side effect of Medroxyprogesterone tablets.

Does Meprate Damage the Kidneys?

Meprate does not damage your kidneys. But if you have a pre-existing kidney condition, then it might worsen it. So always tell your doctor about any kidney disease before he or she prescribes this medicine.

What Are the Drug Interactions of Meprate?

Certain drugs that you are already taking might interact with this medicine and increase or decrease the effectiveness of the drug or cause side effects. The drugs that might interact with Meprate are:

  • Aminoglutethimide.

  • Rifampicin

  • Itraconazole.

  • Tranexamic acid.

  • Phenytoin.

  • Phenobarbital.

  • Isotretinoin.

  • Warfarin.

  • Ritonavir.

  • Cyclosporine.

There are few drugs that can replace Meprate. They are:

  • Tablet Deviry.

  • Tablet Provera.

  • Tablet Medolin.

  • Tablet Regeeva.

  • Tablet Medrogest.

  • Tablet Modus.

As all drugs have their own side effects and drug interactions. It is always better to consult a gynecologist or family physician before taking any medicine. Self-medication is not advisable.

What does CT (computed tomography) severity score mean?

10-06-2021 · CT severity score indicates the severity of infection. A score below 7 indicates mild, below 18 indicates moderate and above 18 indicates severe infection.


Hi doctor,

I was tested positive for COVID-19 seven days back. I am having some mild symptoms. I am checking my oxygen levels using a pulse oximeter. I have a range of 90 to 100% for the past three days. I do not have any difficulty in breathing. I took a CT chest after six days. I am attaching it. Kindly go through my reports and give your suggestions. What does CO-RADS 6 mean? What does CT severity score 6/25 mean? Do I need to take any other precautions? Currently, I am taking Dolo, Azithromycin, Zinc tablets, and Vitamin C tablets.

Current medication details:

Tablet Dolo. Tablet Azithromycin. ZInc tablet.

Vitamin C tablet.

lab tests done:

CT of chest and RT-PCR.



Welcome to

I understand your concern. I have gone through the attached reports (attachment removed to protect patient identity). According to your HRCT (high resolution computed tomography) of chest and RT-PCR (reverse transcriptase-polymerase chain reaction) test results, you have a positive result for COVID-19 (severe acute respiratory syndrome coronavirus 2). According to your HRCT of the chest, you have bronchopneumonia caused by COVID-19 infections. You are at the initial stage of COVID pneumonia.

CO-RADS (COVID-19 reporting and data system) means definite COVID-19 infections. COVID-19 with a CT severity score of 25 indicates the severity of infection present during your test time. 7/25 or less indicates mild infections, 8/25 or more indicates moderate infections and 18/25 indicates severe infections.

According to CO-RADS, it means that you are suffering from COVID-19 infections, and 6/25 indicates that your COVID-19 infection is mild. You need symptomatic treatment during COVID-19 infections. You need to take antiviral medications to reduce viral load as you have pneumonia due to viral infections. Continue taking medications and take anti-viral medications along with it.

If you suffer from a cough, then you need to take antihistamines. If you have a fever, you need to take antipyretic medications like Acetaminophen or Paracetamol. These types of treatment are called symptomatic treatment. If your oxygen saturation goes below 92%, then you should get admitted to the hospital for oxygen saturation therapy. Otherwise, you can take treatment at home. Monitor your oxygen saturation level frequently using a pulse oximeter.

Thank you doctor,

What are the antiviral medications to be taken? Do I need to take a CT chest after five days again? What is the average recovery time for mild symptoms? Do I need to stop taking tablet Azithromycin after starting antiviral medications?



Welcome back to

I suggest you take Favipiravir three tablets thrice daily on day one and then take two tablets twice daily on the morning and night from day 2 to day 10. Repeat HRCT of chest after five days to see the progression of pneumonia. The average recovery period is 14 days. Do not stop taking Azithromycin as it protects you from secondary infections.

Thank you doctor,

What does 3 3 3 indicate? Does it indicate three tablets in the morning, afternoon, and night on the first day? From second to tenth day, I need to take two tablets in the morning and night.



Welcome back to

Yes, you need to take three tablets in the morning, afternoon, and night on day one. From the second day to the tenth day, you need to take two tablets in the morning and night. These are the antiviral medications taken for COVID-19. If you have a severe cough or shortness of breath, then I suggest you take tablet Dexamethasone 4 mg twice daily after meals with antiulcerants for ten days. If you do not take Dexamethasone, you can suffer from the above-mentioned respiratory complications soon.

Thank you doctor,

I have attached my HRCT of chest taken today.



Welcome back to

Your recent HRCT scan shows a CT severity score of 9/25. It is slightly higher than your previous report of 6/25. Previously, your pneumonia was in the mild stage. Now, your pneumonia status has reached a moderate stage. As mentioned earlier, a CT score of 8/25 or more indicates a moderate type of pneumonia. After having pneumonia, it can become severe after few days. But in your case, it is in the lower limit of the moderate stage. It is still under control. Sleeping in an air conditioner can aggravate this condition.

It is best to avoid sleeping in an air-conditioned environment because dry and cool air can irritate your respiratory tract and worsen your pneumonia. COVID-19 is a viral infection. It can cause some complications such as sudden fall of oxygen saturation, exertional dyspnea, low pulse rate or bradycardia. As your oxygen saturation remains above 95%, then there is nothing to be worried. Take a lot of fluids, vitamin C enriched foods, and citrus fruits to enhance your immune system. Continue taking your present medications. Do not sleep in an air-conditioned environment. Your COVID pneumonia will subside soon.

Thank you doctor,

I will avoid sleeping in an air-conditioned environment and continue taking medications.



Welcome back to

According to your statement, I think that your medications are working and your health condition is good. COVID-19 is peculiar in nature and causes various peculiar complications. It can cause fatigue, tiredness, and weakness. It occurs commonly in infected persons. Your weakness occurs due to covid associated complications. It may persist for a few days, weeks, or months. You can take glucose mixed water regularly. If you do not have diabetes mellitus, glucose mixed water can give instant energy and increases oxygen levels in the blood. If you are not affected with Covid-19 infection on second time, then a sore throat can also occur due to excessive sweating. It can soak up through the throat causing a sore throat. You can gargle salt mixed lukewarm water three to four times daily. You can take ginger tea three to four times daily to soothe your throat. Soak up your sweat with dry towels. Anxiety or stress is a complication of covid-19 infections. Try to keep yourself free from any type of anxiety or stress. If your oxygen saturation remains above 95%, then there is nothing to be worried.

Thank you doctor,

I am feeling much better without symptoms. I have a low lingering cough and mild sore throat. It has been ten days now. I am thinking to stop my medications. I need your advice. Is it fine to stop taking medications? It has been 16 days of having an infection. I have taken antiviral and antibacterial medications for the past ten days. Do I need to take a CT chest? My lungs feel to be normal.



Welcome back to

As it has been ten days of taking medications, you can stop taking medications. As 14 days passed, you can repeat RT-PCR test for covid-19 infection. You can also do HRCT of chest again. Your mild cough will subside soon with the help of your body's immune system. Take plenty of fruits, nutritious foods, and citrus foods to regain your energy level.

Thank you doctor,

It has been a month of having a COVID-19 infection. It has been 11 days of stopping medications. I have a mild cough for ten days. It does not occur during day time and it occurs during night. I lie flat on the floor and I do not sleep under AC. I am sensitive to smell and I get a cough with the smell from cooking. So I am using Vicks and halls to reduce my cough. I take around three to four numbers during night. I got blisters on my tongue and mouth due to it. It was bad yesterday. Today, I took Azithromycin 500 mg, Ibuprofen 400 mg, and Dolo 600. It helps me a lot. I need your advice on the attached image. I do not have any symptoms of black fungus. I am taking vitamin C and zinc supplements along with it. I have a bright center shade on the tongue. Kindly suggest.



Welcome back to

I understand your concern. According to your statement, you noticed a bright pink shade on the center of the tongue. A healthy tongue looks pink and it remains covered with small nodules known as papillae. Changes seen in the normal appearance of the tongue causes concern. According to the picture provided here, a bright pink shade on the center of the tongue can occur due to allergic reactions, inflammation, infection, drugs, vitamin B12 deficiency, inadequate intake of fluid, poor oral hygiene, and blood disease or heart problems. As your bright pink shade on the center of the tongue is fading off, then it can occur due to drug reactions and allergies.

Taking Ibuprofen can cause tongue swelling and tongue discoloration. Medications causing discoloration will subside overtime after stopping the causative drug. You can take Azithromycin and Dolo. Avoid taking Ibuprofen. For subsiding your night cough, you can take medications such as antihistamines like Fexofenadine and leukotriene receptor antagonists like Montelukast. You can take tablet Allegra 120 mg one tablet at night for ten days and tablet Singulair 10 mg one tablet at night for 15 to 30 days. According to your statement, you do not have any signs or symptoms of black fungus. Do not be worried. You can have allergic problems which are responsible for the night cough.

Thank you doctor,

I am experiencing some mild symptoms of ear discomfort. My left ear hurts a lot when I swallow my saliva. It does not hurt at other times. But still, I have slight discomfort. I took a piece of clove yesterday to avoid having medications. It helped me a little bit but not completely. Can I take Azithromycin 500 mg? If so, how many days to be taken? Kindly suggest some medications for my issue.



Welcome back to

According to your statement, you are suffering from ear pain while swallowing. Pain while swallowing saliva can occur due to ear infections. Mostly, it is caused by bacterial or viral infection. They cause swelling, build-up of fluid, or irritation inside the ears causing pain. Ear infections can also be initiated by other conditions like cold, flu, sinus infections, or allergies. Ear infections are a common cause of ear pain but sometimes, they initiate as nose or throat infections.

Ear pain during swallowing can also develop from tonsillitis, peritonsillar abscess, temporomandibular joint dysfunction, and glossopharyngeal neuralgia. The exact cause of ear pain has to be ruled out for having proper treatment. If ear pain is caused due to bacterial infection, then taking antibiotic ear drops for a week will help to subside your ear infection. Taking painkillers like Ibuprofen or Naproxen helps a lot. You can also apply Corticosteroid or steroid ear drops to heal inflammation inside the ears. It also subsides the symptoms of inflammation such as swelling, redness, irritation, or pain inside the ears.

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Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Q. Can I take Practin and Decdan to gain weight?

19-08-2017 · The tablets Practin (Cyproheptadine hydrochloride) and Decdan (Dexamethasone) would just add water retention in the body and not increase the muscle mass. So once you …


Hi doctor,

I am a 23 year old female. My height is 5 feet 3 inches and I weigh 41 kg. I need to put on weight. I have fast metabolism. Can I take Practin and Decdan tablets? It is suggested by one of my friend. Thank you.



Welcome to

The tablets Practin (Cyproheptadine hydrochloride) and Decdan (Dexamethasone) would just add water retention in the body and not increase the muscle mass. So once you leave it, your body shall return back to low weight itsel So, Practin and Decdan are not recommended for instant weight gain Gradual weight gain is always advisable. An increase in 500 kilocalories per day can result in increasing the body weight by 0.5 kg per week

Eat plenty of healthy fats. Have egg yolks, meat with animal fat, coconut oil, and other healthy fats. Increase calorie intake of healthy foods that include bananas. Chew the food properly to improve digestion Keep a track of your weight gain as this is essential. It is healthy to increase approximately 5 to 6 kg per month. The right combination of healthy food, exercise, correct breathing, rest and sleep go a long way in healthy and happy life. For further information consult a family physician online -->

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Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

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I-Pill - Uses | Dosage | Side Effects | Drug Warnings

09-12-2017 · What Is I-Pill Used For? I-pill is the quick solution if you are worried about an unplanned pregnancy after: An act of unprotected intercourse. Failure of the condom. Missing regular …


Accidents do happen. That is the reason we have emergency contraceptive pills such as I-pill available. However, these are not regular birth control pills. They are meant to be used only in emergency situations.

They are never to be used as the primary method of contraception. Also, this tablet is recommended for use by women aged 25 to 45. It is important to note that it is not intended to be used by teenagers whose reproductive organs are still maturing.


This tablet contains,

  1. Levonorgestrel 0.15 mg - Active ingredient.

  2. Ethinylestradiol 0.03 mg.

The active ingredient enters the bloodstream and blocks the formation of luteinizing hormone and follicle-stimulating hormone. These hormones are responsible for the development and release of eggs from the ovaries. So, emergency contraceptive pills work depending on the reproductive cycle by delaying ovulation.

What Is I-Pill Used For?

I-pill is the quick solution if you are worried about an unplanned pregnancy after:

  • An act of unprotected intercourse.

  • Failure of the condom.

  • Missing regular birth control pills.

  • Forced sex or sexual assault.

I-pill is to be used only before a pregnancy is established. It does not cause abortion in an already pregnant woman. Also, it does not affect pregnancy.

How Does I-Pill Work?

During menstruation, the mature eggs are released from the ovaries, and it is called ovulation. The ovaries produce progesterone, the female sex hormone, to avoid the release of more eggs and prepare the womb (uterus) for pregnancy.

During fertilization, the progesterone levels remain elevated, and the womb lining is retained. However, if there is no pregnancy, the progesterone levels decrease to cause menstruation.

Depending on where you are in your cycle, the I-pill works in two ways to prevent pregnancy.

  • It prevents the ovaries from releasing the egg.

  • If the egg has already been released, it prevents the egg from getting fertilized or implanted.

The Onset of Action:

These are not regular birth control pills and are meant to be used only in emergency situations. It should be taken orally within 24 to 72 hours of having unprotected sex because the sooner the pill is taken greater the effect. Therefore, it is most effective when taken immediately after the act for up to 24 hours and is advised to be taken within 72 hours (90 to 95 % effective). The effectiveness comes down to 85 % when taken from 25 to 48 hours after and to 58 % when taken between 49 to 72 hours after. If it is taken after 72 hours, it may not work at all.

What Is the Dosage of I-Pill?

It comes as a single tablet box which is to be taken with water after food to prevent vomiting. It should not be taken regularly and should be used for emergency purposes only. This is because I-pill contains high doses of hormones that can alter the hormonal response of the body when taken on a regular basis. If you vomit within three hours after taking the I-pill, it is recommended to take another I-pill as quickly as possible. In case of any doubts or side effects, consult a doctor. Follow-up with the doctor after three weeks of taking I-pill to rule out pregnancy, both uterine and in the tube.

What Are the Drug Warnings and Precautions?

  1. I-pill is to be stored in a cool place at a temperature not exceeding 25 degrees celsius.

  2. Secure the pill against moisture and protect it from light.

  3. Do not freeze it.

  4. Place it away from children's reach.

  5. Always consult a doctor before taking this pill.

  6. Before using the medication, have a look at the leaflet carefully.

  7. People with a history of porphyria should take the medication with caution.

  8. People with arterial disease and breast cancer should not take this drug.

  9. People with lung problems should avoid taking this drug.

Short-term side effects include:

  • Unexpected spotting or vaginal bleeding.

  • It adversely affects the libido.

  • Nausea.

  • Breast tenderness.

  • Headache.

  • Lower abdomen pain.

  • Levonorgestrel induces allergies, and it is the active component of the pill.

  • Weight gain.

  • Dizziness.

  • Altered periods (late, early, or absent).

  • Hormonal imbalance.

  • Mood swings.

  • Rarely an allergy, causing skin rashes.

  • Fatigue.

  • Drug interactions.

When a heavy dose of I-pill is taken, most of the side effects occur.

Essential Tips for I-Pill:

  1. Do not use it routinely and use it for emergency purposes only as it has a high dose of hormones.

  2. Do not confuse it for standard oral contraceptive pills or abortion pills, as I-pill is an emergency contraceptive pill and not recommended for abortion purposes.

  3. Do not start taking the drug if you missed your periods; instead, take a pregnancy test to make sure you are not pregnant.

  4. Do not take this pill if you are allergic to Levonorgestrel, as it is the active ingredient.

  5. If you vomit after taking the pill, take another pill as soon as you vomit to absorb the components of the drug.

  6. Contraceptive pills do not safeguard against HIV and other sexually transmitted diseases and avoid these diseases by using condoms.

  7. It should be by women between 25 and 45 years of age and is not approved for adolescents.

  8. It is not 100% effective against preventing pregnancy and does not work if you are already pregnant.

What Are the Interactions of I-pill?

I-pill does not cause adverse effects when taken with other medications. But sometimes, it modifies the metabolism and pharmacological activity of various other drugs such as:

  • Tetracycline.

  • Rifampicin.

  • Phenobarbital.

  • Phenytoin.

  • Primidone.

  • Anticoagulants.

  • Benzodiazepines.

  • Beta-blockers.

  • Caffeine.

  • Corticosteroids.

  • Tricyclic antidepressants.

So, it is better to consult a doctor before taking an I-pill with other medications.

What Happens When I Take an I-Pill Without Sperms Entering?

If you had an unprotected exposure but are not sure of your risk of getting pregnant, it is still recommended to take an I-pill as there are no special side effects if taken when you were not exposed to sperms.

When Should I Use Regular Birth Control Again?

If you took an I-pill because you missed taking your regular oral contraceptive pills for three days in a row, you could start using your regular pills from the next day onwards.

Reason for Bleeding After Intake of I-Pill

Many women have intermenstrual spotting or bleeding, commonly known as 'withdrawal bleeding' five to seven days after taking I-pill. But, if you do not get your periods within three weeks, it is advised to take a pregnancy test.

Will I-Pill Cause Infertility?

While the I-pill is not proven to affect fertility and future pregnancies directly, they are hormonal pills that are meant to disrupt the natural cycle of the body. So, when it is taken more than twice in a span of six months, it can throw the menstrual cycle off balance and make ovulation unpredictable. Your periods can become irregular, and the flow can become heavier or lighter.

Does I-Pill Cause Abortion?

I-pill prevents pregnancy from happening in the first place. It is to be used only before a pregnancy is established. It does not cause abortion in an already pregnant woman. It has no effect on pregnancy.

If you miss your period even after taking an I-pill, it is possible that the pill did not work for you. In that case, consult your doctor for the next course of action.

Is Pregnancy Still Possible After Taking I-Pill?

I-pill has a good success rate when taken within the stipulated time. Still, like with any other type of contraception, there is a slight chance of failure with the I-pill too. So, it is still necessary to consult a doctor for a follow-up three weeks after taking I-pill to rule out pregnancy, both uterine and in the tube.

There are few substitutes for i-pill; they are,

  • Postpone-72 Tablet.

  • Niel 72 Tablet.

  • Unwanted 72.

  • Plan B One-Step.

  • Take Action.

Consult a doctor if you do not feel good about taking an I-pill and avoid self-medication.

Covaxin Vs Covishield

13-04-2021 · Covaxin is India's first homemade vaccine against COVID-19, which has shown high antibody response levels in a mid-stage trial. It has demonstrated 81% efficacy in …


COVID-19 is a disease caused by a strain of Coronavirus, where "CO" stands for CORONA, "VI" stands for VIRUS, and "D" for DISEASE. SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) is a unique strain of Coronavirus that has not been identified in humans earlier. The COVID-19 was behind the respiratory illness disorder first discovered in Wuhan, Hubei province, China, in December 2019. Since then, cases have been identified in almost all countries worldwide, and WHO declared it a pandemic on 11th March 2020.

What Is COVID-19 Vaccine?

Vaccines against the SARS-CoV-2 virus are known to produce antibodies that reduce the severity of the disease, symptoms, and spread of COVID-19. They are designed to provide acquired immunity against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that causes coronavirus disease 2019 (COVID-19). Since COVID vaccines were developed at a record speed, misinformations about them circulated fast and prevailed for a longer duration. Based on the clinical trials, studies, and data, researchers strongly recommend every individual to get vaccinated.

Before the COVID‑19 pandemic, there was an established knowledge about coronaviruses' structure and function due to research on the other strains of Coronavirus causing the Middle East respiratory syndrome (MERS) and severe acute respiratory syndrome (SARS). This quickened the development of various vaccines against COVID-19. The COVID-19 vaccines and WHO Emergency Use Listing (EUL) offer varying levels of protection against infection, mild disease, severe disease, hospitalization, and death. COVID-19 vaccines are generally very effective at preventing severe illness, hospitalization, and death from all current virus variants. They are less effective at protecting against infection and mild disease than earlier virus variants, but the symptoms are more likely to be mild after vaccination.

What Is Covaxin?

Covaxin is India's first homemade vaccine against COVID-19, which has shown high antibody response levels in a mid-stage trial. The vaccine’s efficacy against COVID-19 of any severity was 78 %, 14 or more days after the second dose. The efficacy of vaccines against severe disease is 93 %. Adults aged less than 60 years had a 79 % efficacy rate, while those aged 60 and up had a 68 % efficacy rate.

Bharat Biotech has produced this vaccine in collaboration with the ICMR (Indian Council of Medical Research) and the NIV (National Institute of Virology), Pune. Covaxin is an inactivated vaccine, meaning it contains killed SARS-CoV-2. This makes it safe to be injected to acquire immunity. The manufacturers used a sample of the Coronavirus, which was isolated by India's National Institute of Virology. When administered, our immune system starts producing antibodies against the dead or inactivated virus. In the event of a future infection with this virus, the body will already have the antibodies to fight off the Coronavirus. Covaxin is given in two doses, administered four weeks apart.

Covaxin is produced by chemically treating novel Coronavirus samples to prevent them from replicating. The double-dose vaccine presented a significantly more powerful neutralizing antibody response in Phase II than in Phase I due to the variation in the dosing regimens that changed to a 4-week apart injection program from a 2-week course. But it also noted that the Phase II trial, which had 380 participants, included a small number of people aged between 12 to 18 years and 55 to 65 years. Covaxin was given approval for emergency use in children aged 2 to 18 years. The clinical trials in children are ongoing and the vaccine’s efficacy and immune response generated were found to be similar to that of adults in the trials. More investigations are required to establish immunogenicity in children and older individuals. It also said that while the trial involved participants from over nine Indian states, the study group lacked ethnic and gender diversity.

Covaxin Efficacy:

The WHO’s Strategic Advisory Group of Experts onImmunization(SAGE) says that the vaccine’s efficacy against COVID-19 of any severity was 78 %, 14 or more days after the second dose. The efficacy of vaccines against severe disease is 93 %. Adults aged less than 60 years had a 79 % efficacy rate, while those aged 60 and up had a 68 % efficacy rate. In contrast, the Coronavirus vaccines from Moderna and Pfizer have promoted 94.1 % and 95 % efficacy respectively. Covaxin has been examined on monkeys and hamsters, and the results have revealed that it provides enough immunity against the virus.

Covaxin Dosage:

Covaxin is administered in two doses, and the second dose is injected at an interval of 4 to 6 weeks.

Side effects are generally rare. Side effects in most vaccinated persons are mild malaise and fever. Rarely skin rashes, dizziness, swelling of the face and the throat, weakness, pain, increased heart rate, nausea and vomiting, difficulty in breathing, itching, and other allergic reactions can occur.


The confined version of the Oxford-AstraZeneca COVID-19 vaccine is called Covishield. Serum Institute of India, the world's biggest vaccine producer by volume, joined with the British-Swedish drugmaker to deliver 1 billion doses of its COVID-19 vaccine.

It uses the common cold virus from the chimpanzee. This weakened version encodes instructions for building proteins from the new Coronavirus to generate an immune response and prevent infection. Two doses of the vaccine, which were given in four weeks intervals, were initially believed to provide the best protection against COVID-19.

The scientists reported that the Oxford vaccine had an overall potency of 70 % but could be around 90 % effective when administered a half dose followed by a total dose a month later. According to the preliminary investigation, the vaccine seemed to be more than 80 % effective in preventing severe illness among older individuals. Therefore, Covishield is a highly effective vaccine over novel coronavirus.

Covishield Efficacy:

Covishield has withstood testing in four countries with a demographically different population, thus guaranteeing that it is safe to be used. According to the Serum Institute of India's data, Covishield has an overall effectiveness of 76 % against symptomatic COVID-19 after more than 14 days after the second dose and 81.3 % if the doses were separated by more than 12 weeks.. However, it is still weaker than the Coronavirus vaccines from Moderna and Pfizer.

Covishield Dosage:

This vaccine is also administered in two doses and the second dose at an interval of 12 to 16 weeks. Covisheild vaccine can be safely stored at temperatures between 2 and 8 degrees celsius.

Side effects are generally rare. Side effects in most vaccinated persons are very mild malaise, mild fever. Rarely the skin rashes and other allergic reactions occur. The side effects of the Covishield vaccine are tenderness, pain, joint pain or muscle ache, generally feeling unwell, warmth, fatigue, redness, chills, itching, headache, swelling, nausea or bruising where the injection is given, feeling dizzy, enlarged lymph nodes, decreased appetite, excessive sweating, itchy skin, a lump at the injection site, flu-like symptoms.


Both the COVID-19 vaccines have some similarities and differences.

  • Covaxin is an inactivated vaccine, and it has been around for decades. It is based on a tried and tested platform of dead viruses. The vaccine uses whole-virion inactivated Vero cell-derived platform technology. The inactivated vaccines do not reproduce or replicate, so they do not cause any pathological effects. Covaxin also seems to have a distinct safety assurance with the lack of anaphylaxis. Numerous vaccines for diseases, such as influenza, rabies, pertussis, Japanese encephalitis, and polio, apply the same technology to develop inactivated vaccines. Covaxin has been recommended in India, Zimbabwe, the Philippines, Iran, Mexico, and many more. Also, millions of doses have been used in India and Europe without any significant concern. Another good news is that WHO (World Health Organization) has expanded its validated portfolio of COVID vaccines by issuing an emergency use listing (EUL) for Covaxin on November 3, 2021.

  • Covishield is a viral vector platform. The coronavirus spike protein is carried into human cells by the vector chimpanzee adenovirus called ChAdOx1. Covishield is harmless and starts fighting against similar viruses when the body provides manual instruction. Two transverse myelitis cases in the UK had stalled the clinical trial for the Covishield vaccine some time, but the trial resumed once the safety was confirmed. More than 46 countries have approved Covishield to vaccinate their people.

Vaccination produces antibodies and helps reduce the severity of the disease, thus reducing the spread of COVID-19. Therefore, the general public should come forward to get vaccinated, use masks, maintain social distance, and save themselves from this COVID-19 pandemic.

Sinarest Tablet - Composition | Work | Uses | Dosage

21-05-2019 · Sino plus tablet. Theocold. Coldrest tablet. Flucold tablet. Sinarest is available in syrup and drops form also. Self-medication can be taken only for 2 to 3 days, after that, it is …


Sinarest is used to treat symptoms of cold, flu, allergies, etc. It is the combination of a decongestant, antihistamine, and analgesic in the right proportion.

What Is the Composition of Sinarest Tablet?

It is a combination of the following drugs:

  1. Chlorpheniramine Maleate (2 mg) - It belongs to the first generation of anti-histamine. It has anti-allergic properties, as it reduces the secretion of naturally produced histamine in the body. As a result, it helps with allergic symptoms like runny nose, watery eyes, sneezing, and itching.

  2. Paracetamol (Acetaminophen) (500 mg) - It has analgesic (painkiller), antipyretic (lowers fever), and very weak anti-inflammatory properties.

  3. Phenylephrine Hydrochloride (10 mg) - It is a nasal decongestant. It helps stuffy nose by reducing the swelling of the blood vessels in the nose.

How Does Sinarest Tablet Work?

Each of the components in this tablet works in the following ways:

  • Chlorpheniramine blocks the H1 receptor sites, which relieves all symptoms of an allergy.

  • Paracetamol inhibits the synthesis of prostaglandin, which is the pain and fever causing messengers. It reduces body temperature during fever by promoting loss of heat.

  • Phenylephrine constricts the blood vessels in the nose, which decreases the blood flow and helps to relieve nasal congestion and stuffiness.

What Is Sinarest Tablet Used For?

It is used to prevent and treat the following conditions:

Common cold.

  • Allergy.

  • Hay fever.

  • Nasal decongestion.

  • Watery eyes.

  • Rhinitis.

  • Itchy throat.

  • Itchy skin.

  • Urticaria.

  • Headache.

  • Fever.

  • Sinusitis.

  • Tonsilitis.

  • Otitis media.

  • Body pain.

  • Sick sinus syndrome.

What Is the Dosage of Sinarest Tablet?

Your doctor will decide the dose depending on your medical condition. Take this only if your doctor prescribes it, and do not self-medicate. The usual recommended dose is 1 or 2 tablets twice or thrice daily for adults.

What If You Miss a Dose of Sinarest Tablet?

If you forget to take a dose, take it as soon as you remember. But if it is almost time for the next dose, then skip the missed dose. Do not take two doses at a time, as it might lead to a drug overdose.

What Are the Symptoms of Sinarest Tablet Overdose?

Get immediate medical help if you notice any of the following symptoms:

  • Stomach pain.

  • Loss of appetite.

  • Nausea.

  • Vomiting.

  • Sweating.

  • Extreme fatigue.

  • Pale to yellowish skin.

  • Dark yellow urine.

  • Yellow discoloration of the sclera.

How to Use Sinarest Tablet?

Take the exact dose as prescribed by your doctor. Do not alter the doses or stop the medicine before the specified number of days.

The tablet should be preferably consumed after a meal with plenty of water for best results. Do not break the tablet in half or crush the tablet. It has to be taken as a whole. In people with gastric problems, it is best to take this tablet along food to reduce the incidence of gastric symptoms.

How Is Sinarest Tablet Stored?

The medicine should be stored away from light and moisture. Preferably in an airtight container, with the temperature not exceeding 30℃. It should be kept away from the reach of children and pets.

The common side effects are:

  • Dizziness.

  • Feeling drowsy and sleepy.

  • Constipation.

  • Headache.

  • Liver damage.

  • Blurred vision.

  • Palpitations.

  • Insomnia.

  • Nausea.

  • Allergic reaction.

  • Swelling of the face.

  • Skin rashes.

What Are the Precautions and Drug Warnings?

The following patients should take this medicine under strict medical supervision:

  • Pregnant women.

  • Breastfeeding mothers.

  • Pediatric patients.

  • Patients with a known allergy to any of the drug in this medicine.

  • Psychiatric patients.

  • Alcoholics.

If you suffer from any of the following health condition, avoid taking Sinarest or do so only under strict medical supervision:

  • Asthma.

  • Kidney diseases.

  • Liver diseases.

  • Uncontrolled hypertension.

  • Chronic bronchitis.

  • Heart problems.

  • Glaucoma.

  • Diabetes.

  • Epilepsy.

  • Hyperthyroidism.

What Are the Drug Interactions?

Some medicines (mostly anti-depressants) if taken along Sinarest might show side effects. These medicines are:

  • Linezolid.

  • Moclobemide.

  • Procarbazine.

  • Alprazolam.

  • Lorazepam.

  • Rasagiline.

  • Phenelzine.

  • Methylene blue.

The list of medicines with the same composition are:

  1. Solvin.

  2. Egcold.

  3. Alex cold tablet.

  4. Decongin tablet.

  5. Sino plus tablet.

  6. Theocold.

  7. Coldrest tablet.

  8. Flucold tablet.

Sinarest is available in syrup and drops form also. Self-medication can be taken only for 2 to 3 days, after that, it is best to consult your doctor. Do not operate heavy machinery or drive while on Sinarest tablet. If the symptoms of cold and allergy do not settle in a week of taking this tablet, consult your family doctor. You can also consult well-trained and experienced doctors online by posting a query or through phone or video consultation.

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