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How Long Is Duphaston Tablet Advisable During Pregnancy?

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Posted on Sat, 11 Mar 2017
Question: hi, till what time Duphaston tablet is continued in pregnancy. My wife is 21 weeks pregnant now and has been taking Duphaston since last 4 months as advised by doctor (gynaec). She asked to continue it till 32 weeks.
But due to location change, we went to a different doctor (gynaec) and she advised no need to take duphaston tablet any more. Please advise as we are getting 2 different answers from different doctors.
doctor
Answered by Dr. Manisha Jain (13 minutes later)
Brief Answer:
Depends on History

Detailed Answer:
Hello Mr XXXXXXX thanks for trusting HealthcareMagic,

Generally if there has been no abortion in past and no event of bleeding or pain in this pregnancy then Duphaston is stopped at 16 weeks.

But in case there has been any such history then it should be taken till 32 weeks

In case you have any other question please feel free to ask

All the best
Regards
Dr Manisha Jain


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Manisha Jain (33 minutes later)
Hello Doctor,
I have been following up with you regarding my wife's pregnancy since last 4 months and you have been answering all my questions.

First of all thanks for all your support and guidance.

My wife is now 24 weeks pregnant, In our case this is our first baby and by god's grace there is no case of abortion, bleeding or pain till now.

Below is some brief history which is leading to our confusion.

Gynaec1 - Our first gynaec asked to continue Duphaston till 32 weeks. Till 20 weeks she prescribed Duphaston twice a day but after 20 weeks she asked to continue it once a day till 32 weeks.


Gynaec2 - Since we moved to another location, At 22 weeks we consulted another gynaec and she said no need to take Dusphaston as the placenta is fully developed now and placenta produces natural progesterone and helps to support the baby.

When we told her that first gynaec asked to continue Duphaston once a day till 32 weeks, she was surprised as to why other gynaec is asking to take Duphaston.
She also mentioned that Duphaston is effective if taken twice a day and is never prescribed once a day.
She also said its your wish if you want to continue Duphaston till 32 weeks and has left it on us leading to our worry.

All these different answers are leading to lots of worry for us and please help guide us as what to do with this Duphaston tablet. In once of your previous answers to our query you also mentioned to continue it till 32 weeks.

Given the history above, I basically have 3 questions regarding Dusphaston.

1. Should we keep continuing Dusphaston ?
2. If yes, how many tablets a day ? And How long ?
3. If No, will stopping it now have any side effects ? Do we stop it suddenly or gradually.

Your answer is really appreciated and help clear our doubts.

Regards,
XXXX
doctor
Answered by Dr. Manisha Jain (20 hours later)
Brief Answer:
No need to take duphaston

Detailed Answer:
Hello again,

In my opinion you need not to take Duphaston at all and if at all it is prescribed it should be taken at least twice a day to have effect.

You can stop it instantly without any problem or side effects, no need to taper it

So keeping everything aside, just stop the medicine and I hope she has a healthy pregnancy ahead.

All the best

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Manisha Jain (1 hour later)
Hello Doctor,

Thanks for your answer. As prescribed we shall stop Duphaston tablet immediately.

Below are the other medications currently going on as prescribed by the gynaec and she says these will continue till delivery.

1. TAB ACUCAL 1-0-1
2. TAB OROFER-XT 0-1-0
3. TAB ALL 9 D 1-0-0

Just one final confirmation, since you said that Duphaston is taken for 16 weeks in normal case, but as per gynaec1 we continued it till 24 weeks (2 tablets a day till 21 weeks and than 1 tablet a day till now) I hope this doesn't have any negative impact and there is nothing to worry about it.

Thanks for your patience in answering & clearing our doubts.

Regards,
XXXX
doctor
Answered by Dr. Manisha Jain (20 hours later)
Brief Answer:
No harm

Detailed Answer:
Hi Mr. XXXXXXX

Duphaston is a very safe Medicine and is usually prescribed in pregnancy
It is just like the natural progesterone hormone secreted in pregnancy but in a normal pregnancy since it is already present in adequate amounts there is no need of top up from outside.
So the extra duphaston will have economic burden and of course an extra Medicine for intake.
There is no side effect per se so as it is no harm if taken.
Yes the other medicine will continue till delivery for sure and is again safe and very much needed.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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How Long Is Duphaston Tablet Advisable During Pregnancy?

Brief Answer: Depends on History Detailed Answer: Hello Mr XXXXXXX thanks for trusting HealthcareMagic, Generally if there has been no abortion in past and no event of bleeding or pain in this pregnancy then Duphaston is stopped at 16 weeks. But in case there has been any such history then it should be taken till 32 weeks In case you have any other question please feel free to ask All the best Regards Dr Manisha Jain