Sunward Sunolut 5mg Tablet 10s (strip)

Sunward Sunolut 5mg Tablet is a prescription-only hormonal medicine that belongs to the synthetic progestogen class of drugs — more specifically, an estren derivative progestogen — manufactured right here in Malaysia by Sunward Pharmaceutical Sdn. Bhd. and registered with the National Pharmaceutical Regulatory Agency (NPRA) under registration number MAL19871925AZ, with Norethisterone as its active ingredient at 5mg per tablet. Norethisterone is one of the most well-established synthetic progestins in clinical use globally, listed on the World Health Organization's List of Essential Medicines, and has been a cornerstone of hormonal gynaecological medicine for many decades. Like all progestogen medicines, Sunolut 5mg can cause side effects, and the most clinically relevant ones to be aware of include breakthrough bleeding or spotting between doses, headache, mood changes or depression, and nausea — and at higher doses or with prolonged use, there is also an important consideration around venous thromboembolism (blood clot) risk, as Norethisterone at doses of 5mg and above is partly converted in the body to a small amount of oestrogen, which can influence clotting factors. Before you purchase this tablet, there are key things you should know: it is a prescription-only medicine in Malaysia and cannot be dispensed without a valid doctor's prescription; it must not be used during pregnancy; it should be used with caution in women with a history of blood clots, liver disease, or certain hormonal cancers; and the dose and duration are highly specific to the individual condition being treated, making a proper clinical assessment by your doctor an essential first step.

How to Take Sunward Sunolut 5mg Tablet

Sunward Sunolut 5mg Tablet is taken orally — swallow the tablet whole with a glass of water; while it may be taken with or without food, taking it at the same time each day is particularly important for this type of hormonal medicine, as consistent timing helps maintain steady progestogen levels in the body throughout the course of treatment. The scored tablet may be halved if a half-dose is specifically prescribed by your doctor, but it must not be crushed or chewed. Always take the medicine for the full duration specified by your doctor — do not stop early unless your doctor has directed you to do so, and if you miss a dose, take it as soon as you remember on the same day; if it is already time for the next dose, skip the missed dose and continue your normal schedule without doubling up.

Dosage of Sunward Sunolut 5mg Tablet

The dosage of Sunward Sunolut 5mg Tablet varies significantly depending on the specific condition for which it is prescribed — general prescribing ranges are: for abnormal uterine bleeding and amenorrhea, 5mg to 20mg daily starting from day 5 of the menstrual cycle; for endometriosis, dosing typically begins at 5mg three times daily for a minimum of six months with gradual dose increases under specialist supervision; for other conditions, your doctor will determine the precise dose, schedule, and total duration of treatment. Always follow your doctor's prescription precisely, as Norethisterone dosing is highly individualised and the same tablet strength may be prescribed at very different frequencies and durations for different clinical conditions.

Shelf Life of Sunward Sunolut 5mg Tablet

Shelf Life: As printed on the outer carton and individual blister strip or bottle label — always check the expiry date before use

Pack Sizes Available in Malaysia: 10-tablet blister strips (10s); 20-tablet packs (20s); 500-tablet institutional bottles (500s) for clinical settings

Tablet Identification: Round, white, convex, plain (uncoated) tablet with a single score line on one side and 'SW' debossed on the other side

Manufacturer: Sunward Pharmaceutical Sdn. Bhd., Malaysia

NPRA Registration Number: MAL19871925AZ — verifiable at npra.gov.my

Always check the expiry date clearly printed on both the outer carton and the individual blister strip or bottle label before taking any tablet. Do not use Sunward Sunolut 5mg after the stated expiry date — the hormonal stability of Norethisterone may not be reliably maintained beyond the manufacturer's declared shelf life, which can affect both the safety and the therapeutic effectiveness of the formulation. Any expired or surplus tablets should be returned to a licensed pharmacy for safe, responsible pharmaceutical disposal — do not discard them in household waste or flush them into drainage systems, as hormonal substances in water and the environment can have ecological implications.

How to Store Sunward Sunolut 5mg Tablet

• Store below 30°C in a consistently cool and dry environment — this is the standard recommended storage condition for Sunolut 5mg in Malaysia
• Protect from direct sunlight and heat sources — do not store near windows, on kitchen benches, or in any sun-facing area of the home
• Keep away from moisture and humidity — do not store in a bathroom medicine cabinet or near a kitchen sink where steam and condensation may affect the tablets
• Keep the container tightly sealed after each use to prevent moisture and environmental contamination
• Do not refrigerate or freeze the tablets unless the product label explicitly instructs this
• Store in the original packaging — blister strips should remain in the outer carton to retain all labelling, the MAL registration number, batch information, and expiry date
• For the 500-tablet institutional bottle, ensure the lid is firmly reclosed after dispensing and that the bottle label remains legible and intact throughout the course of use
• Keep out of the reach and sight of children and adolescents at all times — hormonal medicines must remain clearly identified and inaccessible to minors
• Do not transfer tablets into an unlabelled secondary container — hormonal medicines must remain clearly identified at all times to prevent accidental misuse or double-dosing
• If travelling, carry Sunolut 5mg in your hand luggage to avoid exposure to extreme temperature variations in aircraft cargo holds

Active Ingredient of Sunward Sunolut 5mg Tablet

Active Ingredient: Norethisterone 5mg per tablet (also known as Norethindrone in the United States; INN: Norethisterone; USAN: Norethindrone)

Drug Class: Synthetic Progestogen — Estren Derivative Progestogen (19-nortestosterone derivative)

ATC Code: G03DC02 (Norethisterone — estren derivative progestogen)

Empirical Formula: C₂₀H₂₆O₂ (Molecular Weight: 298.42 g/mol)

Plasma Half-Life: Approximately 5 to 14 hours (oral administration); individual variation is significant

Bioavailability: Approximately 64% following oral administration (undergoes first-pass hepatic metabolism)

WHO Classification: Included on the World Health Organization's List of Essential Medicines

Manufacturer: Sunward Pharmaceutical Sdn. Bhd., Malaysia

NPRA Registration: MAL19871925AZ

Side Effects of Sunward Sunolut 5mg Tablet

Side effects may occur with Sunward Sunolut 5mg Tablet. The following have been documented in MIMS Malaysia prescribing information, the MHRA-approved Norethisterone 5mg SmPC (emc), DailyMed/FDA prescribing information, and post-marketing clinical literature:

Common Side Effects:

• Breakthrough bleeding or spotting between menstrual periods — particularly during early weeks of treatment; this is one of the most frequently reported effects of progestogen therapy at this dose level
• Changes in menstrual flow — including amenorrhoea (absence of periods), lighter periods, or irregular bleeding patterns
• Nausea — taking the tablet with food may help reduce severity
• Headache or migraine — if headaches are unusually severe, sudden, or associated with visual disturbances, stop use and contact your doctor immediately
• Mood changes or depression — Norethisterone is associated with psychological effects in a proportion of users; report persistent or significant mood changes to your doctor
• Breast tenderness, breast enlargement, or breast discomfort
• Changes in weight — both weight gain and weight loss have been reported
• Oedema (fluid retention) — mild swelling, particularly of the extremities
• Acne or oily skin — related to the mild androgenic activity of Norethisterone

Less Common Side Effects:

• Melasma or chloasma — patchy brownish skin discolouration, particularly on the face; worsened by sun exposure. This skin change may persist after stopping the medicine
• Changes in cervical mucus and cervical secretion characteristics
• Visual disturbances — including blurred vision, changes in contact lens tolerance, or other visual symptoms; stop use and seek urgent medical review if you experience sudden changes in vision
• Insomnia or sleep disturbance
• Rash, pruritus (itching), or urticaria (hives) — allergic skin reactions
• Cholestatic jaundice — yellowish discolouration of the skin or eyes due to bile flow impairment; stop use immediately and seek medical attention
• Changes in lipid profile — reduction in HDL cholesterol and increase in LDL/HDL ratio; relevant for cardiovascular risk assessment with prolonged use
• Decreased libido (reduced sex drive)
• Abnormal liver function test results (elevated AST, ALT, bilirubin) — periodic liver function monitoring may be advisable with prolonged therapy
• Optic neuritis — rare inflammation of the optic nerve that may lead to partial or complete loss of vision; stop use and seek immediate ophthalmological evaluation if sudden vision loss occurs

Rare but Serious — Stop Use and Seek Immediate Medical Attention:

• Venous thromboembolism (VTE) — including deep vein thrombosis (DVT, typically presenting as painful swelling and warmth in one leg), pulmonary embolism (sudden severe chest pain, difficulty breathing, or coughing blood), and retinal vascular thrombosis. At the 5mg dose of Norethisterone, the partial conversion to ethinylestradiol (EE) — equivalent to approximately 30mcg EE per day — creates a clinically relevant VTE risk that must be weighed in each individual patient. Risk is significantly elevated in patients who smoke, are obese, have a personal or family history of clotting disorders, or are immobile for prolonged periods
• Arterial thromboembolic events — including stroke (sudden facial drooping, arm weakness, speech difficulty), myocardial infarction (heart attack), and cerebral embolism; stop use immediately and seek emergency care
• Hepatic adenoma — a rare liver tumour that has been associated with progestogen use. In rare cases, rupture of a hepatic adenoma can cause life-threatening intra-abdominal haemorrhage
• Severe allergic reactions — including anaphylaxis; seek emergency treatment immediately if you develop widespread hives, facial or throat swelling, or difficulty breathing

Contraindications of Sunward Sunolut 5mg Tablet

Sunward Sunolut 5mg Tablet must not be used in the following circumstances — sourced from MIMS Malaysia prescribing information and the Norethisterone 5mg MHRA-approved SmPC:

• Known hypersensitivity or allergic reaction to Norethisterone or any of the tablet's inactive excipients
• Active or recent history of venous thromboembolism — including deep vein thrombosis (DVT), pulmonary embolism (PE), or retinal vascular thrombosis — or any thromboembolic disorder...

Drug & Food Interaction of Sunward Sunolut 5mg Tablet

Drug Interactions — Reduced Efficacy (Enzyme Inducers):

• Rifampicin (Rifampin) — a potent CYP3A4 inducer used in tuberculosis and some bacterial infections...

Quick Tips for Sunward Sunolut 5mg Tablet

• Take Sunolut at the same time every day throughout your course of treatment...