GRAVIBINAN

🏢 OBS
🩺 OESTROGENS 🏷️ Oestrogen/Progestogen 💊 Oestrogen
👨‍⚕️ Clinically Reviewed by: PakistaniBano Medical Editorial Board (Pharm.D Panel)
📅 Reviewed: November 2026 • 🔍 Authority: DRAP / WHO ATC
📦 Formulations, Pack Sizes & Retail Prices Currency: Rs.
Dosage Form Reg. No Pack Size Trade Price (TP) Maximum Retail Price (MRP)
Inj 000798 1 Ampx1 ml Rs.321.37 Rs.378.08
Inj 000798 1 Ampx2 ml Rs.562.11 Rs.661.30

📋 Indications & Clinical Dosage

*Prophylaxis of abortion:* BY IM INJ: Adult (female): Three days after the rise in basal body temperature on about the 18th day of the cycle, 1ml by IM. Where failure of the menstrual bleeding and continued elevation of the basal body temperature Indicate an early pregnancy, an IM injection of 1 ml is given immediately. The hormone dose is doubled one week later, i.e. from the beginning of the sixth week of pregnancy. 2 ml is administered every week during the first month of pregnancy, or longer if necessary. When a patient with a predisposition to habitual abortion does not come for treatment until after the start of the fresh pregnancy, 2 ml is injected immediately, followed by 2 ml every week during the first month of pregnancy, or longer if required. *Threatened abortion:* To institute treatment, 2 ml twice a week until the bleeding stops. Bed rest is urgently advised during this time. When the bleeding ceases, 2 ml weekly for some weeks until the patient is free from complaints and bleeding despite mobilisation.

⛔ Contraindications

A history of herpes of pregnancy, throm boembolic processes.

⚠️ Precautions & Warnings

Hypertension, myocardial or renal disease, asthma, varicose veins, epilepsy, chloasma, uterine fibromyomata. Examine BR pelvic organs & breasts before & regularly during treatment.

🔄 Drug Interactions

Diuretics, antihypertensives, liver enzyme inducing drugs.

⚠️ Adverse Reactions / Side Effects

Nausea, vomiting, weight gain, breast ten-derness & enlargement, withdrawal bleeding, sodium retention with oedema, liver function disorders, jaundice, rashes, chloasma, headache.

📚 Official Regulatory & Clinical References

  • Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
  • World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
  • Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.

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