Norethisteron-Verhütungsspritze
Noristerat
Begutachtet von Sid DajaniZuletzt aktualisiert von Michael Stewart, MRPharmSZuletzt aktualisiert 27. Jan 2023
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Norethisterone injection is given to prevent pregnancy. It provides contraception for about eight weeks.
Lesen Sie die Packungsbeilage des Herstellers, bevor Sie die Injektion erhalten.
The most common side-effect is irregular menstrual bleeding.
Auf einen Blick
Norethisterone injection is a short-term contraceptive similar to the natural hormone progesterone.
It prevents pregnancy mainly by stopping the release of an egg from the ovary.
The injection provides contraception for approximately eight weeks.
You will receive an information leaflet before the injection, which is given into your buttock muscle.
Your periods are likely to change, and irregular bleeding may occur.
Tell your doctor if you are pregnant, have liver problems, certain arterial diseases, or breast cancer.
About norethisterone contraceptive injection
Art des Medikaments | Progestogen |
Verwendet für | Verhütung |
Auch genannt | Norethindrone (in US); Noristerat® |
Verfügbar als | Injektion |
Norethisterone is a progestogen, which is a female sex hormone similar to the progesterone hormone made naturally by your ovaries. It is an effective and convenient form of short-term Verhütung. The injection will provide contraception for about eight weeks.
Norethisterone works mainly by stopping ovulation (the release of an egg from the ovary). It also changes the lining of your womb (uterus) to make it less likely that an egg would attach to it, even if an egg were to fertilise. In addition, the mucus which forms a plug in the neck of your womb (cervix) becomes thicker. This stops sperm getting through to the womb to fertilise an egg.
Before you have norethisterone contraceptive injection
Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before having Noristerat® it is important that your doctor knows:
Wenn Sie denken, dass Sie bereits schwanger sein könnten.
Wenn Sie Probleme mit der Funktionsweise Ihrer Leber haben.
Wenn Sie ein Problem mit Ihren Arterien haben, das als Arterienerkrankung bezeichnet wird.
Wenn Sie eine Eierstockzyste haben oder vaginalen Blutungen, die nicht Ihre normale Monatsblutung sind.
If you have systemic lupus erythematosus (this is an inflammatory condition, often called SLE).
If you have ever had an ectopic pregnancy or if you have developed severe itching of your skin, or yellowing of your skin or the whites of your eyes (jaundice) during a pregnancy.
Wenn Sie Brustkrebs hatten oder einen Krebs, von dem Ihnen gesagt wurde, dass er von einem Sexualhormon abhängig ist.
Wenn Sie jemals an Depressionen gelitten haben.
Wenn Sie eine seltene erbliche Bluterkrankung namens Porphyrie haben.
Wenn Sie jemals eine allergische Reaktion auf ein Medikament hatten.
If you are taking any other medicines, including those available to buy without a prescription, as well as herbal and complementary medicines. This is because some medicines interfere with the way progestogen contraceptives work.
How norethisterone contraceptive injection is given
Before you are given the injection you will be asked to read a printed information leaflet from the manufacturer. The manufacturer's leaflet will give you important information about the injection and will provide a full list of the side-effects which you may experience from it. If you have any questions as a result of reading the leaflet, please discuss them with your doctor/nurse before you have the injection. You will be given the leaflet to take home.
You will be given the injection by your nurse or doctor. It is usually given during the first 1-5 days of a period. The norethisterone is injected slowly into a muscle in your buttock. From there, it is gradually released into your bloodstream.
Das Beste aus Ihrer Behandlung herausholen
Your periods are likely to change. Spotting, breakthrough bleeding and delayed periods may occur. Some women have irregular bleeding which can be heavier and longer than normal. Irregular bleeding can sometimes also be due to another reason (such as an infection), so let your doctor know if it happens.
Norethisterone injection provides contraception for eight weeks. It is often given as an interim measure - for example, while your partner is having a vasectomy. Make sure your doctor knows if there is any delay to your longer-term plans for contraception.
You may gain a little weight. Eating a well-balanced diet and taking regular exercise can help to keep this to a minimum.
Untersuchen Sie regelmäßig Ihre Brüste auf Knoten oder Schwellungen. Sprechen Sie mit Ihrem Arzt, wenn Sie Veränderungen bemerken.
Bitte beachten Sie: Die Injektion schützt Sie nicht vor HIV (AIDS) oder anderen sexuell übertragbaren Infektionen.
Some medicines can reduce the effectiveness of this contraceptive. These include medicines for epilepsy, medicines to treat fungal infections, the herbal preparation St John's wort, and medicines used to treat tuberculosis (TB). Tell the doctor that you have had a progestogen contraceptive injection if you are prescribed any other medicines. If you buy any medicines 'over the counter', ask the pharmacist for advice.
Can norethisterone contraceptive injection cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with a norethisterone contraceptive injection. You will find a full list in the manufacturer's information leaflet that has been given to you. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Very common Noristerat® side-effects (these affect more than 1 in 10 women) | Was kann ich tun, wenn ich das erlebe? |
Spotting | Wenn Sie besorgt sind, sprechen Sie mit Ihrem Arzt |
Irregular periods | Let your doctor know if this happens |
Common Noristerat® side-effects (these affect fewer than 1 in 10 women) | Was kann ich tun, wenn ich das erlebe? |
Kopfschmerzen | Bitten Sie Ihren Apotheker, ein geeignetes Schmerzmittel zu empfehlen |
Übelkeit (Nausea) | This does not usually last for long but in the meantime, stick to simple meals |
Increased weight, skin reactions, feeling dizzy | Wenn es problematisch ist, sprechen Sie mit Ihrem Arzt |
If you experience any other symptoms which you think may be due to the injection, speak with your doctor or pharmacist for advice.
Wichtige Informationen über alle Medikamente
Wichtige Informationen über alle Medikamente
If you are having an operation or any dental treatment, tell the person carrying out the treatment which medicines you are taking or using.
Bewahren Sie niemals abgelaufene oder unerwünschte Medikamente auf. Bringen Sie sie zu Ihrer örtlichen Apotheke, die sie für Sie entsorgt.
If you have any questions about your medicines, ask your pharmacist.
Berichten Sie Nebenwirkungen eines Medikaments oder Impfstoffs
Wenn Sie Nebenwirkungen bemerken, können Sie diese online über die Yellow Card Webseite.

Unsicher beim Mischen von Medikamenten?
Überprüfen Sie mögliche Wechselwirkungen zwischen Medikamenten, Nahrungsergänzungsmitteln und Lebensmitteln, bevor Sie sie zusammen einnehmen.
Häufig gestellte Fragen
How long does the norethisterone contraceptive injection provide protection?
The norethisterone contraceptive injection provides contraception for approximately eight weeks. It is often used as a short-term measure.
Are there specific circumstances where norethisterone injection is recommended as an interim contraceptive method?
Yes, norethisterone injection is sometimes given as an interim measure. For example, it might be used while a partner is having a vasectomy, to ensure contraception during that period.
What should I do if my irregular bleeding is unusually heavy or lasts longer than normal while on norethisterone injection?
While irregular bleeding can be a side-effect, sometimes heavy or prolonged bleeding can be due to another reason, such as an infection. It's important to let your doctor know if this happens so they can investigate.
How does norethisterone injection prevent pregnancy?
Norethisterone primarily works by stopping ovulation, which is the release of an egg from the ovary. It also makes the lining of your womb less receptive to a fertilised egg and thickens the mucus in the cervix, making it harder for sperm to reach the womb.
Are there any health conditions that would prevent me from using the norethisterone contraceptive injection?
Yes, there are several conditions that might mean this injection is not suitable for you. These include problems with liver function, certain arterial diseases, if you have an ovarian cyst or any unexplained vaginal bleeding, a history of breast cancer or hormone-dependent cancer, an ectopic pregnancy, certain skin conditions during pregnancy (like severe itching or jaundice), severe depression, or a rare blood disorder called porphyria. Your doctor will assess these before giving you the injection.
Does the norethisterone injection protect against sexually transmitted infections?
No, the norethisterone injection only provides contraception. It will not protect you against HIV (AIDS) or any other sexually transmitted infections.
Weiterführende Literatur und Referenzen
- Manufacturer's PIL, Noristerat® 200 mg solution for intramuscular injection; Bayer plc, The electronic Medicines Compendium. Dated June 2019.
- Medikamente Komplett BNF 89. Ausgabe; Britische Ärztevereinigung und Königliche Pharmazeutische Gesellschaft von Großbritannien, London.
Über den AutorVollständige Biografie anzeigen

Helen Allen, MPharm
Pharmacist, Medical Author
MPharm
Helen Allen qualified as a Pharmacist in 1979 and spent 3 years as the drug information leaflets' author for EMIS.
Über den Rezensenten

Sid Dajani
Sultan Dajani qualifizierte sich 1994 an der London School of Pharmacy und wurde das jüngste gewählte Mitglied des Rates der Royal Pharmaceutical Society seit ihrer Gründung im Jahr 1842.
Artikelverlauf
Die Informationen auf dieser Seite wurden von qualifizierten Klinikern verfasst und begutachtet.
Artikel auch verfügbar in Englisch, Deutsch, Spanisch, Französisch, Italienisch, Portugiesisch, Hindi, Hebräisch, Arabisch, und Schwedisch.
Nächste Überprüfung fällig: 26. Juli 2027
27. Jan 2023 | Neueste Version
20 Apr 2011 | Ursprünglich veröffentlicht
Verfasst von:
Helen Allen, MPharm

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