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[flossie fiddler]

Just starting on Utrogestan 100mg orally tonight and it says take on empty stomach or 2 hours after food.

I usually have a warm milk at bedtime. Would this mess things up? Does anyone know why it needs to be taken on an empty stomach? Thanks

[Petra]

I just looked at the consumer info leaflet for Utrogestan here in NZ and all it says is: "Do not take Utrogestan 100mg soft capsules with food as this may affect the way Utrogestan works." Not wildly helpful, but I assume that means the effect may be blunted/reduced if taken with food. (It says to take with a small amount of water.)

p.s. just saw this thread on mumsnet, too: https://www.mumsnet.com/talk/menopause/4394362-Taking-Utrogestan-with-food

[CLKD]

Food may upset the absorption rate.  So 2 hours will enable the stomach to have processed most of what is eaten.  Milk counts as a food.

[flossie fiddler]

Thanks all

[Katherine]

I think it’s because if you have food it increases the absorption of the utrogestan. I’ve done it myself and can confirm it’s true! Yep milk is food unfortunately. I try and have a decent sized meal around 7 utro at 9 and he’d at 10, it was a pain at first but I got used to it.

[Clarella]

I also believe that with food increases absorption which for some women can be too much (though good for endometrial protection.) I’ve just asked a question on this.

I took it vaginally x2 12 days per month when I first started hrt, on much less oestrogen than now. I seem to be tolerating it more now orally.

A colleague takes with food as she likes to snack but is on 3 pumps of gel. She’s just ignoring the guidelines but seems to help sleep a lot.

[VanillaLover]

Hi, I don’t find myself that drinks, even milk affect it. So I do have milk before bed and it’s OK. I don’t eat after 9pm though. If really desperate maybe a yoghurt or apple or something but I’ve taken it too close to eating once before and made me dizzy. So - cautious. But I guess no eating after 9pm is a good thing really!

[flossie fiddler]

Thanks for that. I’ll see how it goes. I try not to eat late anyway. I try to give my body at least a 12 hour overnight break from food as it’s supposed to help with cell repair.

If I find I’m OK, I might push the boundaries with a milky drink at bedtime and see what happens.

Hi, I don’t find myself that drinks, even milk affect it. So I do have milk before bed and it’s OK. I don’t eat after 9pm though. If really desperate maybe a yoghurt or apple or something but I’ve taken it too close to eating once before and made me dizzy. So - cautious. But I guess no eating after 9pm is a good thing really!

[Suziemc]

I take my Utrogestan at about 8.30 every evening as I found that, for me, it stopped me from getting to sleep. As i eat around 6pm of an evening the timing means its long enough after food but early enough not to keep me awake. You can eat again 1 hour after taking, so maybe you could time yours for 1hr before bedtime and then still have your hot milk as you go to bed?

[flossie fiddler]

Good plan! I’ll try that, thanks.

I take my Utrogestan at about 8.30 every evening as I found that, for me, it stopped me from getting to sleep. As i eat around 6pm of an evening the timing means its long enough after food but early enough not to keep me awake. You can eat again 1 hour after taking, so maybe you could time yours for 1hr before bedtime and then still have your hot milk as you go to bed?