Drug reference
ormeloxifene
Non-steroidal selective estrogen receptor modulator (SERM) · Oral Contraceptive, Dysfunctional Uterine Bleeding Agent
Non-steroidal selective estrogen receptor modulator (SERM)Oral Contraceptive, Dysfunctional Uterine Bleeding Agent
CDSCO approved
EXCRETION
—
not curated
INTERACTIONS
—
none in our sources
PREGNANCY
X
FDA category + note
Mechanism
It has predominant estrogen antagonistic action in uterus and breast with little action on vaginal epithelium and cervical mucus. Endometrial proliferation is suppressed by down regulation of endometrial ER. Contraceptive action is probably due to utero-embyonic asynchrony and failure of implantation. Pituitary, ovarian and other endocrine functions remain practically unaffected.
Indications
Oral contraceptiveDysfunctional uterine bleeding
Dosing
- Adult
- For contraception: 30 mg twice a week for 12 weeks followed by once a week. For dysfunctional uterine bleeding: 60 mg twice a week for 12 weeks, then once a week for 12 weeks.
Pharmacokinetics
Duration
prevents conception as long as taken
Half-life
~1 week (plasma)
Side effects
Common
NauseaHeadacheFluid retentionWeight gainRise in BPProlongation of menstrual cycles
Pregnancy & lactation
Pregnancy
X
Related guidelines
Abnormal uterine bleeding
FOGSI · Obstetrics & Gynaecology · 2016
GI bleeding on antiplatelet or anticoagulant therapy
CSI · Cardiology · 2020
Acute liver failure
ICMR · Gastroenterology · 2022
Preoperative cardiac evaluation for non-cardiac surgery
AHA · Cardiology · 2025
Acute diarrhoea in children
IAP · Pediatrics · 2022
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Sources: KD Tripathi 7e·Verified: 2026-05-10 · House clinical team