Alembic Pharmaceuticals Ltd

UNIGOLIX 150 Tablet 10's

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    Introduction About UNIGOLIX 150 TABLET

    UNIGOLIX 150 mg Tablet is a prescription-only medicine containing Elagolix, a gonadotropin-releasing hormone (GnRH) receptor antagonist, commonly prescribed by healthcare professionals to help manage moderate to severe pain associated with endometriosis.

    It works by regulating hormone levels that affect the growth of endometrial tissue, helping to alleviate discomfort under medical supervision. This tablet is prescribed following a personalized evaluation to ensure suitability for individual gynecological needs, providing a professional and reliable option for patients seeking guidance on hormone-related conditions.

    For optimal results with UNIGOLIX 150 mg Tablet, follow the prescription instructions provided by your healthcare professional. Take the tablet at the same time each day, with or without food, to maintain consistent effectiveness. Avoid skipping doses, and if a dose is missed, take it as soon as possible without doubling up to compensate. Adhering to the prescribed schedule ensures safe and effective use under medical supervision.

    Common side effects of UNIGOLIX 150 mg Tablet include night sweats, headache, hot flashes, nausea, insomnia, anxiety, changes in mood, absence of periods, joint pain and depression. If any of these reactions persist or become more noticeable, consult your healthcare professional for guidance. They can provide advice on managing these effects and ensure the medicine is used safely under medical supervision.

    UNIGOLIX 150 mg Tablet should not be used during pregnancy, in individuals with osteoporosis, or in those with severe liver conditions, due to potential effects on bone health. Patients may experience mood changes, including depression or heightened emotional symptoms, so monitoring mental well-being is important and professional guidance should be sought if needed. This medicine can also alter menstrual cycles, making pregnancy detection more difficult, so healthcare providers recommend using non-hormonal contraception during use and for one week after discontinuation.

    Uses Of UNIGOLIX 150 TABLET

    • Manage moderate to severe pain associated with endometriosis

    Benefits of UNIGOLIX 150 TABLET

    1. Supports Pain Management in Endometriosis: Helps manage moderate to severe pain associated with endometriosis under professional supervision.
    2. Regulates Hormone Levels: Works by modulating hormone activity that influences the growth of endometrial tissue.
    3. Assists in Symptom Control: Contributes to reducing discomfort and supporting daily comfort when used as prescribed.
    4. Personalized Use Based on Medical Evaluation: Prescribed after a healthcare professional’s assessment to ensure suitability for individual gynecological needs.
    5. Can Be Part of a Comprehensive Care Plan: Complements professional guidance and monitoring for hormone-related gynecological conditions.
    6. Safe Under Medical Supervision: Intended for use under healthcare oversight to provide a reliable and controlled approach for symptom management.
    7. Supports Hormonal Balance: Modulates hormones affecting endometrial tissue, helping maintain a regulated hormonal environment.
    8. Facilitates Informed Healthcare Decisions: Enables patients to follow a medically guided plan with professional monitoring for hormone-related concerns.
    9. Enhances Daily Comfort: Helps patients experience improved management of symptoms under supervision, supporting quality of life.

    How UNIGOLIX 150 TABLET Works

    01) Understanding the Mechanism of Action of UNIGOLIX 150 Tablet

    UNIGOLIX 150 mg Tablet contains Elagolix, which works by regulating hormone levels that affect the growth of endometrial tissue. By modulating reproductive hormones, it helps manage discomfort associated with endometriosis under professional supervision. This mechanism allows healthcare providers to personalize its use based on individual patient needs.

    02) How Elagolix Interacts with Hormone Signaling in the Body

    Elagolix acts on the body’s hormone signaling pathways by selectively binding to gonadotropin-releasing hormone (GnRH) receptors. This interaction helps control hormone activity that influences endometrial tissue growth, supporting symptom management in a controlled medical setting.

    03) Role of Elagolix as a GnRH Receptor Antagonist

    As a GnRH receptor antagonist, Elagolix blocks specific receptors responsible for hormone release, which affects reproductive hormone activity. This helps healthcare professionals guide patients in managing symptoms related to hormone-sensitive gynecological conditions.

    04) How UNIGOLIX 150 Tablet Influences Reproductive Hormone Activity

    UNIGOLIX 150 mg Tablet helps regulate reproductive hormones that play a role in the growth of endometrial tissue. By controlling hormone levels, it supports medical supervision for symptom management, contributing to a structured and personalized care plan.

    How to use UNIGOLIX 150 TABLET

    01) Recommended Dosage of UNIGOLIX 150 Tablet

    • The dosage of UNIGOLIX 150 mg Tablet should be determined by a healthcare professional based on individual medical evaluation.
    • Patients should always follow the prescription instructions provided, as the correct dosage ensures optimal management of symptoms under medical supervision.

    02) How to Take UNIGOLIX 150 Tablet

    • UNIGOLIX 150 mg Tablet should be taken orally, with or without food, at the same time each day.
    • Consistent intake helps maintain steady hormone levels and supports effective management under professional guidance.

    03) Administration Instructions for Elagolix 150 mg Tablet

    • Swallow the tablet whole with water.
    • Avoid breaking, crushing, or chewing it to ensure the medication works as intended.
    • Follow the schedule prescribed by your healthcare provider for safe and consistent use.

    04) General Guidelines for Using UNIGOLIX 150 Tablet

    • Take the medicine exactly as prescribed by your healthcare professional.
    • Do not skip doses, if a dose is missed, take it as soon as possible but do not double up.
    • Store the tablets in a cool, dry place away from direct sunlight and out of reach of children.

    05) Duration and Schedule of UNIGOLIX 150 Tablet Intake

    • The management duration and schedule should be determined by a healthcare professional based on individual needs and response.
    • Adhering to the prescribed schedule ensures proper hormone regulation and supports symptom management.

    Side Effects Of UNIGOLIX 150 TABLET

    Common:

    • Night sweats
    • Headache
    • Hot flashes
    • Nausea
    • Insomnia
    • Anxiety
    • Changes in mood
    • Absence of periods
    • Joint pain
    • Depression

    When to consult your doctor?

    • Severe mood changes symptoms such as depression, persistent anxiety, thoughts of self-harm, suicidal thoughts, suicidal behavior, worsening of mood, new or worse anxiety, other unusual changes in behavior or mood
    • Significant changes in menstrual bleeding or unexpected spotting
    • Signs of liver problems such as yellowing of the skin or the whites of the eyes (jaundice), dark, amber-coloured urine, feeling tired (fatigue or exhaustion), nausea and vomiting, generalized swelling, right upper stomach area (abdomen) pain and bruising easily
    • Severe bone or joint pain
    • Allergic reactions symptoms such as swelling of the face, lips, tongue, or difficulty breathing

    How To Manage Side Effects

    Headache

    • Stay Hydrated: Drink plenty of water throughout the day to help ease headache symptoms.
    • Rest in a Quiet Environment: Minimize noise and bright lights by resting in a calm, dark room.
    • Use Over-the-Counter Pain Relief: Consult your doctor about using mild pain relievers like acetaminophen to alleviate headaches.
    • Avoid Stressful Activities: Limit activities that increase stress or physical exertion when experiencing headaches.
    • Seek Medical Advice: Contact your healthcare provider if headaches become severe, persistent, or are accompanied by other symptoms.

    Nausea And Vomiting

    • Stay Hydrated: Sip fluids slowly, such as water, ginger tea, or clear soups to support hydration and reduce discomfort.
    • Eat Small, Bland Meals: Choose light foods like crackers, toast, or plain rice to minimize stomach irritation.
    • Avoid Strong Odors and Spicy Foods: These can worsen feelings of nausea and should be limited during symptoms.
    • Rest and Relaxation: Rest in a comfortable position and avoid sudden movements to calm the digestive system.
    • Seek Medical Advice: Consult a healthcare provider promptly if nausea is severe, persistent.

    Warning & Precautions

    Pregnancy

    Contraindicated

    UNIGOLIX 150 mg Tablet is not recommended during pregnancy. Patients who are pregnant or planning to become pregnant should consult a healthcare professional before use.  

    Breastfeeding

    Consult your doctor

    UNIGOLIX 150 mg Tablet may pass into breast milk. Mothers who are breastfeeding should seek medical advice before taking this medicine.  

    Driving and Using Machines

    Use with Caution

    Some patients may experience dizziness, drowsiness, or fatigue while taking UNIGOLIX 150 mg Tablet. Avoid driving or operating machinery until you understand how the medicine affects you. 

    Alcohol

    Contraindicated

    Consumption of alcohol should be avoided during management, as it may increase the risk of side effects such as dizziness, drowsiness, or impaired coordination. 

    Kidney

    Consult your doctor

    Patients with impaired kidney function should consult a healthcare professional before using UNIGOLIX 150 mg Tablet. Kidney function may need to be assessed to ensure safe use. 

    Liver

    Use with Caution

    Use UNIGOLIX 150 mg Tablet with caution in patients with liver conditions. Liver function monitoring may be recommended during prolonged use under professional supervision.    

    Allergy

    Contraindicated

    Do not take UNIGOLIX 150 mg Tablet if you are allergic to Elagolix or any other ingredients in the tablet. Seek immediate medical attention in case of allergic reactions, such as swelling, rash, or difficulty breathing.  

    Use In Pediatrics

    Contraindicated

    UNIGOLIX 150 mg Tablet is not recommended for children, as safety and dosage guidelines have not been established for pediatric patients. Always consult a healthcare professional for guidance.  

    Use In Geriatrics

    Use with Caution

    Elderly patients (aged 65 years and above) should use UNIGOLIX 150 mg Tablet with caution, as they may be more sensitive to side effects such as fatigue, dizziness, or drowsiness. Medical supervision is advised.

    Other Warnings for UNIGOLIX 150 TABLET

    Before taking UNIGOLIX 150 mg Tablet, inform your doctor if you:

    • Have or have had broken bones or other conditions that may cause bone problems
    • have or have had depression, mood problems or suicidal thoughts or behavior

    Who should not take UNIGOLIX 150 TABLET

    UNIGOLIX 150 mg Tablet is not recommended for use if you:

    • have osteoporosis

    Drug - Drug interaction

    1. P-glycoprotein (P-gp) Inhibitors (e.g., Erythromycin, Verapamil, Cyclosporine)

    • Interaction: P-gp inhibitors can increase the absorption and blood levels of Relugolix when taken with UNIGOLIX 150 Tablet.
    • Effects: May increase the risk of side effects such as hot flashes, fatigue, nausea, or hormonal imbalance.
    • Management: Avoid taking UNIGOLIX with strong P-gp inhibitors or maintain a time gap as advised by the doctor. Dose adjustment may be required.

    2. P-glycoprotein (P-gp) Inducers (e.g., Rifampicin, Carbamazepine, Phenytoin, St. John’s Wort)

    • Interaction: P-gp inducers can reduce the effectiveness of UNIGOLIX by lowering Relugolix blood levels.
    • Effects: Reduced therapeutic effect, leading to inadequate hormone suppression or worsening of symptoms.
    • Management: Concomitant use is generally not recommended. Inform your doctor if you are taking enzyme-inducing medications.

    3. Hormonal Therapies (e.g., Estrogens, Progestins, Testosterone)

    • Interaction: Hormonal medications may counteract the action of UNIGOLIX, which works by suppressing gonadotropin release.
    • Effects: Decreased effectiveness of UNIGOLIX and altered hormonal control.
    • Management: Avoid concurrent use unless specifically prescribed. Always inform your healthcare provider about hormone-based managements.

    4. Anti-Cancer Medicines (e.g., Enzalutamide, Abiraterone)

    • Interaction: Some anticancer drugs may affect the metabolism or action of Relugolix.
    • Effects: Potential reduction in management effectiveness or increased side effects.
    • Management: Close medical supervision is required. Dose modification or alternative therapy may be considered.

    5. Cardiovascular Medicines (e.g., Digoxin)

    • Interaction: UNIGOLIX may increase plasma concentrations of drugs transported by P-gp, such as Digoxin.
    • Effects: Increased risk of drug toxicity, including heart rhythm disturbances.
    • Management: Monitoring of drug levels and clinical response is recommended when used together.

    6. Herbal Supplements (e.g., St. John’s Wort)

    • Interaction: Herbal inducers can significantly reduce Relugolix exposure.
    • Effects: Loss of therapeutic benefit.
    • Management: Avoid herbal supplements unless approved by your doctor.

    Drug - Food interaction

    1. High-Fat Meals

    • Interaction: Consuming a high-fat meal may slightly delay the absorption of Relugolix when taken with UNIGOLIX 150 Tablet.
    • Effects: Slower onset of action, though overall effectiveness is usually not significantly affected.
    • Management: UNIGOLIX can be taken with or without food, but it is recommended to take it consistently the same way each day.

    2. Grapefruit and Grapefruit Juice

    • Interaction: Grapefruit products may inhibit P-glycoprotein activity, leading to increased Relugolix levels in the blood.
    • Effects: Increased risk of side effects such as hot flashes, headache, fatigue, or nausea.
    • Management: Avoid grapefruit and grapefruit juice while taking UNIGOLIX 150 Tablet unless advised otherwise by your doctor.

    3. Alcohol

    • Interaction: Alcohol does not directly interact with Relugolix but may worsen certain side effects.
    • Effects: Increased dizziness, fatigue, headache, or flushing.
    • Management: Limit alcohol consumption and consult your doctor if you experience worsening symptoms.

    4. Caffeine-Containing Foods and Beverages (e.g., coffee, tea, energy drinks)

    • Interaction: No direct interaction has been established, but excessive caffeine may aggravate nervous system–related side effects.
    • Effects: Restlessness, sleep disturbances, or increased heart rate.
    • Management: Moderate caffeine intake is advised during management.

    5. Herbal Foods and Supplements (e.g., St. John’s Wort)

    • Interaction: Certain herbal products may induce drug-metabolizing pathways and reduce Relugolix effectiveness.
    • Effects: Decreased therapeutic response.
    • Management: Avoid herbal supplements unless approved by your healthcare provider.

    6. Dietary Consistency

    • Interaction: Irregular eating patterns may affect medication adherence rather than drug absorption.
    • Effects: Reduced management effectiveness due to missed or delayed doses.
    • Management: Take UNIGOLIX 150 Tablet at the same time every day to maintain consistent drug levels.

    Synopsis

    Drug

    :  

    Elagolix

    Pharmacological Category

    :  

    Gonadotropin-Releasing Hormone (GnRH) Receptor Antagonists

    Therapeutic Indication

    :  

    Moderate to severe pain associated with endometriosis.

    Dosage Forms

    :  

    Tablet

    More Information

    01. What Daily Lifestyle Tips Should Be Followed While Taking UNIGOLIX 150 Tablet?

    Lifestyle Aspect

    Recommended Tips

    Why It Matters While Taking UNIGOLIX 150 Tablet

    Medication Timing

    Take UNIGOLIX 150 Tablet at the same time every day

    Maintains consistent Relugolix levels and improves management effectiveness

    Diet & Nutrition

    Follow a balanced diet rich in fruits, vegetables, lean protein, and whole grains

    Supports overall health and helps manage hormonal side effects

    Alcohol Intake

    Limit or avoid alcohol consumption

    Reduces the risk of worsening fatigue, dizziness, and hot flashes

    Smoking

    Avoid smoking and tobacco products

    Smoking may increase cardiovascular risks during hormonal therapy

    Physical Activity

    Engage in light to moderate exercise like walking or yoga

    Helps reduce fatigue, maintain bone health, and improve mood

    Bone Health

    Ensure adequate calcium and vitamin D intake

    UNIGOLIX may reduce bone mineral density with long-term use

    Hydration

    Drink plenty of water throughout the day

    Helps manage headaches, fatigue, and general well-being

    Sleep Routine

    Maintain regular sleep and wake times

    Improves energy levels and reduces stress-related symptoms

    Stress Management

    Practice relaxation techniques such as meditation or deep breathing

    Helps control mood changes and hormonal fluctuations

    Sun Exposure

    Get moderate sunlight exposure

    Supports vitamin D synthesis and bone strength

    Sexual Health

    Use effective non-hormonal contraception if advised

    Prevents unintended pregnancy and avoids hormone interference

    Missed Dose Awareness

    Take a missed dose as soon as remembered (same day)

    Prevents loss of management effectiveness

    Regular Monitoring

    Attend scheduled follow-ups and lab tests

    Helps track hormone levels, bone density, and side effects

    Herbal Supplements

    Avoid herbal products unless approved by a doctor

    Some herbs may reduce the effectiveness of UNIGOLIX

    Symptom Tracking

    Keep a record of side effects like hot flashes or mood changes

    Helps doctors adjust management if needed

    FAQs About UNIGOLIX 150 TABLET

    Q: What is UNIGOLIX 150 Tablet used for?

    A: UNIGOLIX 150 Tablet contains Elagolix and is used to manage moderate to severe pain associated with endometriosis, including pelvic pain, menstrual cramps, and pain during intercourse, under the guidance of a healthcare professional.

    Q: How does UNIGOLIX 150 Tablet work?

    A: UNIGOLIX 150 Tablet works by reducing the levels of estrogen in the body, which helps decrease the growth and activity of endometrial tissue, ultimately reducing endometriosis-related pain.

    Q: Can UNIGOLIX 150 Tablet be taken with food?

    A: Yes, UNIGOLIX 150 Tablet can be taken with or without food. Taking it at the same time each day helps maintain consistent medication levels for optimal pain relief.

    Q: What should I do if I miss a dose of UNIGOLIX 150 Tablet?

    A: If you miss a dose, take it as soon as you remember. If it is near the time of your next scheduled dose, skip the missed dose and continue your regular schedule. Do not double the dose.

    Q: What are the common side effects of UNIGOLIX 150 Tablet?

    A: Common side effects may include hot flashes, headaches, nausea, fatigue, mood changes, and decreased bone density with long-term use. Most side effects are mild and often improve over time.

    Q: Are there any serious side effects of UNIGOLIX 150 Tablet?

    A: Serious side effects are uncommon but may include severe bone loss, liver problems, or significant mood changes. Contact your doctor immediately if you experience unusual pain, yellowing of skin/eyes, or severe depression.

    Q: Can I drink alcohol while taking UNIGOLIX 150 Tablet?

    A: Alcohol does not directly interact with UNIGOLIX 150 Tablet, but excessive alcohol use may worsen liver health and bone density, so it is best to limit alcohol consumption.

    Q: Is UNIGOLIX 150 Tablet safe during pregnancy or breastfeeding?

    A: UNIGOLIX 150 Tablet is not recommended during pregnancy or breastfeeding. Women of childbearing potential should use effective contraception during management.

    Q: Can UNIGOLIX 150 Tablet be taken by postmenopausal women or elderly patients?

    A: UNIGOLIX 150 Tablet is intended for premenopausal women with endometriosis. Its safety and effectiveness in postmenopausal or elderly women have not been established.

    Q: How should UNIGOLIX 150 Tablet be stored?

    A: Store UNIGOLIX 150 Tablet in a cool, dry place away from direct sunlight, and keep it out of reach of children to maintain its effectiveness.

    Q: Is UNIGOLIX 150 Tablet habit forming?

    A: UNIGOLIX 150 Tablet is not habit-forming. It is a hormone-regulating therapy for endometriosis pain management.

    Q: Can UNIGOLIX 150 Tablet be taken with other medicines?

    A: UNIGOLIX 150 Tablet may interact with certain medications, including hormonal therapies and liver-metabolized drugs. Always inform your doctor about all medicines, supplements, or herbal products you are using.

    Q: How long does it take for UNIGOLIX 150 Tablet to start working?

    A: UNIGOLIX 150 Tablet can start reducing endometriosis-related pain within a few weeks, but full benefits may take 1-3 months depending on individual response and adherence to the prescribed schedule.

    Q: Is UNIGOLIX 150 Tablet available without a prescription?

    A: No, UNIGOLIX 150 Tablet is a prescription-only medication. It should be taken under the supervision of a healthcare professional to monitor side effects, hormone levels, and bone health.

    Q: Can UNIGOLIX 150 Tablet be taken long term?

    A: Long-term use of UNIGOLIX 150 Tablet is generally limited due to potential bone density loss and other hormonal effects. Your doctor will determine the safest duration of therapy and may recommend periodic breaks or additional managements to protect bone health.

    References

    1. Hugh S Taylor 1, Linda C Giudice 1, Bruce A Lessey 1, Mauricio S Abrao 1, Jan Kotarski 1, David F Archer 1, Michael P Diamond 1, Eric Surrey 1, Neil P Johnson 1, Nelson B Watts 1, J Chris Gallagher 1, James A Simon 1, Bruce R Carr 1, W Paul Dmowski 1, Nicholas Leyland 1, Jean P Rowan 1, W Rachel Duan 1, Juki Ng 1, Brittany Schwefel 1, James W Thomas 1, Rita I Jain 1, Kristof Chwalisz 1. Treatment of Endometriosis-Associated Pain with Elagolix, an Oral GnRH Antagonist. NIH National Library of Medicine, National center for biotechnology information. PubMed. 2017 Jul 6. [Accessed on 23rd January 2026] 
       
    2. Nicholas Leyland 1, Stephanie J Estes 2, Bruce A Lessey 3, Arnold P Advincula 4, Hugh S Taylor 5. A Clinician's Guide to the Treatment of Endometriosis with Elagolix. NIH National Library of Medicine, National center for biotechnology information. PubMed Central. 19 Apr 2021. [Accessed on 23rd January 2026]
       
    3. AbbVie Inc; U.S. Food & Drug Administration; [Revised on December 2025] [Accessed on 23rd January 2026] 
       
    4. AbbVie Inc. ORILISSA. Elagolix tablet. [Accessed on 23rd January 2026]
    Lab updated