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Are you female?
Are you breastfeeding or pregnant or possibly pregnant?
Do you have an allergy (hypersensitivity) to norethisterone?
Do you or your family members have a history of deep vein thrombosis (DVT)?
Have you been diagnosed with any of the following?
Are you taking any type of hormonal contraceptives (e.g. oral or injections)?
Are you currently taking any medication (including over the counter, prescription or recreational drugs)?
Do you understand that this medication should be only be used for delaying your period?
Do you agree with the following?
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