What Is Dysmenorrhoea?⁴

• Dysmenorrhoea is defined as painful cramps that occur with menstruation.
• Dysmenorrhoea is considered primary when any other underlying pathological conditions have been ruled out and is most common in the late teens and early twenties.
• Although estimates of its prevalence vary widely, it is the most common gynaecological problem in women of all ages and races.
• Secondary dysmenorrhoea results from specific pelvic pathology, eg. endometriosis

Diagnosis Of Primary Dysmenorrhoea⁴

• The diagnosis of primary dysmenorrhoea is based on clinical history and physical examination
• A family history may be helpful in differentiating primary from secondary dysmenorrhoea
• Some of the risk factors include irregular menstrual cycles, clinically suspected pelvic inflammatory disease.
• This clinical diagnosis should exclude conditions which may have a similar clinical presentation, such as: pregnancy, pelvic inflammatory disease, endometriosis and chronic pelvic pain.

Treatment Of Primary Dysmenorrhoea⁴

• Nonsteroidal anti-inflammatory drugs (NSAIDs) are recommended as the first line treatment for primary dysmenorrhoea.
• The choice of NSAID should be based on effectiveness and tolerability for the individual patient.
• Oral, intravaginal, and intra-uterine hormonal contraceptives have also been recommended in the treatment of primary dysmenorrhoea

How To Take SALOME™ MENSTRUAL PAIN

• Always take SALOME™ MENSTRUAL PAIN exactly as your doctor has instructed you. You should check with your doctor or pharmacist if you are unsure.
• The usual dose is 1 – 2 capsules three times daily

If You Take More SALOME™ MENSTRUAL PAIN Than You Should

• No case of overdose has been reported. In the event of overdosage, consult your doctor or pharmacist. If neither is available, contact the nearest hospital or poison control centre.

If You Forget To Take SALOME™ MENSTRUAL PAIN:

• Do not take a double dose to make up for forgotten individual doses.

Complementary Medicine: Health Supplement D 33.6 Western Herbal Medicine.
SALOMETM MENSTRUAL PAIN. Each capsule contains Yarrow Dry extract Ratio 4:1 [Achillea millefolium L.] 250 mg.

This unregistered medicine has not been evaluated by the SAHPRA for its quality, safety or intended use.

1. SALOMETM MENSTRUAL PAIN Professional Information and Patient Information Leaflet.
2. Radfar S, Shahoie R, Noori B, et al. Comparative Study on the Effect of Matricaria chamomile and Achillea millefolium Capsules on Primary Dysmenorrhea Intensity of Dormitory Students of Kurdistan University of Medical Sciences, 2018. Journal of Pharmaceutical Research International. 2018;25(3):1-7
3. Jenabi E, Fereidoony B. Effect of Achillea Millefolium on Relief of Primary Dysmenorrhea: A Double-Blind Randomized Clinical Trial. Journal of paediatric and adolescent gynaecology. 2015; 28:402-404
4. Osayande AS, Mehulic S. Diagnosis and Initial Management of Dysmenorrhea. Am Fam Physician. 2014;89(5):341-346.