Danazol (Danazol) — Patient Information (UK)
Danazol is a medicine used in specific conditions where reducing abnormal hormone activity or stabilising certain biological processes is helpful. This page explains how danazol works, how it’s taken, key safety points, common interactions (including alcohol), and practical guidance for safe use in the UK.
Quick overview
- Active ingredient: Danazol
- What it is: A synthetic androgen (a steroid-like medicine) with complex effects on the body’s hormone signalling
- Common forms: Tablets/capsules depending on brand and strength available in the UK market
- Typical uses: Conditions such as endometriosis (selected cases), hereditary angioedema prophylaxis, and certain other specialist indications
- Key safety considerations: Liver health monitoring, cholesterol changes, potential androgenic side effects, and pregnancy risk
- Important: Always follow the dosing plan provided for your situation and speak to your clinician if anything changes
Basic product information
| Feature | Details |
|---|---|
| Medicine name | Danazol |
| Class | Synthetic steroid with androgenic and anti-gonadotrophic effects |
| How it is used | Oral administration (tablets/capsules) |
| Who it suits | Selected patients with specific indications, typically under specialist care |
| Main risks | Liver effects, lipid changes, virilisation, menstrual changes, teratogenicity (pregnancy risk) |
How danazol works (mechanism of action)
Danazol affects the hormone system in several ways. It can reduce the release of hormones from the pituitary gland (anti-gonadotrophic effect), which in turn can lower estrogen activity. Because estrogen is involved in some hormone-sensitive conditions, this can help relieve symptoms.
In addition, danazol’s androgen-like activity may influence protein production and stabilise certain immune and vascular processes. For hereditary angioedema, it is thought to support the balance of pathways involved in bradykinin generation, helping reduce attack frequency in some patients.
The exact mechanism can vary by indication, which is why danazol is used in specific clinical scenarios rather than broadly.
Pharmacokinetics (how the body handles danazol)
After you swallow danazol, it is absorbed through the gastrointestinal tract. The medicine distributes throughout the body and is processed mainly by the liver. Danazol is metabolised into multiple metabolites which may contribute to its activity.
- Absorption: Taken by mouth; absorption can be affected by food (see food interactions section).
- Metabolism: Primarily hepatic (involves liver enzymes).
- Elimination: Metabolites are cleared from the body, with most excretion occurring via bile and urine.
- Onset: Symptom improvement may take days to weeks depending on the condition being treated.
Because danazol is processed in the liver, people with liver disease or significantly reduced liver function may be at higher risk and require special consideration.
Typical indications (what it’s used for in the UK)
Danazol is used for specific conditions where its hormone-modifying and stabilising effects are beneficial. Common indications include:
- Hereditary angioedema (HAE): Prevention of angioedema attacks in some patients.
- Endometriosis: Management of endometriosis in selected circumstances (often when other options are unsuitable).
- Other specialist indications: In some situations, danazol may be considered by clinicians for particular hormone-related disorders.
Your clinician will determine suitability based on the diagnosis, severity, prior treatment history, and your risk factors (including liver health and pregnancy potential).
Dosing and timing: how to take danazol
The dose and schedule depend on the condition being treated, your age, and your response. Always follow the regimen given to you by your healthcare professional.
General dosing principles
- Consistency: Take doses at roughly the same times each day.
- Swallow whole: Unless advised otherwise, swallow tablets/capsules with water.
- Do not change dose: Do not increase or stop suddenly without medical advice.
- Use with monitoring: Liver function and cholesterol may need monitoring during treatment.
Typical adult dosing patterns (information only)
The exact dosing for UK patients varies by indication and individual factors. Below are common patterns used in clinical practice; your prescribed plan may differ.
- Hereditary angioedema prophylaxis: Often started at a selected daily dose and adjusted according to prevention of attacks and side effects.
- Endometriosis: Typically started at a daily total dose split into multiple doses and then reviewed for response and tolerability.
Tip: If you miss a dose, follow your clinician or pharmacist’s guidance. In general, take it when you remember unless it’s close to the next dose; do not double up.
Timing during the day
Because food can affect absorption, your clinician may suggest taking danazol either with or without meals consistently. If you’re told to take it with food, do so at similar mealtimes each day.
Food interactions: what to consider
Food can influence how danazol is absorbed and therefore can alter blood levels. To reduce variability:
- Be consistent: Take danazol in the same way each day (either always with food or always on an empty stomach) unless your prescriber instructs otherwise.
- Check with your pharmacist: If you have meal schedule changes (night shifts, irregular eating), ask how to align dosing safely.
If you experience nausea, indigestion, or stomach discomfort, taking the medicine with a small meal may help in some people—confirm this approach with a healthcare professional.
Alcohol interactions and general drinking guidance
Danazol is metabolised by the liver, and alcohol can also stress liver pathways. While there isn’t one universal rule for all patients, drinking alcohol during treatment may increase the risk of liver-related side effects.
- Best approach: Limit or avoid alcohol while taking danazol, especially if you have existing liver concerns.
- Discuss with your clinician: If you drink regularly, ask whether reduced drinking is needed and whether extra liver monitoring is appropriate.
- Watch for symptoms: If you develop yellowing of the skin/eyes, dark urine, severe fatigue, or upper abdominal pain, seek urgent medical advice.
Medicine interactions (including OTC and supplements)
Danazol can interact with other medicines, mainly through liver enzyme pathways and effects on hormone balance. Always tell your pharmacist or clinician about all medicines you take, including over-the-counter products and herbal supplements.
Examples of interaction categories to discuss
- Medicines affecting liver enzymes: Some drugs can change how danazol is metabolised, altering effectiveness and side-effect risk.
- Anticoagulants (“blood thinners”): Changes in metabolism or liver function can affect clotting control in some patients.
- Hormonal therapies: Because danazol alters hormonal signalling, concurrent hormonal treatments may require careful review.
- Lipid-related medicines: Danazol can influence cholesterol; if you take statins or other lipid-lowering treatments, monitoring may be needed.
Important: This list is not exhaustive. Provide your full medication list to ensure safe screening of interactions.
Safety profile: side effects and risks
Like all medicines, danazol can cause side effects. Many are predictable and dose-related, while others are less common. Your clinician may plan monitoring (blood tests and reviews) to detect issues early.
Common or known side effects
- Changes in menstrual pattern: irregular periods, reduced bleeding, or amenorrhoea
- Androgenic effects: acne, increased facial/body hair, voice deepening (rare but potentially significant), scalp hair thinning in susceptible people
- Weight changes: fluid retention or weight gain in some individuals
- Mood changes: irritability, fatigue, or changes in mood
- Headache
- Hot flushes or other hormonal symptoms
Less common but serious risks
- Liver problems: increased liver enzymes, hepatitis-like symptoms, jaundice (rare but important)
- Cholesterol/lipid changes: adverse changes can occur; monitoring may be advised
- Blood clot risk: any medicine affecting steroid/hormonal pathways may influence clot risk; additional risk factors should be assessed
- Virilisation: in people who can become pregnant, androgenic effects can be concerning for fetal development
- Eye complications: report any visual disturbances promptly
Pregnancy and fertility considerations
Danazol can cause harm to an unborn baby and is generally avoided during pregnancy. If you could become pregnant:
- Discuss reliable contraception with your clinician before starting danazol.
- Seek urgent advice if you think you might be pregnant while taking the medicine.
When to seek urgent medical help
Contact emergency services or urgent medical care if you experience:
- Yellowing of the skin or eyes, severe itching with jaundice, or dark urine
- Severe abdominal pain, persistent vomiting, or marked fatigue
- Signs of a possible blood clot (e.g., sudden breathlessness, chest pain, one-sided leg swelling)
- Sudden severe headache, weakness on one side, or speech/vision changes
- Any serious allergic reaction (swelling of face/lips, trouble breathing)
Practical use tips for safer, smoother treatment
- Plan for monitoring: Keep appointments for blood tests (e.g., liver enzymes, cholesterol) if your clinician asks for them.
- Track symptoms: Note changes in symptoms relevant to your condition (e.g., frequency of angioedema attacks or pain levels in endometriosis).
- Record side effects early: Early reporting of acne, mood changes, menstrual changes, or unusual symptoms can help your clinician adjust the plan.
- Maintain a stable routine: Take danazol at the same times daily; reduce missed doses.
- Don’t stop suddenly: Abrupt stopping can lead to recurrence of symptoms; discuss any planned change with your healthcare team.
- Lifestyle support: A heart-healthy diet and exercise (where appropriate) may help manage cholesterol changes—ask your clinician for advice tailored to you.
Alternative options
Alternatives depend on the condition being treated. Your clinician may consider other treatments based on effectiveness, safety, and available guidance.
For hereditary angioedema (overview)
- Other preventive therapies: modern options may include targeted agents designed to reduce attack frequency.
- On-demand treatments: medicines taken at the time of an attack may be used alongside or instead of prophylaxis.
- Supportive measures: avoiding triggers and ensuring action plans for attacks.
For endometriosis (overview)
- Hormonal therapies: options that suppress endometriosis activity may be considered.
- Analgesics: pain relief may be used in combination.
- Surgical approaches: in some cases, surgery is considered depending on severity and goals.
If you’re exploring alternatives, discuss: expected benefits, time to improvement, monitoring requirements, and your risk factors.
Market and legal context in the United Kingdom
In the UK, medicines are regulated by the Medicines and Healthcare products Regulatory Agency (MHRA). Danazol is an established medicine, with availability dependent on licensed manufacturers, product supply, and local pharmacy stock practices.
For safety and quality, UK pharmacies follow legal requirements for storage, supply, and pharmacovigilance (reporting suspected side effects). Your pharmacy team may also check medicine history and suitability during dispensing to help ensure safe use.
Availability can vary between strengths and brands. If the exact product you order is temporarily unavailable, a pharmacy may contact you about alternatives, depending on clinical appropriateness and supply chain status.
Recent guidance and monitoring considerations (general)
Clinical guidance can evolve as new evidence and patient safety data emerge. While danazol remains used in selected scenarios, healthcare professionals may emphasise:
- Risk assessment: careful evaluation of liver disease risk, cholesterol and cardiovascular risk factors, and pregnancy potential.
- Baseline and ongoing monitoring: liver function tests and lipid profiles may be used.
- Review of benefit vs risk: assessing symptom control and side effects regularly to determine whether to continue, adjust, or stop.
- Pharmacovigilance: reporting suspected side effects contributes to ongoing safety monitoring.
If you’re already taking danazol, ensure you attend planned reviews and blood tests and ask your clinician if monitoring is still appropriate for your current health status.
Delivery and availability (UK online pharmacy)
Danazol availability depends on local stock and supply schedules. Our online pharmacy aims to provide clear stock status and delivery estimates at checkout.
- Home delivery: Typically available to eligible UK addresses (coverage depends on carrier and order value).
- Packaging: Medicines are supplied in appropriate packaging to protect quality during transit.
- Cold-chain: Danazol generally does not require refrigeration; store as indicated on the label.
- Out of stock: If a product is unavailable, the pharmacy may contact you with options, such as alternative strengths or equivalent formulations where appropriate.
After dispatch, you may receive tracking details where available. If you have urgent clinical needs, contact customer support so the pharmacy can advise on timing.
Storage instructions
- Store in the original package to protect from light and moisture.
- Keep out of the sight and reach of children.
- Do not use after the expiry date shown on the pack.
- Follow label instructions for temperature conditions (typically room temperature unless stated otherwise).
FAQ about Danazol
1) What is danazol used for?
Danazol is used for specific conditions such as hereditary angioedema prophylaxis and selected cases of endometriosis. The exact choice depends on your diagnosis and clinical history.
2) How soon will it start working?
Some people notice changes within days, while others may need weeks for meaningful symptom improvement. Your clinician will review response over time.
3) Should I take danazol with food or without food?
Food can affect absorption. Follow the exact instructions given to you. If you haven’t been told, ask your pharmacist whether you should take it with or without meals, and try to keep the method consistent.
4) Can I drink alcohol while taking danazol?
It’s best to limit or avoid alcohol because danazol is metabolised by the liver. If you drink regularly, discuss your intake with your clinician and consider extra liver monitoring if advised.
5) What side effects should I watch for?
Watch for androgenic effects (e.g., acne or increased hair growth), menstrual changes, mood changes, and signs of liver problems such as jaundice or dark urine. Seek urgent care for serious symptoms.
6) What blood tests or monitoring might be needed?
Monitoring commonly includes liver function tests and lipid/cholesterol checks, depending on your risk profile and duration of treatment. Follow the plan agreed with your clinician.
7) Are there interactions with other medicines?
Yes. Danazol may interact with medicines that affect liver enzymes or other systems. Always tell your pharmacist about prescription medicines, over-the-counter products, and supplements.
8) What should I do if I miss a dose?
If you miss a dose, take it when you remember unless it’s close to the next dose. Do not double up. If unsure, ask your pharmacist for advice tailored to your schedule.
9) Can danazol be used during pregnancy?
Danazol can harm an unborn baby, so it is generally avoided during pregnancy. If you could become pregnant, discuss contraception and seek advice promptly if pregnancy is suspected.
10) What are common alternative treatments?
Alternatives depend on the condition. For hereditary angioedema and endometriosis, there are other preventive and symptom-relief options, including newer targeted medicines and different hormonal or surgical approaches. Your clinician can recommend the most suitable choice for you.
Important safety note
This information is intended to help you understand danazol and use it safely. It does not replace advice from a healthcare professional. If you have concerns about side effects, interactions, liver health, or whether danazol is suitable for your condition, speak to your pharmacist or clinician promptly.

