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Endocrine 2
Generic | Brand | Pharmacologic Category | Common Indications | Essential Knowledge |
---|---|---|---|---|
drospirenone and ethinyl estradiol (PO) | Yasmin, Yaz | Contraceptive | Contraception, acne | Key Side Effects: nausea, changes in menstrual flow, breast tenderness, thromboembolic disorders, headache US Boxed Warnings: increased risk of cardiovascular events in women >35 years old who smoke Other Notes: CI in hepatic dysfunction, thromboembolic disorders, breast cancer, and cardiovascular disease |
levonorgestrel and ethinyl estradiol (PO) | Lutera, Levora, Seasonique | Contraceptive | Contraception, acne | Key Side Effects: nausea, changes in menstrual flow, breast tenderness, thromboembolic disorders, headache US Boxed Warnings: increased risk of cardiovascular events in women >35 years old who smoke Other Notes: CI in hepatic dysfunction, thromboembolic disorders, breast cancer, and cardiovascular disease |
norethindrone and ethinyl estradiol (PO) | Junel, Loestrin, Microgestin | Contraceptive | Contraception, acne | Key Side Effects: nausea, changes in menstrual flow, breast tenderness, thromboembolic disorders, headache US Boxed Warnings: increased risk of cardiovascular events in women >35 years old who smoke Other Notes: CI in hepatic dysfunction, thromboembolic disorders, breast cancer, and cardiovascular disease |
norethindrone, ethinyl estradiol, and ferrous fumarate (PO) | Lo Loestrin Fe, Microgestin Fe | Contraceptive | Contraception, acne | Key Side Effects: nausea, changes in menstrual flow, breast tenderness, thromboembolic disorders, headache US Boxed Warnings: increased risk of cardiovascular events in women >35 years old who smoke Other Notes: CI in hepatic dysfunction, thromboembolic disorders, breast cancer, and cardiovascular disease |
norgestimate and ethinyl estradiol (PO) | Ortho Tri-Cyclen Lo, Tri-Sprintec, Sprintec | Contraceptive | Contraception, acne | Key Side Effects: nausea, changes in menstrual flow, breast tenderness, thromboembolic disorders, headache US Boxed Warnings: increased risk of cardiovascular events in women >35 years old who smoke Other Notes: CI in hepatic dysfunction, thromboembolic disorders, breast cancer, and cardiovascular disease |
norgestrel and ethinyl estradiol (PO) | Crysell-28, Low-Ogestrel | Contraceptive | Contraception, acne | Key Side Effects: nausea, changes in menstrual flow, breast tenderness, thromboembolic disorders, headache US Boxed Warnings: increased risk of cardiovascular events in women >35 years old who smoke Other Notes: CI in hepatic dysfunction, thromboembolic disorders, breast cancer, and cardiovascular disease |
estrogens, conjugated (equine) (PO, topical) | Premarin | Estrogen derivative | Vasomotor symptoms associated with menopause, vaginal atrophy associated with menopause | KSE: irritation at application site (trans. patch only), abdominal pain, breast tenderness, thromboembolic disorders (MI, stroke, VTE) USBW: increased risk of breast cancer; should not be used for dementia prevention; increased risk of endometrial cancer if not used concomitantly with progestin in women with a uterus; should not be used for prevention of cardiovascular disease ON: CI in hepatic dysfunction, thromboembolic disorders, cardiovascular disease, breast cancer, and estrogen-dependent tumor |
estradiol (transdermal, PO) | Transdermal: Vivelle Dot, PO: Estrace | Estrogen derivative | Vasomotor symptoms associated with menopause, vaginal atrophy associated with menopause | KSE: irritation at application site (trans. patch only), abdominal pain, breast tenderness, thromboembolic disorders (MI, stroke, VTE) USBW: increased risk of breast cancer; should not be used for dementia prevention; increased risk of endometrial cancer if not used concomitantly with progestin in women with a uterus; should not be used for prevention of cardiovascular disease ON: CI in hepatic dysfunction, thromboembolic disorders, cardiovascular disease, breast cancer, and estrogen-dependent tumor |
medroxyprogesterone (PO) | Provera | Progestin | Abnormal uterine bleeding, secondary amenorrhea | Key Side Effects: acne, abnormal menstrual bleeding, headache, amenorrhea US Boxed Warnings: increased risk of breast cancer; should not be used for dementia prevention; should not be used for prevention of cardiovascular disease Other Notes: CI in thromboembolic disorders, cardiovascular disease, estrogen or progesterone-dependent tumors, undiagnosed abnormal genital bleeding, hepatic impairment |