Country: United States
Language: English
Source: NLM (National Library of Medicine)
NORGESTIMATE (UNII: C291HFX4DY) (NORGESTIMATE - UNII:C291HFX4DY), ETHINYL ESTRADIOL (UNII: 423D2T571U) (ETHINYL ESTRADIOL - UNII:423D2T571U)
Mylan Pharmaceuticals Inc.
PRESCRIPTION DRUG
Norgestimate and ethinyl estradiol tablets, 0.25 mg/0.035 mg are indicated for use by females of reproductive potential to prevent pregnancy [see Clinical Studies (14)] . Do not prescribe norgestimate and ethinyl estradiol tablets to women who are known to have the following conditions: ● A high risk of arterial or venous thrombotic diseases. Examples include women who are known to: ○ Smoke, if over age 35 [see Boxed Warning and Warnings and Precautions (5.1)] ○ Have deep vein thrombosis or pulmonary embolism, now or in the past [see Warnings and Precautions (5.1)] ○ Have inherited or acquired hypercoagulopathies [see Warnings and Precautions (5.1)] ○ Have cerebrovascular disease [see Warnings and Precautions (5.1)] ○ Have coronary artery disease [see Warnings and Precautions (5.1)] ○ Have thrombogenic valvular or thrombogenic rhythm diseases of the heart (for example, subacute bacterial endocarditis with valvular disease, or atrial fibrillation) [see Warnings and Precautions (5.1)]
Norgestimate and Ethinyl Estradiol Tablets USP, 0.25 mg/0.035 mg are available in carton of 3 pouches (NDC 0378-7286-53); each pouch contains a blister pack of 28 tablets. Each blister pack contains 28 tablets in the following order: Keep this and all medications out of the reach of children.
Abbreviated New Drug Application
NORGESTIMATE AND ETHINYL ESTRADIOL- NORGESTIMATE AND ETHINYL ESTRADIOL MYLAN PHARMACEUTICALS INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE NORGESTIMATE AND ETHINYL ESTRADIOL TABLETS SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR NORGESTIMATE AND ETHINYL ESTRADIOL TABLETS. NORGESTIMATE AND ETHINYL ESTRADIOL TABLETS FOR ORAL USE INITIAL U.S. APPROVAL: 1989 WARNING: CIGARETTE SMOKING AND SERIOUS CARDIOVASCULAR EVENTS _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ • • RECENT MAJOR CHANGES Contraindications (4) 08/2017 Warnings and Precautions (5.3) 08/2017 INDICATIONS AND USAGE Norgestimate and ethinyl estradiol tablets are estrogen/progestin COCs, indicated for use by women to prevent pregnancy. (1.1) DOSAGE AND ADMINISTRATION • • • DOSAGE FORMS AND STRENGTHS Norgestimate and ethinyl estradiol tablets consist of 28 round, flat-faced, beveled edge tablets in the following order (3): • • CONTRAINDICATIONS • • • • • • WARNINGS AND PRECAUTIONS • • • • • • ADVERSE REACTIONS The most common adverse reactions reported during clinical trials (greater than or equal to 2%) were: Norgestimate and ethinyl estradiol tablets: headache/migraine, abdominal/gastrointestinal pain, vaginal infection, genital discharge, breast issues (including breast pain, discharge, and enlargement), mood disorders (including depression and mood altered), flatulence, nervousness, rash. (6.1) TO REPORT SUSPECTED ADVERSE REACTIONS, CONTACT MYLAN PHARMACEUTICALS INC. AT 1-877-446-3679 (1-877- 4-INFO-RX) OR FDA AT 1-800-FDA-1088 OR WWW.FDA.GOV/MEDWATCH. DRUG INTERACTIONS Drugs or herbal products that induce certain enzymes including CYP3A4, may decrease the effectiveness of COCs or increase breakthrough bleeding. Counsel patients to use a back-up or alternative method of contraception when enzyme inducers are used with COCs. (7.1) USE IN SPECIFIC POPULATIONS • SEE 17 FOR PATIENT COUNSELING INFORMATION. REVISED: 9 Read the complete document