Krajina: Spojené štáty
Jazyk: angličtina
Zdroj: NLM (National Library of Medicine)
DESOGESTREL (UNII: 81K9V7M3A3) (DESOGESTREL - UNII:81K9V7M3A3), ETHINYL ESTRADIOL (UNII: 423D2T571U) (ETHINYL ESTRADIOL - UNII:423D2T571U)
Mylan Pharmaceuticals Inc.
DESOGESTREL
DESOGESTREL 0.15 mg
PRESCRIPTION DRUG
Desogestrel and ethinyl estradiol tablets USP, 0.15 mg/0.03 mg are indicated for the prevention of pregnancy in women who elect to use oral contraceptives as a method of contraception. Oral contraceptives are highly effective. Table 1 lists the typical accidental pregnancy rates for users of combined oral contraceptives and other methods of contraception. The efficacy of these contraceptive methods, except sterilization, the IUD, and the Norplant System depends upon the reliability with which they are used. Correct and consistent use of these methods can result in lower failure rates. In a clinical trial with desogestrel and ethinyl estradiol tablets, 1,195 subjects completed 11,656 cycles and a total of 10 pregnancies were reported. This represents an overall user-efficacy (typical user-efficacy) pregnancy rate of 1.12 per 100 women-years. This rate includes patients who did not take the drug correctly. Table 1: Percentage of Women Experiencing an Unintended Pregnancy During the First Year of Typical Use an
Desogestrel and ethinyl estradiol tablets USP, 0.15 mg/0.03 mg are available in a carton of 3 pouches (NDC 0378-7282-53); each pouch contains a blister pack of 28 tablets. The blister pack contains 28 tablets, as follows: 21 white, round, biconvex tablets debossed with "227" on one side of the tablet and plain on the other side (0.15 mg desogestrel and 0.03 mg ethinyl estradiol) and 7 green, round, biconvex tablets debossed with "292" on one side of the tablet and plain on the other side. Each green tablet contains inert ingredients. Store at 20° to 25°C (68° to 77°F). [See USP Controlled Room Temperature.] REFERENCES
Abbreviated New Drug Application
DESOGESTREL AND ETHINYL ESTRADIOL- DESOGESTREL AND ETHINYL ESTRADIOL MYLAN PHARMACEUTICALS INC. ---------- RX ONLY DESOGESTREL AND ETHINYL ESTRADIOL TABLETS USP, 0.15 MG/0.03 MG WARNING: CARDIOVASCULAR RISK ASSOCIATED WITH SMOKING Cigarette smoking increases the risk of serious cardiovascular events from combination oral contraceptive use. This risk increases with age, particularly in women over 35 years of age, and with the number of cigarettes smoked. For this reason, combination oral contraceptives, including desogestrel and ethinyl estradiol tablets, should not be used by women who are over 35 years of age and smoke. PATIENTS SHOULD BE COUNSELED THAT THIS PRODUCT DOES NOT PROTECT AGAINST HIV INFECTION (AIDS) AND OTHER SEXUALLY TRANSMITTED DISEASES. DESCRIPTION Desogestrel and ethinyl estradiol tablets USP, 0.15 mg/0.03 mg provide an oral contraceptive regimen of 21 white round tablets each containing 0.15 mg desogestrel (13-ethyl-11-methylene-18,19-dinor-17 alpha-pregn-4-en-20-yn-17-ol) and 0.03 mg ethinyl estradiol (19-nor-17 alpha-pregna-1,3,5 (10)-trien- 20-yne-3,17,diol). Inactive ingredients include anhydrous lactose, colloidal silicon dioxide, potato starch, povidone K-30, stearic acid, and _dl_-α-tocopherol. Each green tablet contains the following inactive ingredients: FD&C Blue No.1 Aluminium Lake, ferric oxide yellow, lactose monohydrate, magnesium stearate and polacrilin potassium. CLINICAL PHARMACOLOGY PHARMACODYNAMICS Combined oral contraceptives act by suppression of gonadotropins. Although the primary mechanism of this action is inhibition of ovulation, other alterations include changes in the cervical mucus, which increase the difficulty of sperm entry into the uterus, and changes in the endometrium which reduce the likelihood of implantation. Receptor binding studies, as well as studies in animals, have shown that 3-keto-desogestrel, the biologically active metabolite of desogestrel, combines high progestational activity with minimal intrinsic androgenicity. The relevance of this latter find Prečítajte si celý dokument