Oral contraception progestins

Estimated Relative Oral Contraceptive Progestin/Estrogen/Androgen Activi... 

Ovrette Norgestrel 0.075 mg Tablet Oral contraceptive progestin receptor Cellulose, lactose, magnesium stearate, polacrilin potassium Wyeth... 

All medical therapies (nonsteroidal anti-inflammatory drugs, oral contraceptives, progestins, danazol, or gonadotropinreleasing hormone agonists) are equally efficacious in treating endometriosis-related pain based on available evidence. Choice among agents is determined primarily by side-effect profile, cost, and individual patient response. 

Gestodene Gestodene (54), along with norgestimate and desogestrel, are the progestin components of the third-generation oral contraceptives (see Contraceptives). It may be crystallised from hexane/acetone (81) or ethyl acetate (82), and its crystal stmcture (83) and other spectral data have been reported (84). 

As of 1994, there were approximately 47 progestin-containing contraceptive dmg formulations sold in the United States for use as oral contraceptives (Table 3). In addition, there are three nonoral contraceptive formulations containing progestins ie, one injectable (Depo-Provera), one as an intrauterine device (lUD) (Progestasert), and one implantable (Norplant). Of the oral formulations, all but two also contain an estrogen component, ethynylestradiol. 

The 1950s and 1960s saw the development of orally active progestins based on the synthesis of steroids that lack the C19-angular methyl substituent (19-norsteroids). The commercial production of these compounds for the regulation of menstmal disorders began in 1957, and for oral contraception in 1960. 

Therapeutic Function Progestin oral contraceptive ingredient Chemical Name 3(3,17(3-diacetoxy-17a-ethynyl-4-estrene Common Name —... 

The estrogens, in combination with a progestin, are also used as oral contraceptives (Table 52-1). The uses of individual estrogens are given in the Summary Drug Table Female Hormones. The use of estrogens in the treatment of carcinoma is discussed in Chapter 55. 

Estrogens and progestins (combination oral contraceptives) are used as oral contraceptives. There are three types of estrogen and progestin combination oral contraceptives monophasic, biphasic, and triphasic. The monophasic oral contraceptives provide a fixed dose of estrogen and progestin throughout the cycle The biphasic and triphasic oral contraceptives deliver hormones similar to the levels naturally produced by the body (Table 52-1). 

The effects of the progestins are decreased when administered with anticonvulsants, barbiturates, or rifampin. Administration of the penicillins or tetracyclines with the oral contraceptives decreases the effects of the oral contraceptives. 

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