PROGESTINS |
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PROGESTINS
BRAND & GENERIC NAMES
Aygestin Norlutate
Lo-Ovral Norlutate Acetate
Micronor Norlutin
Modicon 21 Ortho-Novum 1/35
Nor-O.D. Ovcon
Nor-Q.D. Ovral
Norinyl 1+35 21-Day Tablets Ovrette
Norlestrin Tri-Norinyl
BASIC INFORMATION
Habit forming? No
Prescription needed? Yes
Available as generic? No
Drug class: Female sex hormone
(progestin)
USES
Treatment for menstrual or uterine disorders caused by
progestin imbalance.
Contraceptive.
DOSAGE & USAGE INFORMATION
How to take:
Tablet -- Swallow with liquid or food to lessen stomach
irritation. You may crumble tablet or open capsule.
When to take:
At the same time each day.
If you forget a dose:
Menstrual disorders--Take up to 2 hours late. If more than 2
hours, wait for next dose (don't double this dose).
Contraceptive--Consult your doctor. You may need to use another
birth-control method until next period.
What drug does:
Creates a uterine lining similar to pregnancy that prevents
bleeding.
Suppresses a pituitary gland hormone responsible for ovulation.
Stimulates cervical mucus, which stops sperm penetration and
prevents pregnancy.
Time lapse before drug works:
Menstrual disorders--24 to 48 hours.
Contraception--3 weeks.
Don't take with:
Any other medicines, even over-the-counter drugs such as cough
and cold medicines, nose drops, diet pills, laxatives or
caffeine, without consulting your doctor.
OVERDOSE
SYMPTOMS:
Nausea, vomiting, fluid retention, breast discomfort or
enlargement, vaginal bleeding.
WHAT TO DO:
Overdose unlikely to threaten life. If child takes much larger
amount than prescribed, call doctor, poison-control center or
hospital emergency room for instructions.
POSSIBLE ADVERSE REACTIONS OR SIDE EFFECTS
SYMPTOMS WHAT TO DO
Life-threatening:
Blood clot in leg, Seek emergency
brain or lung; treatment immediately.
hives, rash, intense
itching, faintness
soon after a dose
(anaphylaxis).
Common:
Appetite or weight Continue. Tell doctor
changes, swollen at next visit.
ankles or feet,
unusual tiredness
or weakness.
Infrequent:
Prolonged vaginal Discontinue. Call
bleeding. doctor right away.
Depression. Continue. Call doctor when
convenient.
Acne, increased Continue. Tell doctor
facial or body hair, at next visit.
nausea, breast tenderness.
Rare:
Rash, stomach or Discontinue. Call
side pain, jaundice, doctor right away.
fever.
Insomnia, hair loss, Continue. Call doctor
amenorrhea. when convenient.
WARNINGS & PRECAUTIONS
Don't take if:
You are allergic to any progestin hormone.
You may be pregnant.
You have liver or gallbladder disease.
You have had thrombophlebitis, embolism or stroke.
You have unexplained vaginal bleeding.
You have had breast or uterine cancer.
Before you start, consult your doctor:
If you have heart or kidney disease.
If you have diabetes.
If you have a seizure disorder.
If you suffer migraines.
If you are easily depressed.
Pregnancy:
May harm child. Discontinue at first sign of pregnancy.
Infants & children:
Use only for female children under medical supervision.
Prolonged use:
No age-related problems expected.
Skin & sunlight:
No age-related problems expected.
Driving or hazardous activities:
No age-related problems expected.
Discontinuing:
Consult doctor. This medicine stays in the body and causes
fetal abnormalities. Wait at least 3 months before becoming
pregnant.
Others:
Children with diabetes must be monitored closely.
Symptoms of blood clot in leg, brain or lung are: chest, groin,
leg pain; sudden, severe headache; loss of coordination; vision
change; shortness of breath; slurred speech.
POSSIBLE INTERACTION WITH OTHER DRUGS
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| Hypoglycemics (oral, |
Decreased effect of |
| see Drugs Glossary) |
oral hypoglycemics. |
| Insulin |
Decreased effect of insulin. |
| Oxyphenbutazone |
Decreased progestin effect. |
| Phenobarbital |
Decreased progestin effect. |
| Phenothiazines |
Increased |
| (see Drugs Glossary) |
phenothiazine effect. |
| Phenylbutazone |
Decreased progestin effect. |
POSSIBLE INTERACTION WITH OTHER SUBSTANCES
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| Tobacco: |
Possible blood clots in lung, |
| |
brain, legs. Avoid. |
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