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Cyclessa

Oral contraceptives come in a variety of formulations. The main division is between combined oral contraceptive pills, containing both estrogen and progesterone, and progesterone only pills (mini-pills). Combined oral contraceptive pills also come in varying types, including varying doses of estrogen, and whether the dose of estrogen or progesterone changes from week to week. more...

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Combined oral contraceptive pills

All contain the estrogen ethinyl estradiol, although in varying amounts, and one of a number of different progesterones. They are taken for 21 days with then a 7 day gap during which a withdrawal bleed (often, but incorrectly, referred to as a menstrual period) occurs. These differ in the amount of estrogen given, and whether they are monophasic (only one dose of estrogen and progesterone during the 21 days) or multiphasic (varying doses).

Monophasic

These are given as 21 tablets of estrogen and progesterone, followed by 7 tablets of placebo. Different formulations contain different amounts of estrogen and progesterone:

  • 20 mcg estrogen
    • 0.1 mg levonorgestrel (Alesse®, Levline®)
    • 1 mg norethindrone acetate (Loestrin 1/20®Fe)
  • 30 mcg estrogen
    • 0.15 mg levonorgestrel (Levlen®, Levora®, Nordette®)
    • 0.3 mg norgestrel (Lo-Ovral®)
    • 0.15 mg desogestrel (Desogen®, Organon; Ortho-Cept®, Ortho-McNeil)
    • 1.5 mg norethindrone acetate (Loestrin® 1.5/30)
    • 3.0 mg drospirenone (Yasmin®)
  • 35 mcg estrogen
    • 0.25 mg norgestimate (Ortho-Cyclen®)
    • 0.4 mg norethindrone (Ovcon-35®, Warner Chilcott)
    • 0.5 mg norethindrone (Modicon®, Brevicon®)
    • 1 mg norethindrone (Ortho-Novum 1/35®, Necon®, Norethin®, Norinyl 1/35®)
    • 1 mg ethynodiol diacetate (Demulen 1/35®, Zovia 1/35E®)
  • 50 mcg estrogen
    • 0.4 mg norethindrone (Ovcon-50®, Warner Chilcott))
    • 1 mg norethindrone (Necon 1/50®, Norinyl 1/50®, Ortho-Novum 1/50®, Ovcon-50®)
    • 0.5 mg norgestrel (Ovral®)
    • 1 mg ethynodiol diacetate (Demulen 1/50®, Zovia 1/50E®)

Multiphasic

  • Desogestrel 0.15 mg and ethinyl estradiol 0.02 mg x 14 tablets, followed by ethynil estradiol 0.01 mg x 2 tablets, followed by 5 tablets of placebo (Kariva®, Barr Laboratories; Mircette®, Organon)
  • Desogestrel 0.1 mg ethynil estradiol 0.025 mg x 7 tablets, followed by desogestrel 0.125 mg and ethynil estradiol 0.025 mg x 7 tablets, followed by desogestrel 0.15 mg and ethynil estradiol 0.025 mg x 7 tablets, followed by 7 tablets of ferric oxide (Cyclessa®, Organon; Velivet®, Barr Laboratories)
  • Norethindrone 0.5 mg and ethinyl estradiol 0.035 mg x 7 tablets, followed by 0.75 mg of norethindrone and 0.035 mg of ethinyl estradiol x 7 tablets, followed by 1 mg of norethindrone and 0.035 of ethinyl estradiol, followed by 7 tablets of placebo (Ortho-Novum 7/7/7®)
  • Norethindrone 0.5 mg and 0.035 mg of ethinyl estradiol x 10 tablets, followed by 1 mg norethindrone and 0.035 ethinyl estradiol x 11 tablets, followed by 7 tablets of placebo (Ortho-Novum 10/11®)

Read more at Wikipedia.org


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Lowest Hormone Dose Birth Control Pill Cyclessa(TM) Now Available
From Market Wire,

Organon Inc. today announced the consumer launch of Cyclessa(TM) (desogestrel/ethinyl estradiol), its new low hormone dose oral contraceptive. Recently approved by the Food and Drug Administration, Cyclessa (TM) has just 25 micrograms of estrogen (ethinyl estradiol), making it the lowest estrogen dose triphasic birth control pill approved by the FDA and available across the U.S. Most commonly prescribed low dose oral contraceptives have daily estrogen levels of 30-35 micrograms. Even with it's significantly reduced estrogen dose, Cyclessa(TM) allows women to maintain excellent cycle control and benefit from the reliability associated with oral contraceptives.

Cyclessa(TM) is designed to significantly reduce women's overall hormonal exposure while maintaining contraceptive efficacy. Cyclessa(TM) consists of 25 mcg of estrogen per day for 21 days. The daily progestin dose is 100 mcg of desogestrel for days 1-7 of the cycle pack and is increased from 125 mcg to 150 mcg for days 8-14, and 15-21 respectively. The last week of the cycle contains placebo pills.

"The oral contraceptive trend on declining estrogen doses may be associated with unpredictable bleeding, however, Cyclessa(TM) represents a low dose triphasic oral contraceptive pill with excellent cycle control and very little breakthrough bleeding," said Dr. Andrew M. Kaunitz, lead clinical investigator, Department of Obstetrics and Gynecology, University of Florida Health Sciences Center in Jacksonville, Florida.

Cyclessa(TM) is an excellent triphasic oral contraceptive choice for all women, including first time users and women switching from another pill. In clinical trials, Cyclessa(TM) users reported less break-through bleeding and spotting than women who were using a higher estrogen dose triphasic oral contraceptive.

Organon is committed to providing women with a variety of unique and innovative contraceptive options to effectively meet their birth control needs. Cyclessa(TM) joins Mircette(R) and Desogen(R) in Organon's oral contraceptive product line.

"We are pleased to expand our contraceptive portfolio by providing the first low estrogen dose triphasic birth control option for women in the U.S.," said Dr. Hans Vemer, President, Organon Inc.

Cyclessa(TM) does not protect against HIV infection and other sexually transmitted diseases. Cigarette smoking increases the risk of serious cardiovascular side effects. Women who take oral contraceptives are strongly advised not to smoke, and the use of oral contraceptives is associated with increased risks of several serious side effects including myocardial infarction.

Organon Inc. of West Orange, NJ, is the US affiliate of N.V. Organon, a renowned international ethical pharmaceutical company. Organon maintains a strong commitment to healthcare conducting research in the areas of contraception, fertility, and hormone replacement therapy. In addition to its strong presence in reproductive medicine, Organon markets a wide range of pharmaceuticals and leads groundbreaking research programs in the fields of anesthesiology, psychiatry, and immunology.

Organon is one of the business units of Akzo Nobel N.V. Akzo Nobel, headquartered in the Netherlands, is a market-driven and technology-based company, serving customers throughout the world with healthcare products, coatings and chemicals. The company employs 70,000 people and has activities in more than 70 countries.

Akzo Nobel common stock is listed on the NASDAQ stock exchange as American Depositary Receipts (ADRs) under the name AKZOY.

Editors' Note: Full prescribing information is available upon request.

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