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Ovrette
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®)
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Update On Levonorgestrel For Emergency Contraception
From Journal of Family Practice,
12/1/99
To the Editor:
As the authors of the Patient-Oriented Evidence that Matters (POEM) review "Combined Oral Contraceptives Versus Levonorgestrel for Emergency Contraception" (J Fam Pract 1998; 47:417), we feel the need to provide an update on the release of a 0.75-mg levonorgestrel tablet in the United States. In our POEM, we reviewed a study that found the levonorgestrel method to be more efficacious (number needed to treat = 47) when compared with the combined oral contraceptive regimen (Yuzpe regimen). In addition to preventing more pregnancies, the levonorgestrel method produced significantly less nausea, vomiting, dizziness, and fatigue compared with the Yuzpe regimen. The main limitation of using the progestin-only method at that time was the need to take 20 Ovrette tablets in 2 doses 12 hours apart, leading to an excessive pill burden. Since the Food and Drug Administration has recently approved Plan B, a specially packaged progestin-only emergency contraceptive product, clinicians may want to reconsider their use of the Yuzpe method for emergency contraception. Plan B consists of 2 0.75-mg levonorgestrel tablets. One tablet should be taken within 72 hours of unprotected intercourse and the second 0.75-mg dose should be taken 12 hours later.
COPYRIGHT 1999 Dowden Health Media, Inc.
COPYRIGHT 2004 Gale Group
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