Medroxyprogesterone: Difference between revisions

(Created page with "==Administration== *Type: *Dosage Forms: *Routes of Administration: *Common Trade Names: ==Adult Dosing== ===Non-pregnant vaginal bleeding=== *'''20 mg PO TID for 7 days'''<ref name="ACOG" /> **76% success, median time 3 days *Alternative, not officially endorsed by ACOG: 150mg IM x 1 then 20 mg PO TID x 3 days **In a trial of 48 patients all had cessation in 5 days.<ref name="highdose">Ammerman SR, Nelson AL. A new progestogen-only medical therapy for outpatient...")
 
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*Alternative, not officially endorsed by ACOG: 150mg IM x 1 then 20 mg PO TID x 3 days
*Alternative, not officially endorsed by ACOG: 150mg IM x 1 then 20 mg PO TID x 3 days
**In a trial of 48 patients all had cessation in 5 days.<ref name="highdose">Ammerman SR, Nelson AL. A new progestogen-only medical therapy for outpatient management of acute, abnormal uterine bleeding: a pilot study. Am J Obstet Gynecol. 2013. 208(6):499.e1-e5.</ref>
**In a trial of 48 patients all had cessation in 5 days.<ref name="highdose">Ammerman SR, Nelson AL. A new progestogen-only medical therapy for outpatient management of acute, abnormal uterine bleeding: a pilot study. Am J Obstet Gynecol. 2013. 208(6):499.e1-e5.</ref>
*Contraindications
** History of [[VTE]]
** History of arterial [[thromboembolic events]]
** History of breast cancer
** [[Liver disease]]


==Pediatric Dosing==
==Pediatric Dosing==
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==Contraindications==
==Contraindications==
*Allergy to class/drug
*Allergy to class/drug
* History of [[VTE]]
* History of arterial [[thromboembolic events]]
* History of breast cancer
* Liver disease


==Adverse Reactions==
==Adverse Reactions==

Latest revision as of 20:40, 24 January 2024

Administration

  • Type:
  • Dosage Forms:
  • Routes of Administration:
  • Common Trade Names:

Adult Dosing

Non-pregnant vaginal bleeding

  • 20 mg PO TID for 7 days[1]
    • 76% success, median time 3 days
  • Alternative, not officially endorsed by ACOG: 150mg IM x 1 then 20 mg PO TID x 3 days
    • In a trial of 48 patients all had cessation in 5 days.[2]

Pediatric Dosing

Special Populations

Pregnancy Rating

Lactation risk

Renal Dosing

  • Adult:
  • Pediatric:

Hepatic Dosing

  • Adult:
  • Pediatric:

Contraindications

Adverse Reactions

Serious

Common

Pharmacology

  • Half-life:
  • Metabolism:
  • Excretion:

Mechanism of Action

Comments

See Also

References

  1. Cite error: Invalid <ref> tag; no text was provided for refs named ACOG
  2. Ammerman SR, Nelson AL. A new progestogen-only medical therapy for outpatient management of acute, abnormal uterine bleeding: a pilot study. Am J Obstet Gynecol. 2013. 208(6):499.e1-e5.