Gynecology Book

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Provera

Aka: Provera, Medroxyprogesterone
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  1. Dosing
    1. Amenorrhea
      1. Sequential: 5 to 10 mg qd for 5-10 days
      2. Continuous: 2.5 mg qd
    2. Dysfunctional Uterine Bleeding (DUB)
      1. Sequential: 5-10 mg qd for 5-10 days, start on Day 16
    3. Postmenopausal Estrogen Replacement (with Premarin)
      1. Sequential: 2.5 to 5 mg PO qd for last 10 cycle days
      2. Continuous: 5 to 10 mg qd
  2. Adverse effects
    1. Major Depression
    2. Breakthrough bleeding
      1. Increasing dose to 20-30 mg qd may reduce bleeding
        1. However may have increased risk
        2. Long term lipid and cardiovascular effects?
Medication Costs
MEDROXYPROGESTERONE (on 2/10/2012 at Target.com)
MEDROXYPROGESTERONE 2.5 MG Tablet #30 for $4.00 ($0.13/unit)
MEDROXYPROGESTERONE 5 MG Tablet #30 for $4.00 ($0.13/unit)
MEDROXYPROGESTERONE 10 MG Tablet #30 for $4.00 ($0.13/unit)
Provera (on 2/9/2012 at DrugStore.com)
Provera 10mg Tablets #30 for $62.99 ($2.10/unit)
Provera 2.5mg Tablets #30 for $37.79 ($1.26/unit)
Provera 5mg Tablets #30 for $50.39 ($1.68/unit)
Depo-Provera (on 2/9/2012 at DrugStore.com)
Depo-Provera "400mg/ml Suspension, Additional 3-5 Days Required To Special Order Medication" 2.5ml Vial #1 for $191.59 ($191.59/unit)
Depo-Provera 150mg/ml Suspension 1ml Syringe #1 for $100.78 ($100.78/unit)
MedroxyPROGESTERone Acetate (on 2/9/2012 at DrugStore.com)
MedroxyPROGESTERone Acetate 2.5mg Tablets #30 for $12.99 ($0.43/unit)
MedroxyPROGESTERone Acetate 5mg Tablets #90 for $18.99 ($0.21/unit)
MedroxyPROGESTERone Acetate 10mg Tablets #30 for $18.99 ($0.63/unit)
MedroxyPROGESTERone Acetate 150mg/ml Suspension 1ml Vial #1 for $52.99 ($52.99/unit)
MedroxyPROGESTERone Acetate 150mg/ml Suspension 1ml Syringe #1 for $55.99 ($55.99/unit)
FPNotebook does not benefit financially from showing this medication data or their pharmacy links. This information is provided only to help medical providers and their patients see relative costs. Insurance plans negotiate lower medication prices with suppliers. Prices shown here are out of pocket, non-negotiated rates. See Needy Meds for financial assistance information.

Medroxyprogesterone (C0025147)

Definition (MSH) (6 alpha)-17-Hydroxy-6-methylpregn-4-ene-3,20-dione. A synthetic progestational hormone used in veterinary practice as an estrus regulator.
Definition (CSP) synthetic progestin derived from 17-hydroxyprogesterone; a long-acting contraceptive that is effective both orally or by intramuscular injection and has also been used to treat breast and endometrial neoplasms.
Definition (NCI) A synthetic derivative of progesterone administered as an acetate salt (medroxyprogesterone acetate) with antiestrogenic activity. As a do all progestins, medroxyprogesterone binds to and activates nuclear receptors which subsequently bind to and activate target genes for transcription. As an antiestrogen, this agent may inhibit the growth-stimulating effects of estrogen on estrogen-sensitive tumor cells. (NCI04)
Definition (NCI) A hormonal anticancer drug that is also used in cancer prevention. It belongs to the family of drugs called progestins.
Definition (PDQ) A synthetic derivative of progesterone administered as an acetate salt (medroxyprogesterone acetate) with antiestrogenic activity. As a do all progestins, medroxyprogesterone binds to and activates nuclear receptors which subsequently bind to and activate target genes for transcription. As an antiestrogen, this agent may inhibit the growth-stimulating effects of estrogen on estrogen-sensitive tumor cells. Check for "http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?id=39813&idtype=1" active clinical trials or "http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?id=39813&idtype=1&closed=1" closed clinical trials using this agent. ("http://nciterms.nci.nih.gov:80/NCIBrowser/ConceptReport.jsp?dictionary=NCI_Thesaurus&code=C629" NCI Thesaurus)
Concepts Steroid (T110) , Pharmacologic Substance (T121) , Hormone (T125)
MSH D008525
SnomedCT 36621009, 126113007, 27707001
English 17 alpha-Hydroxy-6 alpha-Methylprogesterone, Methylhydroxyprogesterone, 17 alpha Hydroxy 6 alpha Methylprogesterone, Pregn-4-ene-3,20-dione, 17-hydroxy-6-methyl-, (6alpha)-, 17Alpha-hydroxy-6alpha-methylprogesterone, 6Alpha-methyl-17alpha-hydroxyprogesterone, 6Alpha-methyl-4-pregnen-17alpha-ol-3,20-dione, (6Alpha)-17-hydroxy-6-methylpregn-4-ene-3,20-dione, Medroxyprogesterone [Chemical/Ingredient], medroxyPROGESTERone, Medroxyprogesterone preparation, Medroxyprogesterone (substance), Medroxyprogesterone preparation (product), medroxyprogesterone, MPA, Medroxyprogesterone acetate preparation (substance), Medroxyprogesterone preparation (substance), Medroxyprogesterone, MEDROXYPROGESTERONE
Swedish Medroxiprogesteron
Czech medroxyprogesteron
Finnish Medroksiprogesteroni
Russian MEDROKSIPROGESTERON, METIPREGNON, METILGIDROKSIPROGESTERON, МЕДРОКСИПРОГЕСТЕРОН, МЕТИЛГИДРОКСИПРОГЕСТЕРОН, МЕТИПРЕГНОН
Japanese メチルヒドロキシプロゲステロン, メドロキシプロゲステロン
Spanish preparado con medroxiprogesterona (producto), medroxiprogesterona (producto), preparado con medroxiprogesterona, medroxiprogesterona (sustancia), medroxiprogesterona, preparado de medroxiprogesterona (producto), preparado de medroxiprogesterona (sustancia), preparado de medroxiprogesterona, Medroxiprogesterona, Metilhidroxiprogesterona
Croatian MEDROKSIPROGESTERON
Polish Medroksyprogesteron
French Médroxyprogestérone
German Medroxyprogesteron, Methylhydroxyprogesteron
Italian Medrossiprogesterone
Portuguese Medroxiprogesterona, Metilidroxiprogesterona
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Provera (C0699702)

Definition (CHV) brand name of a synthetic female sex hormone
Definition (CHV) brand name of a synthetic female sex hormone
Concepts Steroid (T110) , Pharmacologic Substance (T121)
MSH D017258
English provera, provera [brand name], Provera
Czech Provera
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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