II. Preparations (Desogestrel / Ethinyl Estradiol)
- Desogen (0.15 / 30)
- Ortho-Cept, Marvelon (UK) or Apri (0.15 / 30)
- Mircette or Kariva (0.15/20 with tapered Estrogen at end of cycle)
- Mercilon (UK, 0.15/20)
- Cyclessa or Velivet (triphasic: 0.100 - 0.125 - 0.150 / 25)
III. Components
- Desogestrel 0.15 mg (except Cyclessa - see above)
- Ethinyl Estradiol 30 ug
IV. Effect
- Relative Progestational Activity: 1.0 (moderate)
- Estrogenic Activity: 30 (moderate)
- Androgenic Activity: 0.17 (low)
V. Pill associated problems
- Indications to switch to Ortho Tri-Cyclen
- Acne Vulgaris (lower androgen)
- Indications to switch to Ortho Cyclen
- Increased Appetite (lower Progestin)
- Major Depression provoked (lower Progestin)
- Indications to switch to Ortho Novum 7/7/7
- Indications to switch to Demulen 1/35
- Breast Tenderness or engorgement (lower Estrogen)
- Break-through bleed days 10-21 (more Progestin)
- Heavy Menses (more Progestin or less Estrogen)
- Dysmenorrhea or Menstrual Cramps (more Progestin)
- Headaches (lower Estrogen)
- Moodiness (less Estrogen or more Progestin)
- Weight gain (less Estrogen or more Progestin)
- Indications to switch to Nordette
- Libido decreased (more androgen)
VI. References
- Cerel-Suhl (1999) Am Fam Physician 60(7):2073 [PubMed]
- Speroff (1993) Obstet Gynecol 81:1034-47 [PubMed]
- Dickey (1998) Managing Contraceptive Pill Patients
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