II. Preparations: Norgestimate 250 mcg and Ethinyl Estradiol 35 mcg

  1. Ortho-Cyclen, MonoNessa or Sprintec
  2. Cilest (UK)

III. Components

IV. Effect

  1. Relative Progestational Activity: 0.3 (low)
  2. Estrogenic Activity: 35 (moderate)
  3. Androgenic Activity: 0.18 (low)

V. Pill associated problems (Same as Ortho Tri-Cyclen)

  1. Indications to switch to Modicon
    1. Acne Vulgaris (lower androgen)
    2. Increased Appetite (lower Progestin)
    3. Break-through bleed days 1-9 (more Estrogen)
    4. Break-through bleed all of month (more Estrogen)
    5. Major Depression provoked (lower Progestin)
    6. Menses too light (more Estrogen, less Progestin)
  2. Indications to switch to Demulen 1/35
    1. Breast Tenderness or engorgement (lower Estrogen)
    2. Break-through bleed days 10-21 (more Progestin)
    3. Headaches (lower Estrogen)
    4. Heavy Menses (more Progestin or less Estrogen)
    5. Dysmenorrhea or Menstrual Cramps (more Progestin)
    6. Moodiness (less Estrogen or more Progestin)
    7. Weight gain (less Estrogen or more Progestin)
  3. Indications to switch to Lo/Ovral
    1. Libido decreased (more androgen)

VI. References

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Related Studies

Cost: Medications

sprintec (on 12/21/2022 at Medicaid.Gov Survey of pharmacy drug pricing)
SPRINTEC 28 DAY TABLET Generic $0.14 each