Gynecology Book



Aka: Desogen, Ortho-Cept, OrthoCept, Ortho Cept, Mircette, Cyclessa, Kariva, Mercilon, Marvelon, Apri, Enskyce
  1. See Also
    1. Oral Contraceptive
    2. Oral Contraceptive Drug Interaction
    3. Oral Contraceptive Selection
    4. Oral Contraceptive Side Effect Management
    5. Oral Contraceptive-Related Uterine Bleeding Management
  2. Preparations (Desogestrel / Ethinyl Estradiol)
    1. Desogen (0.15 / 30)
    2. Ortho-Cept, Marvelon (UK) or Apri (0.15 / 30)
    3. Mircette or Kariva (0.15/20 with tapered Estrogen at end of cycle)
    4. Mercilon (UK, 0.15/20)
    5. Cyclessa or Velivet (triphasic: 0.100 - 0.125 - 0.150 / 25)
  3. Components
    1. Desogestrel 0.15 mg (except Cyclessa - see above)
    2. Ethinyl Estradiol 30 ug
  4. Effect
    1. Relative Progestational Activity: 1.0 (moderate)
    2. Estrogenic Activity: 30 (moderate)
    3. Androgenic Activity: 0.17 (low)
  5. Pill associated problems
    1. Indications to switch to Ortho Tri-Cyclen
      1. Acne Vulgaris (lower androgen)
    2. Indications to switch to Ortho Cyclen
      1. Increased Appetite (lower Progestin)
      2. Major Depression provoked (lower Progestin)
    3. Indications to switch to Ortho Novum 7/7/7
      1. Break-through bleed days 1-9 (more Estrogen)
      2. Break-through bleed all of month (more Estrogen)
      3. Menses too light (more Estrogen, less Progestin)
    4. Indications to switch to Demulen 1/35
      1. Breast Tenderness or engorgement (lower Estrogen)
      2. Break-through bleed days 10-21 (more Progestin)
      3. Heavy Menses (more Progestin or less Estrogen)
      4. Dysmenorrhea or Menstrual Cramps (more Progestin)
      5. Headaches (lower Estrogen)
      6. Moodiness (less Estrogen or more Progestin)
      7. Weight gain (less Estrogen or more Progestin)
    5. Indications to switch to Nordette
      1. Libido decreased (more androgen)
  6. References
    1. Cerel-Suhl (1999) Am Fam Physician 60(7):2073 [PubMed]
    2. Speroff (1993) Obstet Gynecol 81:1034-47 [PubMed]
    3. Dickey (1998) Managing Contraceptive Pill Patients
Medication Costs
Enskyce (on 6/18/2017 at
Enskyce #28 tablets for $9.00 $0.32 each
kariva (on 5/17/2017 at Medicaid.Gov Pharmacy Drug pricing)
KARIVA 28 DAY TABLET Generic $0.72 each
apri (on 5/17/2017 at Medicaid.Gov Pharmacy Drug pricing)
APRI 28 DAY TABLET Generic $0.42 each
APRISO ER 0.375 GRAM CAPSULE $3.54 each
enskyce (on 5/17/2017 at Medicaid.Gov Pharmacy Drug pricing)
ENSKYCE 28 TABLET Generic $0.42 each
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.

Mircette (C0721755)

Concepts Pharmacologic Substance (T121) , Hormone (T125) , Steroid (T110)
MSH C034653
English mircette, Mircette
Derived from the NIH UMLS (Unified Medical Language System)

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