Gynecology Book

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Mini-Pill

Aka: Mini-Pill, Progesterone only OCP, Micronor, Nor QD, Nor-QD, Ovrette, Noriday, Nora-BE, Jolivette, Camila, Errin, Femulen, Norgeston, Microlut, Cerazette, Jencycla
  1. Mechanism
    1. No Estrogen
    2. Progesterone only (typically L/L/L for Norethindrone 350 mcg)
      1. Low Progestational Activity
      2. Low Androgenic Activity
      3. Low Endometrial Activity
  2. Indications
    1. Age over 35 years old
    2. Lactation
    3. Estrogen cotraindicated
      1. See Oral Contraceptives
  3. Efficacy
    1. High failure rate compared with combination pills
    2. Better efficacy then barrier methods
    3. Failure rates
      1. Perfect use: 0.5% failure rate
      2. Typical use: 5% failure rate
  4. Precautions
    1. Must be taken at the same time everyday (within 2 hours)
    2. Delay of 3 hours or more requires backup contraceptive use
  5. Adverse Effects
    1. Ectopic Pregnancy increased Incidence
    2. Breakthrough Menstrual Bleeding
      1. Consider switching to combination Oral Contraceptive
  6. Preparations
    1. Norethindrone 350 mcg
      1. Micronor, Nor-QD, Nora-BE, Jolivette, Camila or Errin
      2. Noriday (UK)
    2. Norethindrone 750 mcg
      1. Ovrette
    3. Ethynodiol Diacetate 500 mcg
      1. Femulen (UK)
    4. Levonorgestrel 30 mcg
      1. Norgeston (UK)
      2. Microlut (Australia)
    5. Desogestrel 75 mcg
      1. Cerazette (UK)
    6. References
      1. Wikipedia
        1. http://en.wikipedia.org/wiki/Oral_contraceptive_formulations
Medication Costs
Jencycla (on 6/18/2017 at Walmart.com)
Jencycla #28 tablets for $9.00 $0.32 each
nora-be (on 5/17/2017 at Medicaid.Gov Pharmacy Drug pricing)
NORA-BE TABLET Generic $0.38 each
jolivette (on 5/17/2017 at Medicaid.Gov Pharmacy Drug pricing)
JOLIVETTE TABLET Generic $0.38 each
camila (on 5/17/2017 at Medicaid.Gov Pharmacy Drug pricing)
CAMILA 0.35 MG TABLET Generic $0.38 each
errin (on 5/17/2017 at Medicaid.Gov Pharmacy Drug pricing)
ERRIN 0.35 MG TABLET Generic $0.38 each
jencycla (on 5/17/2017 at Medicaid.Gov Pharmacy Drug pricing)
JENCYCLA 0.35 MG TABLET Generic $0.38 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.

Micronor (C0699160)

Concepts Pharmacologic Substance (T121) , Hormone (T125) , Steroid (T110)
MSH D009640
English ortho micronor, micronor, Ortho Micronor, Micronor
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Nor-QD (C0699165)

Concepts Pharmacologic Substance (T121) , Hormone (T125) , Steroid (T110)
MSH D009640
English Nor QD, nor-qd, norqd, nor q d, nor qd, NorQD, Nor-Q.D., Nor-QD
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Ovrette (C0699169)

Concepts Pharmacologic Substance (T121) , Hormone (T125) , Steroid (T110)
MSH D009644
English Norgestrel Wyeth Brand, Wyeth Brand of Norgestrel, Ovrette
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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