Pharm

Mini-Pill

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Mini-Pill, Progesterone only OCP, Micronor, Nor QD, Nor-QD, Ovrette, Noriday, Nora-BE, Jolivette, Camila, Errin, Femulen, Norgeston, Microlut, Cerazette, Jencycla

  • 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
  • Indications
  1. Age over 35 years old
  2. Lactation
  3. Estrogen cotraindicated
    1. See Oral Contraceptives
  • 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
  • Precautions
  1. Must be taken at the same time everyday (within 2 hours)
  2. Delay of 3 hours or more requires backup contraceptive use
  • Adverse Effects
  1. Ectopic Pregnancy increased Incidence
  2. Breakthrough Menstrual Bleeding
    1. Consider switching to combination Oral Contraceptive
  • 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