Monograph Details

Ob/Gyn > Menopause and HRT
ACTIVELLA
Manufacturer
Novo Nordisk
Legal Classification
Rx
Pharmacological Class
Estrogen + progestin.
Generic Name
Estradiol 1mg, norethindrone acetate 0.5mg; tabs.
Indications
In women with an intact uterus: moderate to severe vasomotor symptoms of menopause; genital tract atrophy; prevention of postmenopausal osteoporosis.
Children
Not applicable.
Adults
1 tab daily. Reevaluate periodically.
Contraindications
Breast or estrogen-dependent carcinoma. Undiagnosed abnormal vaginal bleeding. Thromboembolic disorders. Thrombophlebitis. Liver dysfunction. Pregnancy (Cat.X).
Precautions
Endometrial hyperplasia. Gallbladder disease. Familial hyperlipoproteinemia. Hypercoagulability. Bone disease associated with hypercalcemia. Do initial complete physical (include BP, mammogram, and Pap smear) and repeat annually. Conditions aggravated by fluid retention. Discontinue if jaundice occurs or at least 2 weeks before surgery associated with thromboembolism. May interfere with lab tests. Nursing mothers.
Adverse Reactions
See literature. Increased risk of gallbladder disease, thromboembolic disorders. GI effects, irregular bleeding, headache, insomnia, edema, hypertension, weight changes, mastodynia, intolerance to contact lenses, chloasma.
How Supplied
Packs (28 tabs)—1
Additional Resources
Related Prescribing Note