Monograph Details

Ob/Gyn > Menopause and HRT
AYGESTIN
Manufacturer
Duramed Pharmaceuticals, Inc.
Legal Classification
Rx
Pharmacological Class
Progestin.
Generic Name
Norethindrone acetate 5mg; scored tabs.
Indications
Secondary amenorrhea, abnormal uterine bleeding due to hormonal imbalance without organic pathology.
Children
Not applicable.
Adults
2.5–10mg daily for 5–10 days during 2nd half of theoretical menstrual cycle after estrogens if needed.
Contraindications
Thromboembolic disorders. Hepatic dysfunction. Undiagnosed vaginal bleeding. Breast or genital carcinoma. Missed abortion. Pregnancy (Cat.X).
Precautions
Cardiac or renal dysfunction. Depression. Include Pap smear in pretreatment exam. Conditions aggravated by fluid retention. Discontinue if jaundice, visual disturbances, migraine, or thrombotic disorders occur. Nursing mothers.
Interactions
Rifampin may increase metabolism.
Adverse Reactions
Menstrual and cervical changes, edema, jaundice, rash, depression, mastodynia, decreased glucose tolerance, weight changes, thromboembolic disease, breakthrough bleeding, melasma, chloasma.
How Supplied
Tabs—50
Additional Resources
Related Prescribing Note