Gynecology Book

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Estrostep

Aka: Estrostep
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  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 (Norethindrone Acetate / Ethinyl Estradiol)
    1. Estrostep (1 / 20 - 30 - 35)
  3. Components
    1. Norethindrone Acetate 1 mg (see preparation above)
    2. Ethinyl Estradiol 20 ug - 30 ug - 35 ug
  4. Effects
    1. Relative Progestational Activity: 1.2 (high)
    2. Estrogenic Activity: 16 (low)
    3. Androgenic Activity: 0.53 (high)
  5. Pill associated problems
    1. Indications to switch to Ortho Novum 1/35
      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 Lo/Ovral
      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 Loestrin 1.5/30
      1. Libido decreased (more androgen)
      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. Indications to switch to Loestrin 1/20
      1. Breast Tenderness or engorgement (lower Estrogen)
      2. Headaches (lower Estrogen)
      3. Moodiness (less Estrogen or more Progestin)
      4. Weight gain (less Estrogen or more Progestin)
  6. References
    1. Cerel-Suhl (1999) Am Fam Physician 60(7):2073
    2. Speroff (1993) Obstet Gynecol 81:1034-47
    3. Dickey (1998) Managing Contraceptive Pill Patients
Medication Costs
Estrostep Fe (on 2/9/2012 at DrugStore.com)
Estrostep Fe 28 1-20/1-30/1-35mg-mcg Tablets Disp Pack #1 for $98.48 ($98.48/unit)
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.

Estrostep (C0116660)

Concepts Steroid (T110) , Pharmacologic Substance (T121)
MSH C020416
English estrostep, Estrostep
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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