Gynecology Book

http://www.fpnotebook.com/

Demulen 1/35

Aka: Demulen 1/35, Zovia 1/35, Kelnor
  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 (Ethynodiol Diacetate / Ethinyl Estradiol)
    1. Demulen 1.0 / 35
    2. Zovia 1/35
    3. Kelnor
  3. Components
    1. Ethynodiol Diacetate 1.0 mg (see preparation above)
    2. Ethinyl Estradiol 35 ug
  4. Effects
    1. Relative Progestational Activity: 1.4 (high)
    2. Estrogenic Activity: 19 (low)
    3. Androgenic Activity: 0.21 (moderate)
  5. Pill associated problems
    1. Indications to switch to Ortho Cyclen
      1. Acne Vulgaris (lower androgen)
      2. Increased Appetite (lower Progestin)
      3. Major Depression provoked (lower Progestin)
      4. Heavy Menses (more Progestin or less Estrogen)
      5. Moodiness (less Estrogen or more Progestin)
      6. Weight gain (less Estrogen or more Progestin)
    2. Indications to switch to Loestrin 1/20
      1. Headaches (lower Estrogen)
    3. Indications to switch to Loestrin 1.5/30
      1. Breast Tenderness or engorgement (lower Estrogen)
      2. Libido decreased (more androgen)
      3. Dysmenorrhea or Menstrual Cramps (more Progestin)
    4. Indications to switch to Ortho Novum 1/35
      1. Break-through bleed days 1-9 (more Estrogen)
    5. Indications to switch to Ortho Novum 777
      1. Break-through bleed days 10-21 (more Progestin)
    6. Indications to switch to Ortho Tri-Cyclen
      1. Menses too light (more Estrogen, less Progestin)
    7. Indications to switch to Lo-Ovral
      1. Break-through bleed all of month (more Estrogen)
  6. References
    1. Cerel-Suhl (1999) Am Fam Physician 60(7):2073 [PubMed]
    2. Speroff (1993) Obstet Gynecol 81:1034-47 [PubMed]
    3. Dickey (1998) Managing Contraceptive Pill Patients
Medication Costs
kelnor (on 5/17/2017 at Medicaid.Gov Pharmacy Drug pricing)
KELNOR 1-35 28 TABLET Generic $0.63 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.

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