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Indication & Dosage |
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Oral |
MENORRHAGIA |
Adult:
2.5-10 mg daily for 5-10 days starting on the 16th-21st day of the menstrual cycle. Repeat for 2 cycles. |
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Oral |
MILD TO MODERATE ENDOMETRIOSIS |
Adult:
10 mg tid. |
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Oral |
AS PROGESTOGEN COMPONENT IN MENOPAUSAL HRT |
Adult:
Dosage dependant on oestrogen component of therapy, several regimens are used: 1.5 mg, 2.5 mg or 5 mg daily; 5 or 10 mg daily for 12-14 days of a 28-day cycle; 20 mg daily for 14 days of a 91-day cycle. |
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Oral |
BREAST CANCER |
Adult:
0.4-1.5 g daily. Max: 2 g daily. |
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Oral |
PALLIATIVE TREATMENT OF ENDOMETRIAL AND RENAL CARCINOMA |
Adult:
200-600 mg daily. |
|
Oral |
SECONDARY AMENORRHOEA |
Adult:
2.5-10 mg daily for 5-10 days. Repeated for 3 cycles. |
|
Oral |
PALLIATIVE TREATMENT OF PROSTATIC CARCINOMA |
Adult:
100-600 mg daily. |
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Intramuscular |
MENORRHAGIAENDOMETRIOSIS |
Adult:
50 mg wkly or 100 mg every 2 wk. |
|
Intramuscular |
MENORRHAGIACONTRACEPTION |
Adult:
150 mg every 12 wk. |
|
Intramuscular |
BREAST CANCER |
Adult:
0.5-1 g daily for first 4 wk. Maintenance 0.5 g twice wkly. |
|
Intramuscular |
PALLIATIVE TREATMENT OF ENDOMETRIAL AND RENAL CARCINOMA |
Adult:
Initially 0.4-1 g wkly. Reduce as necessary, maintenance may be as low as 0.4 g mthly. |
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Intramuscular |
MENORRHAGIAPALLIATIVE TREATMENT OF PROSTATIC CARCINOMA |
Adult:
0.5 g twice wkly for first 3 mth. Maintenance 0.5 g wkly. |
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Subcutaneous |
ENDOMETRIOSIS |
Adult:
104 mg every 12-14 wk. |
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Subcutaneous |
CONTRACEPTION |
Adult:
104 mg every 12-14 wk. |
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Administration |
May be taken with or without food. (Incidence of minor indigestion may increase as dose increases. Take w/ meals if necessary.) |
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Precautions |
Patients with depression, DM, epilepsy, asthma, migraine, hypertension, renal or cardiac dysfunction. Monitor patient closely for loss of vision, proptosis, diplopia and thromboembolic disorders. Lactation. |
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Potentially Life-threatening
Adverse Drug Reactions |
Depression, fluid retention. Fatigue, insomnia, dizziness, headache, nausea; breast tenderness; wt gain/loss, anorexia; cholestatic jaundice; pain at Inj site. |
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Adverse Drug Reactions |
Thrombophlebitis and pulmonary embolism. |
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Interactions |
Aminoglutethimide and enzyme-inducing drugs (e.g. carbamazepine, griseofulvin, phenobarbital, rifampicin, phenytoin) may reduce plasma concentrations leading to reduced efficacy. Additional measures required when medroxyprogesterone is used for contraception during coadministration with these drugs. |
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