menopause drugs Flashcards
Progestogen:
Provera (MPA), Prometrium(Micronized progesterone), Aygestin(Norethindrone acetate or NETA)
combo
Prempro and Premphase (CEE +MPA), Angeliq (estradiol + drospirenone), FemHRT(Ethinyl estradiol +norethindrone), Activella (Estradiol + norethrindrone), Ortho-Prefest(Estradiol+norgestimate)
Transdermal Patch:
Trunk, preferably abdomen
Avoid exposing to sunlight for a long period of time, Begin patch 1 week after last day of oral HT
17 β-estradiol: 1 patch weekly
Climara®
Menostar®
17 β-estradiol: Alora®, Estraderm®
Vivelle-Dot®
1 patch twice weekly
CombiPatch®
17 β -estradiol + norethindrone
1 patch twice weekly
ClimaraPro®
17 β- estradiol + levonorgestrel
1 patch weekly
(topical gel): • divigel
0.1% spread onto upper thigh; Apply to clean, dry, unbroken skin (alternate site each daily); Allow to completely dry before dressing and do not wash for at least 1 hour; Flammable product
(topical gel): estrogel
shoulder to wrist; Before the first use, prime the pump by completely depressing the pump
Others should not contact the skin for at least 1 hour; Flammable product
(topical gel): • elestrin
on upper arm and shoulder
; Before first use, depress the pump 10 times to prime and discard unused gel; Allow area to dry for 5 minutes before dressing; Others should not come in contact with skin for 2 hours; Do not apply sunscreen for at least 25 minutes or for 7 or more consecutive days; Flammable
skin emulsion: • estrasorb
spread onto clean dry thigh and calf for 3 minutes until absorbed each morning; Excess material should be rubbed into the buttocks; Allow area to completely dry before dressing; Do not apply sunscreen at the same time
topical spray
topical spray: • evamist
spray onto inner forearm daily; Before first use, spray 3 times with the lid on to prime the pump (hold upright); Allow to dry for 2 minutes and do not wash area for 1 hour; If direct contact with another person occurs, the contact area should be washed with soap and water; Flammable product
vaginal ring
• estring/femring
Femring has systemic absorption (can help with hot flashes) even though its delivered intravaginally – only exception; Replace after 90 days
vaginal tablet
• vagifem tabs-
NOT TAKEN ORALLY; has disposable tablet plunger; Use a new applicator each day;
vaginal cream: • estrace cream
used at bedtime – has reusable plunger; not used often