Pharm HRT Med Sheet Flashcards
Medroxyprogesterone Acetate (MPA) Trade Name
Provera
Medroxyprogesterone Acetate (MPA) Category
Oral progestogen
Medroxyprogesterone Acetate (MPA) Use
HRT
Medroxyprogesterone Acetate (MPA) Usual dose
2.5-10 mg PO qday
Medroxyprogesterone Acetate (MPA) AEs
- N/HA
- wt gain
- bleeding
- irritability
- depression
- VTE
- decreased BMD
Conjugated Equine Estrogen (CEE) Trade Name
Premarin
Conjugated Equine Estrogen (CEE) Category
oral or topical estrogen
Conjugated Equine Estrogen (CEE) Use
HRT
Conjugated Equine Estrogen (CEE) Usual Dose
- vaginal cream: 0.5-2 gm/day
- oral estrogen: 0.3-0.625 mg/day
Conjugated Equine Estrogen (CEE) AEs
- N/HA
- bloating
- breast tenderness
- bleeding
- CHD, VTE
- stroke
- breast CA
- gallbladder dz
Estradiol Transdermal Trade Name
Alora
Climara
Estraderm
Vivelle
Estradiol Transdermal Category
-transdermal estrogen
Estradiol Transdermal Use
HRT
Estradiol Transdermal Usual Dose
0.025-0.05 mg changed weekly or twice weekly
Estradiol Transdermal AEs
- N/HA
- bloating
- breast tenderness
- bleeding
- CHD, VTE
- stroke
- breast CA
- gallbladder dz
Estradiol/Norethindrone Trade Name
Activella (oral)
CombiPatch (transdermal)
Estradiol/Norethindrone Category
oral or transdermal estrogen and progestogen
Estradiol/Norethindrone Use
HRT
Estradiol/Norethindrone Usual Dose
- oral: 1 tablet qday (0.5/0.1 mg - 1/0.5 mg)
derm: 1 patch 2x per week (0.05/0.14 - 0.05/0.25 mg in 24 hours)
Estradiol/Norethindrone AEs
- N/HA
- wt gain
- bleeding
- irritability
- depression
- VTE
- decreased BMD
All HRT Drug CIs
- hx of VTE/DVT/PE
- breast CA
- pregnancy
- liver dz
- undiagnosed vaginal bleeding