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2.2 Diuretics - Doncaster and Bassetlaw Hospitals NHS Foundation
2.2 Diuretics - Doncaster and Bassetlaw Hospitals NHS Foundation

... It should be used as an alternative to spironolactone in those patients intolerant to, or unsuitable for, spironolactone therapy (usually due to gynaecomastia – which is more common with spironolactone) As with spironolactone patients with impaired renal function or those with potassium levels at th ...
Product Monograph - Ask Novartis Pharma
Product Monograph - Ask Novartis Pharma

... The cytochrome P-450 isozymes responsible for metabolism of brinzolamide include CYP3A4 (main), CYP2A6, CYP2B6, CYP2C8 and CYP2C9. It is expected that inhibitors of CYP3A4, such as ketoconazole, itraconazole, clotrimazole, ritonavir and troleandomycin, will inhibit the metabolism of brinzolamide by ...
COMPLETE PRESCRIBING INFORMATION
COMPLETE PRESCRIBING INFORMATION

... The overall benefits and possible risks of hormone replacement therapy should be fully considered and discussed with patients. It is important that the modest increased risk of being diagnosed with breast cancer after 4 years of treatment with combined estrogen plus progestin HRT (as reported in the ...
product monograph vaniqa
product monograph vaniqa

... Adverse reactions were primarily mild in intensity and generally resolved without medical treatment or discontinuation of VANIQA® Cream. No serious adverse reactions were related to treatment. Only 2% of subjects discontinued studies due to an adverse reaction related to use of VANIQA® Cream. The dr ...
Gen.  Pharmac.  Vol.  27,  No. ... ISSN  0306-3623/96  15.00  +  .00 0306-3623(95)02019-A
Gen. Pharmac. Vol. 27, No. ... ISSN 0306-3623/96 15.00 + .00 0306-3623(95)02019-A

... total duration of fighting and threat in treated mice may be explained by different factors. The doses used were comparable to those in the literature, however, the duration of the administration was shorter. Perhaps a longer period of treatment would produce significant effects. The time at which s ...
Vitamin B12 Supplement (SDIS)
Vitamin B12 Supplement (SDIS)

... cobalamin orally particularly in the treatment of pernicious anemia. The classic pathway is a complex uptake mechanism that involves the binding of cobalamin to intrinsic factor produced by the stomach and the transfer of this complex into and across intestinal epithelial cells via a specialized tra ...
Anticaog_update_R_Maclean
Anticaog_update_R_Maclean

... • Warfarin and NOACs both efficacious in prevention stroke in AF and treatment VTE • Most important issue is patients who require anticoagulation have access to anticoagulant treatment ...
Regional anaesthesia in patients on newer
Regional anaesthesia in patients on newer

... Its bioavailability, when administered orally, ranges from 51% to 85%, and peak concentrations are achieved within 1 to 2 hours. When Apixaban is administered twice daily, steady state is reached in about 3 days. Its half-life is between 10 and 15 hours, and elimination occurs through multiple pathw ...
New Approaches to Chronic Anticoagulation
New Approaches to Chronic Anticoagulation

... Clopidogrel 1 mg/kg [po] Aspirin 3 mg/kg [po] ...
Supplemental Table 2. Dose regimens of polymyxins used in the
Supplemental Table 2. Dose regimens of polymyxins used in the

... immunocompromised patients is needed according to the manufacturer instructions, but that suboptimal dosage may lead to resistance. ...
guidelines for the use of atypical antipsychotics
guidelines for the use of atypical antipsychotics

... All patients with new onset of a chronic psychotic disorder, based on the tentative or working diagnosis, recognizing that in some patients there may be inadequate data to distinguish between a brief reactive psychosis or a drug-induced psychosis and first presentation of schizophrenia.  All patien ...
Migraine - Bradford VTS
Migraine - Bradford VTS

... might be useful. Tolfenamic acid is an NSAID licensed only for the treatment of migraine. In one study 200mg were equally effective as 100mg of oral sumatriptan at 2 hrs ( Headache 1998 ). But it costs £1 per capsule. Adding or substituting simple analgesics with opioids is not evidenced based, has ...
04 June 2015 - LAST Prevention and Treatment
04 June 2015 - LAST Prevention and Treatment

... Mild hepatic dysfunction appears to have a minimal effect on LA levels. In ESLD there is a significant reduced hepatic clearance rates for LAs. It is recommended that normal doses of LA may be used for single-dose techniques in patients with liver dysfunction. Continuous infusions must be significan ...
Myocardial Infarction and Acute coronary syndromes
Myocardial Infarction and Acute coronary syndromes

... in AMI patients remains controversial. COMMIT study: While beta blockers significantly reduced the risk of arrhythmic death and reinfarction, they significantly increased the risk of cardiogenic shock within the first 24 hrs of hospitalization ...
Arimidex (anastrozole)
Arimidex (anastrozole)

... Geriatric: Anastrozole pharmacokinetics have been investigated in postmenopausal female volunteers and patients with breast cancer. No age related effects were seen over the range <50 to >80 years. Race: Estradiol and estrone sulfate levels were similar between Japanese and Caucasian postmenopausal ...
Advice on opioid conversion - Servicio de Farmacia La Mancha Centro
Advice on opioid conversion - Servicio de Farmacia La Mancha Centro

... derived from e.g. Table 1 must be reduced to ensure safety. A dose reduction of at least 50% is recommended when switching at high doses (e.g. morphine or equivalent doses of 1g/24 hours or more), in elderly or frail patients, or because of intolerable undesirable effects (4). A similar dose reducti ...
TOPICALLY APPLIED NSAIDs IN THE TREATMENT OF PAIN
TOPICALLY APPLIED NSAIDs IN THE TREATMENT OF PAIN

... premise that minimization of plasma concentrations of active drug may result in fewer systemic adverse effects. Evidence in humans and animals with topical NSAIDs demonstrates lower plasma concentrations than with systemically administered drugs, while those in soft tissues are still of a magnitude ...
Considerations when Undergoing Treatment for Chronic Illnesses
Considerations when Undergoing Treatment for Chronic Illnesses

... Smokies Diagnostic, www.gsdl.com, 800-522-4762). Any results should be evaluated by a physician. Such analyses are only of excreted heavy metals; deposits deep in tissues cannot be tested using these procedures. Non-invasive treatments to remove heavy metals include oral dosing, trans-dermal patches ...
dose-response curve of somina (herbal preparation)
dose-response curve of somina (herbal preparation)

... pressure and heart rate (Aftab, 1995). Present study demonstrates that the negative chronotropic effect caused by Somina is dose dependent (Fig. 1). At low doses from 5 to 15mg/ml gradual increase in negative chronotropism was followed by Emax at 20 mg/ml dose. It is clearly indicating increased int ...
Exposure to exogenous estrogens in food: possible impact on
Exposure to exogenous estrogens in food: possible impact on

... Residues of sex steroids and their metabolites in edible tissues from treated animals The data on residues in edible tissue after treatment of cattle with hormone releasing implants has been reviewed by the joint Food and Agricultural Organisation/ World Health Organisation (FAO/WHO) expert committe ...
OAB Conversation Starters
OAB Conversation Starters

... a total of 2859 patients with overactive bladder, of which 2288 were treated with fesoterodine. Of this total, 782 received Toviaz 4 mg/day, and 785 received Toviaz 8 mg/day in Phase 2 or 3 studies with treatment periods of 8 or 12 weeks. Approximately 80% of these patients had >10 weeks exposure to ...
Current clinical trials in LAM
Current clinical trials in LAM

... • Inability to comply with pulmonary function tests or follow up visits. • Treatment with investigational agents within 30 days • Hormonal therapy (e.g. estrogen, progestin, LHRH agonists or antagonists, estrogen receptor blockers, estrogen receptor down regulators, aromatase inhibitors) within 30 d ...
MtX versus Prostaglandins both transvaginally under U/S guidance
MtX versus Prostaglandins both transvaginally under U/S guidance

...  Non significant difference was found for subsequent intrauterine pregnancies (OR 0.87) with a non significant lower repeat ectopic pregnancy rates (OR 0.15) ...
Vitex agnus
Vitex agnus

... genital system. In actual clinical trials, the fruit Agni casti fructus was shown to relieve premenstrual syndrome (PMS) and especially breast swelling and pain, due to its dopaminergic effect. Although approximately 50% or more of young women suffer from PMS, there is no generally accepted therapy ...
Prescribing Information
Prescribing Information

... Clinical Pharmacology 12.3]. The potential for a pharmacokinetic interaction exists with the coadministration of CYP2D6 inhibitors which may increase the risk of serotonin syndrome with increased exposure to DYANAVEL XR. In these situations, consider an alternative non-serotonergic drug or an altern ...
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Dydrogesterone



Dydrogesterone (INN, USAN, BAN), is also chemically known as 9β,10α-pregna-4,6-diene-3,20-dione. Dydrogesterone (6-dehydro-retroprogesterone) is a hormonally active, non-androgenic steroid that was developed in the 1950s.Dydrogesterone has selective progestational activity and does not inhibit ovulation. The greater rigidity of dydrogesterone also positively affects its selectivity, while natural progesterone is less selective, existing in different conformations that more easily bind to different receptors. As a consequence of its better bioavailability and the progestational activity of its main metabolites (20-, 21- and 16-hydroxy derivatives), the equivalent dose of dydrogesterone is 10–20 times lower than that of oral micronized progesterone.Dydrogesterone is used as an effective, orally active progestogen for gynaecological conditions related to a wide variety of progesterone deficiencies in pregnant women. The molecular structure and pharmacological effects are somewhat similar to endogenous progesterone, although in smaller amounts it is found to be orally active. Its freedom from hormonal effects like those related to corticoid, androgenic, estrogenic, anabolic, and other effects gives dydrogesterone an advantage over other synthesized progestogens.Dydrogesterone when used therapeutically is closely related to its physiological action on the neuro-endocrine control of ovarian function, as well as on the endometrium. This is an indication in all cases of endogeneous progesterone deficiency - relative or absolute. The molecule was licensed for use in several indications, including threatened or recurrent miscarriage, dysfunctional bleeding, infertility due to luteal insufficiency, dysmenorrhea, endometriosis, secondary amenorrhoea, irregular cycles, pre-menstrual syndrome and also as a hormone replacement therapy.Dydrogesterone has proven effective in the following conditions associated with progesterone deficiency: Infertility due to luteal insufficiency Threatened miscarriage Habitual or recurrent miscarriage. Menstrual disorders Premenstrual syndrome Endometriosis Dydrogesterone has also been registered as hormone replacement therapy (HRT) to counter-check the negative effects of unopposed estrogen on the endometrium in women with an intact uterus. Dydrogesterone is relatively safe and well tolerated, and does not exhibit the androgenic side effects that are common with some other progestins, like medroxyprogesterone acetate.
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