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2120   Sex Hormones and their Modulators
2120 Sex Hormones and their Modulators

... As for progestogens in general (see Progesterone, p.2125). See also under Hormonal Contraceptives, p.2059. Effects on the liver. There were 6 cases of jaundice among 107 patients with breast cancer treated with high-dose norethisterone acetate;1 the jaundice was reversible and of an obstructive type ...
Antibiotic Safety Assessment
Antibiotic Safety Assessment

... couples to a protein; the resulting neo-antigen can cause hypersensitivity reactions and elicit specific antibodies. High titres of antibodies directed against quinoneimine have been found in the blood of patients who developed myelotoxicity or hepatotoxicity after amodiaquine intake [21]. By modify ...
US Results for End of Phase II Meeting Modified Endometriosis
US Results for End of Phase II Meeting Modified Endometriosis

... – Subject 1 was informed about the extension study (not yet dosing), but reported that due to her long history of endometriosis and severity of her condition she proceeded with the hysterectomy. This subject is now 36 years old. – Subject 2 was informed about the extension study but withdrew after c ...
Nausea and Vomiting
Nausea and Vomiting

... treatments It usually a has a single cause Ranked as a highly distressing symptom, often more so than pain or breathlessness An accurate assessment and a good understanding of the mechanics of nausea and vomiting is important to guide best effective treatment ...
Palliative Care Symptom Guide
Palliative Care Symptom Guide

... 4The hour limit should not be less than the available total hourly patient doses (delivered through the infuser) that are titrated to achieve an adequate administered dose. Bolus doses and the continuous infusion are included level of analgesia (pain score less than or equal to 4/10). in the one-hou ...
The use of topical corticoids in oral pathology
The use of topical corticoids in oral pathology

... times per day, and for a period of 3 to 5 minutes each time in order to achieve results. Some important authors in this field do not consider the drug to be very useful, presenting as the main drawback the fact that several applications are required each day, which poses a significant inconvenience ...
Antifungal drugs
Antifungal drugs

... Reduced fungal membrane ergosterol concentrations result in damaged, leaky cell membranes. The toxicity of these drugs depends on their relative affinities for mammalian and fungal cytochrome P450 enzymes. The triazoles tend to have fewer side effects, better absorption, better drug distribution in b ...
Opioid Pharmacology Definitions 1. Opium – a mixture of alkaloids
Opioid Pharmacology Definitions 1. Opium – a mixture of alkaloids

... only 70% effective in acute pain. 2. Range of effective concentrations (the “therapeutic window”) is narrow for each patient but varies widely between patients. Implication: “cookbook” analgesia likely to be inadequate or excessive much of the time. 3. Lower starting doses for elderly, hypovolemic, ...
Sharefah Abdelsalam Morsy Saad_sherifa
Sharefah Abdelsalam Morsy Saad_sherifa

... Received 2 October 2014 Accepted 22 October 2015 The Egyptian Journal of Histology ...
Anti Epileptic Drugs
Anti Epileptic Drugs

... 10. What are the disadvantages ? • Moderately high cost • May render hormonal contraceptive ineffective • May increase plasma level of Phenytoin and Phenobarbitone and these drugs may decrease oxcarbazepine level ...
Chirally Pure NoN-Steroidal aNti
Chirally Pure NoN-Steroidal aNti

... COX-29. In addition, S-Ketoprofen less GI ulcerogenic potential as compared to the racemic Ketoprofen. In fact, R-enantiomer may contribute to the pathogenesis of intestinal ulcers10. The absorption of S-enantiomer from racemic Ketoprofen and Dexketoprofen trometamol has been found to be equivalent ...
Megace - Bristol
Megace - Bristol

... specific for megestrol acetate and yield equivalent concentrations. The RIA method reacts to megestrol acetate metabolites and is, therefore, non-specific and indicates higher concentrations ...
AMINOPHYLLINE 100 mg Tablets Dear patient, Please
AMINOPHYLLINE 100 mg Tablets Dear patient, Please

... Aminophylline, a complex of theophylline with ethylenediamine, readily liberates theophylline in the body. Theophylline is a methylxanthine that relaxes bronchial smooth muscle, relieves bronchospasm, has a stimulant effect on respiration, and suppresses the response of the airways to stimuli. It is ...
Valium - Genentech
Valium - Genentech

... An increased risk of congenital malformations and other developmental abnormalities associated with the use of benzodiazepine drugs during pregnancy has been suggested. There may also be non-teratogenic risks associated with the use of benzodiazepines during pregnancy. There have been reports of neo ...
Media Kit - Perosphere
Media Kit - Perosphere

... synthesize, and characterize a synthetic small molecule anticoagulant antidote (PER977). Blood was drawn from healthy human volunteers. Plasma was immediately collected and spiked with rivaroxaban or apixaban at 1x and 2x the therapeutic Cmax. Factor Xa activity was measured before and after PER977 ...
Superficial fungal infections
Superficial fungal infections

... elevation has been described, and several cases of drugassociated hepatic necrosis have been reported. Alopecia has been reported as a common adverse event in patients receiving prolonged high-dose therapy. Coadministration of enzyme inhibitor fluconazole with phenytoin results in increased serum phe ...
Successful Pregnancy in Recurrent Thin Endometrium
Successful Pregnancy in Recurrent Thin Endometrium

... which is a marker of proliferation and tamoxifen also up-regulates the expression of IGF-1 [21]. Thus, the mechanism of tamoxifen increasing the endometrial thickness may include two sides: estrogen pathway and non- estrogen pathway. Anecdotal case reports are important to establish precedents for p ...
Dabigatran (Pradaxa) Guidelines
Dabigatran (Pradaxa) Guidelines

... In HealthPartners, at this time (June 2011) dabigatran can only be ordered by our Cardiology and Hematology/Oncology colleagues. If you have a patient with atrial fibrillation for whom you believe this would be the preferred therapeutic choice, please contact the on-call cardiologist. If you're thin ...
COOCH2CH2(OCH2CH2)n OCH3 CH3(CH2)2CH2NH
COOCH2CH2(OCH2CH2)n OCH3 CH3(CH2)2CH2NH

... Do not exceed a single dose of 200 mg and a total daily dosage of 600 mg. If you miss a dose of TESSALON, skip that dose and take the next dose at the next scheduled time. Do not take 2 doses of TESSALON at one time. Usage in Pregnancy: Pregnancy Category C. Animal reproduction studies have not been ...
Pulmonary Hypertension
Pulmonary Hypertension

... • Identify the most common adverse effects seen with medications used to manage pulmonary hypertension. ...
results of the PROXIMATE-TIMI 27 trial
results of the PROXIMATE-TIMI 27 trial

... The trial was an open-label, dose-escalation study of a single intravenous bolus of Sunol-cH36. The trial design included four planned dose tiers (0.03, 0.3, 1.0, and 3.0 mg/kg) with seven patients in each dose group and, provided that enrolment could be modified, or additional dose tiers were added, ...
Product information: Sucroferric oxyhydroxide
Product information: Sucroferric oxyhydroxide

... disorders, and patients with major gastrointestinal surgery have not been included in clinical studies with Velphoro. Velphoro should only be used in these patients following careful assessment of benefit/risk. Patients with rare hereditary problems of fructose intolerance, glucose-galactose malabso ...
Respiratory drugs-nursing
Respiratory drugs-nursing

... • decreases frequency of asthma exacerbation and severity of symptoms The corticosteroids commonly used are hydrocortisone, predinisolone, beclomethasone, triamcinolone and etc. The drugs can be taken by inhalation as aerosol, oral, or an IV administration ...
BOI-166 Camilia Monograph
BOI-166 Camilia Monograph

... • Use only if single-use doses and glued end flaps on carton are intact • Do not reuse. Discard dose pack immediately after use to prevent children from choking on container parts • Stop using and consult a doctor if symptoms persist for more than 3 days or worsen • Keep out of reach of children ...
November 2014 PBAC Meeting
November 2014 PBAC Meeting

... volunteers. One subject reported headache (mild intensity, considered unlikely to be drug-related). Two subjects had out-of-range blood test results post-study: one with elevated AST and one with leukopenia with neutropenia. Both were of moderate intensity and considered by the investigator to be po ...
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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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