Generic Provera (Medroxyprogesterone usp 10mg)
1. Denomination
Provera, Cycrin
2. Active Substance
Medroxyprogesterone
3. Indications for Use.
- contraception, especially in women of a late reproductive age;
- miscarriage in early pregnancy;
- endometriosis;
- womb bleeding;
- cancer of a lacteal gland and endometrium;
- adenoma and prostate cancer;
- mastopathy;
- infertility.
4. Action
Pharmacologic action – progestagens, contraceptive, antitumor.
In small doses the drug depresses ovulation. It favors retardation of the changes necessary to prepare endometrium to the implantation of a fertilized ovum and enhances the viscosity of cervical mucus.
In higher doses it takes antitumor action in hormone-sensitive malign neoformations.
Hormonal agent.
5. Posology and Administration
Depression of ovulation (contraception): recommended dose - 150 mg every 3 months (profound intramuscular injection). To make sure that a patient is not pregnant in the moment of the initial use of the drug, the first injection is recommended during the first 5 days after the beginning of a regular menstruation or before 6 weeks after childbearing.
Dysfunctional (anovulator) womb bleedings: by mouth, 5-10 mg/day during 10 days. In this period of time the bleeding is gradually ceased. In 3-7 days after the cancellation there begins bleeding of Progestine “cancellation”. After this the therapy may be repeated during 2-3 cycles starting from the 16-th day of the cycle.
Endometriosis: an intramuscular recommended dose is 50 mg once a week or 100 mg once in 2 weeks during, as a minimum, 6 months. Due to a long-lasting action the re-establishment of a menstrual cycle after such therapy may be after some time to pass. Apart from intramuscular introduction it is possible to cure endometriosis orally 10 mg 3 times a day during 90 days, beginning from the first day of the cycle. Differential exclusion of a primary amenorrhea and of a secondary one: the drug is administered 5-10 mg/day during 10 days.
For the prevention of hyperplasia of endometriosis in the estrogens therapy in menopause: it is administered 5-10 mg/daily during, as a minimum, 10 days starting from the 16 day of the 25 days estrogens treatment course.
Additional and palliative treatment of recurrent and metastatic cancer of endometriosis or cancer of kidney: 200-600 mg/daily, orally; in intramuscular introduction of form depot it is administered 0.5-1 g/week, a supporting dose is 500 mg/week.
Cancer of a lacteal gland: orally 400-1200 mg/daily; intramuscular 500 mg/daily during 28 days, then a supporting dose is introduced - 500 mg once in 2 weeks. The results of treatment may be manifested in 8-10 weeks.
For the prevention and cure of osteoporosis in post menopause it is administered 5-10 mg once a day from 12-15-th day through 25-th day of the month.
6. Counterindications
Hypersensitivity, pregnancy, tumors of genitals or lacteal gland (besides the cases of an anti-tumor therapy), bleeding from genital tracts of unknown cause, lactation period.
7. Should Be Taken with Precautions, if…
It is necessary to carefully follow the aptitude of the used medication form of the drug to the indication for use.
- thrombophlebitis,
- thrombembolia or insult (at risk of development or in anamnesis),
- liver failure,
- hypercalcemia,
- epilepsy,
- migraine,
- bronchial asthma,
- heart failure or kidney failure,
- diabetes,
- depressive states.
8. Interface with Other Medications
Simultaneous intake of Medroxyprogesterone with some other medicines will result in the increase of its concentration in blood plasma and in risk of toxicity.
Moreover, some types of medicines may reduce the strength of Medroxyprogesterone. It is indispensable to tell your doctor if you take any medications.
9. Overdosing
No information.
10. Side Effects
All medications have this or that side effects. The side effects while using Provera may be:
- hives, rash, cases of anaphylactoid reactions.
- thrombembolias, thrombophelibitis.
- nervousness, insomnia, drowsiness, weakness, depression (which may be like the depression which often arrives before menses), dizziness, headache.
- nausea.
- change of the character of excretions from genital tracts, sensitivity of lacteal glands and flow of milk.
- change of weight, pyrogenic reactions.
In very rare cases you may feel more hunger and experience more thirst instead of you usually do because of the change of sugar level in your blood. If you notice any of the similar manifestations tell your doctor right away. If such manifestations are not merely petty troubles, cease the drugs intake and consult your doctor. Also inform your doctor if there are some bloody issues for more than a fortnight.
Also call your doctor if you have noticed:
- some problems with your feet – pains, swelling or bruises which origin you can not explain;
- itchy rashes, abscessuses and pimples on your skin;
- thickening of hair on the body or increasing fall of hair on the head.
Very seldom the use of Provera tablets may result in serious side effects. Call your doctor immediately and cease the intake of tablets if you feel extreme weakness, panting or severe pains in your breast. If you notice any other changes while you take Provera inform your doctor.
11. Pregnancy and Lactation
Counterindicated during pregnancy.
Breastfeeding should be stopped.
12. Driving
It does not affect the ability to drive a vehicle or do other work requiring alertness and swiftness of psychomotor reactions.
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Q. Can you tell me if I should be taking Generic Provera ( Medroxyprogesterone usp 10mg ) ? Or, will it work for me?
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