Země: Spojené státy
Jazyk: angličtina
Zdroj: NLM (National Library of Medicine)
DESOGESTREL (UNII: 81K9V7M3A3) (DESOGESTREL - UNII:81K9V7M3A3), ETHINYL ESTRADIOL (UNII: 423D2T571U) (ETHINYL ESTRADIOL - UNII:423D2T571U)
Aurobindo Pharma Limited
DESOGESTREL
DESOGESTREL 0.15 mg
PRESCRIPTION DRUG
KalligaTM tablets are indicated for the prevention of pregnancy in women who elect to use oral contraceptives as a method of contraception. Oral contraceptives are highly effective. Table 1 lists the typical accidental pregnancy rates for users of combined oral contraceptives and other methods of contraception. The efficacy of these contraceptive methods, except sterilization, the IUD, and the Norplant System depends upon the reliability with which they are used. Correct and consistent use of these methods can result in lower failure rates. In a clinical trial with KalligaTM , 1,195 subjects completed 11,656 cycles and a total of 10 pregnancies were reported. This represents an overall user-efficacy (typical user-efficacy) pregnancy rate of 1.12 per 100 women-years. This rate includes patients who did not take the drug correctly. Emergency Contraceptive Pills: Treatment initiated within 72 hours after unprotected intercourse reduces the risk of pregnancy by at least 75%.§ Lactation Amenorrhea Method: LAM is
KalligaTM (desogestrel and ethinyl estradiol tablets USP) 0.15 mg/0.03 mg is available in cartons of 3 pouches and 6 pouches, each containing 28 tablets: 21 active tablets: White to off-white, round, biconvex, beveled-edge tablets, debossed with “S” on one side and “25” on other side. 7 inert tablets: Green, round, mottled, biconvex, beveled-edge tablets, debossed with “S” on one side and “7” on other side. 1 Pouch of 28 tablets NDC 65862- 887-28 Carton of 3 Pouches NDC 65862- 887-88 Carton of 6 Pouches NDC 65862- 887-92 STORAGE Store at 20º to 25°C (68° to 77º F) [see USP Controlled Room Temperature].
Abbreviated New Drug Application
KALLIGA- DESOGESTREL AND ETHINYL ESTRADIOL AUROBINDO PHARMA LIMITED ---------- KALLIGA™ (DESOGESTREL AND ETHINYL ESTRADIOL TABLETS USP 0.15 MG/0.03 MG) RX ONLY WARNING: CARDIOVASCULAR RISK ASSOCIATED WITH SMOKING Cigarette smoking increases the risk of serious cardiovascular events from combination oral contraceptive use. This risk increases with age, particularly in women over 35 years of age, and with the number of cigarettes smoked. For this reason, combination oral contraceptives, including Kalliga , should not be used by women who are over 35 years of age and smoke. PATIENTS SHOULD BE COUNSELED THAT THIS PRODUCT DOES NOT PROTECT AGAINST HIV INFECTION (AIDS) AND OTHER SEXUALLY TRANSMITTED DISEASES. DESCRIPTION Kalliga tablets provide an oral contraceptive regimen of 21 white to off-white round tablets each containing 0.15 mg desogestrel (13-ethyl-11-methylene-18,19-dinor-17 alpha-pregn-4-en-20-yn-17-ol) and 0.03 mg ethinyl estradiol USP (19-nor-17 alpha- pregna-1,3,5 (10)-trien-20-yne-3,17,diol). Inactive ingredients include colloidal silicon dioxide, lactose monohydrate, potato starch, povidone, stearic acid, and vitamin E. Each green tablet contains the following inactive ingredients: anhydrous lactose, croscarmellose sodium, FD&C Blue No.2 Aluminum Lake, ferric oxide yellow, magnesium stearate, microcrystalline cellulose, and povidone. TM TM Kalliga meets USP Dissolution Test 2. CLINICAL PHARMACOLOGY PHARMACODYNAMICS Combined oral contraceptives act by suppression of gonadotropins. Although the primary mechanism of this action is inhibition of ovulation, other alterations include changes in the cervical mucus, which increase the difficulty of sperm entry into the uterus, and changes in the endometrium which reduce the likelihood of implantation. Receptor binding studies, as well as studies in animals, have shown that 3-keto- desogestrel, the biologically active metabolite of desogestrel, combines high progestational activity with minimal intrinsic androgenicity. The relevance of this latter finding in hu Přečtěte si celý dokument