Pays: États-Unis
Langue: anglais
Source: NLM (National Library of Medicine)
Levonorgestrel (UNII: 5W7SIA7YZW) (Levonorgestrel - UNII:5W7SIA7YZW), Ethinyl Estradiol (UNII: 423D2T571U) (Ethinyl Estradiol - UNII:423D2T571U)
Xiromed, LLC.
PRESCRIPTION DRUG
Oral contraceptives are indicated for the prevention of pregnancy in women who elect to use this product as a method of contraception. Oral contraceptives are highly effective. Table II lists the typical accidental pregnancy rates for users of combination oral contraceptives and other methods of contraception. The efficacy of these contraceptive methods, except sterilization and the IUD, depends upon the reliability with which they are used. Correct and consistent use of methods can result in lower failure rates. TABLE II: PERCENTAGE OF WOMEN EXPERIENCING AN UNINTENDED PREGNANCY DURING THE FIRST YEAR OF USE OF A CONTRACEPTIVE METHOD NA – not available *Depending on method (calendar, ovulation, symptothermal, post-ovulation) Adapted from Hatcher RA et al, Contraceptive Technology: 17th Revised Edition . NY, NY: Ardent Media, Inc., 1998 Combination oral contraceptives should not be used in women with any of the following conditions: Thrombophlebitis or thromboembolic disorders. A past history of deep
Elifemme® tablets (levonorgestrel and ethinyl estradiol) are available in 28-tablet blister cards. One blister card is packaged in a primary carton (NDC 70700-104-84) . Three Primary Cartons are Packaged into a Outer Carton (NDC 70700-104-85) or Six Primary Cartons are packaged into a Outer Carton (NDC 70700-104-86) . Each cycle contains 28 tablets as follows: Six blue tablets containing 0.05 mg of levonorgestrel and 0.03 mg of ethinyl estradiol. The blue tablets are round in shape debossed "XI" on one side and “2” on the other side. Five peach tablets containing 0.075 mg of levonorgestrel and 0.04 mg of ethinyl estradiol. The peach tablets are round in shape debossed "XI" on one side and “3” on the other side. Ten pink tablets containing 0.125 mg of levonorgestrel and 0.03 mg of ethinyl estradiol. The pink tablets are round in shape with debossed "XI" on one side and “4” on the other side. Seven white inert tablets. The white inert tablets are round in shape with debossed "XI" on one side and “1” on the other side. Store at 20° to 25°C (68 ° to 77°F). [See USP controlled room temperature.] References available upon request.
Abbreviated New Drug Application
LEVONORGESTREL AND ETHINYL ESTRADIOL- LEVONORGESTREL AND ETHINYL ESTRADIOL TABLETS XIROMED, LLC. ---------- ELIFEMME LEVONORGESTREL AND ETHINYL ESTRADIOL TABLETS, 0.05 MG/0.03 MG, 0.075 MG/0.04 MG, 0.125 MG/0.03 MG RX ONLY PATIENTS SHOULD BE COUNSELED THAT THIS PRODUCT DOES NOT PROTECT AGAINST HIV INFECTION (AIDS) AND OTHER SEXUALLY TRANSMITTED DISEASES. DESCRIPTION Each Elifemme cycle of 28 tablets consists of three different drug phases as follows: Phase 1 comprised of 6 blue tablets, each containing 0.05 mg of levonorgestrel (d(-)-13 beta-ethyl-17-alpha- ethinyl-17-beta-hydroxygon-4-en-3-one), a totally synthetic progestogen, and 0.03 mg of ethinyl estradiol (19-nor-17α-pregna-1,3,5(10)-trien-20-yne-3, 17-diol); phase 2 comprised of 5 peach tablets, each containing 0.075 mg levonorgestrel and 0.04 mg ethinyl estradiol; and phase 3 comprised of 10 pink tablets, each containing 0.125 mg levonorgestrel and 0.03 mg ethinyl estradiol; then followed by 7 white inert tablets. The inactive ingredients present in the blue, peach and pink tablets are lactose monohydrate, magnesium stearate, povidone, and pregelatinised starch. Each blue tablet also contains FD&C Blue # 2 lake. Each peach tablet also contains D & C yellow # 10 aluminium lake and FD&C Red # 40 lake. Each pink tablets also contains FD & C Red # 40 lake. Each inert white tablet contains the following inactive ingredients: anhydrous lactose, corn starch, crospovidone, magnesium stearate and povidone. CLINICAL PHARMACOLOGY Combination oral contraceptives primarily 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 the endometrium (which reduce the likelihood of implantation). PHARMACOKINETICS _ABSORPTION _ Levonorgestrel is rapidly and completely absorbed after oral administration (bioavailability about 100%). Levonorgestrel is not subject to first-pass metabolism or enterohepat Lire le document complet