Medroxyprogesterone Acetate Flashcards
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Questions and Answers

What is the classification of medroxyPROGESTERone acetate?

  • Antineoplastic
  • Hormone
  • Contraceptive
  • All of the above (correct)
  • What is the generic name of medroxyPROGESTERone acetate?

    medroxyPROGESTERone acetate

    Which of the following is a trade name for medroxyPROGESTERone acetate?

  • Provera (correct)
  • Lisinopril
  • Ibuprofen
  • Tylenol
  • What is the action of medroxyPROGESTERone acetate?

    <p>Suppresses ovulation, possibly by inhibiting pituitary gonadotropin secretion, thus preventing follicular maturation and causing endometrial thinning.</p> Signup and view all the answers

    What are the indications for the use of medroxyPROGESTERone acetate?

    <p>Menstrual disorders, endometriosis, endometrial cancer.</p> Signup and view all the answers

    What are the available forms of medroxyPROGESTERone acetate?

    <p>Injection and tablets.</p> Signup and view all the answers

    Which of the following is a common adverse effect of medroxyPROGESTERone acetate?

    <p>All of the above</p> Signup and view all the answers

    What interaction might occur with medroxyPROGESTERone acetate?

    <p>Both A and B</p> Signup and view all the answers

    Which of the following is a contraindication for medroxyPROGESTERone acetate?

    <p>All of the above</p> Signup and view all the answers

    Study Notes

    Classification

    • Prototype progestin used in therapy
    • Therapeutic class: Estrogens
    • Pharmacologic class: Progestins, antineoplastic, hormone, contraceptive

    Generic Name

    • MedroxyPROGESTERone acetate

    Trade Names

    • Commonly known as Depo-Provera, Depo-subQ Provera 104, Meprogest, and Provera

    Mechanism of Action

    • Suppresses ovulation by potentially inhibiting pituitary gonadotropin secretion
    • Prevents follicular maturation and causes thinning of the endometrium

    Indications for Use

    • Treats menstrual disorders and endometriosis
    • Utilized in cases of endometrial carcinoma

    Route and Dosage

    • Forms include injectable suspensions (104 mg/0.65 mL, 150 mg/mL, 400 mg/mL) and oral tablets (2.5 mg, 5 mg, 10 mg)
    • Injection: administer deep intramuscularly in gluteal or deltoid muscles; monitor for pain and rotate sites to prevent atrophy
    • Subcutaneous injections: require vigorous shaking before use; given over 5 to 7 seconds into the thigh or abdomen
    • Caution necessary as it's classified as a hazardous drug

    Adverse Reactions/Side Effects

    • Significant risks include cardiovascular complications such as stroke, heart attack, hypertension, and thromboembolic events
    • Common side effects: irregular vaginal bleeding, weight gain, and fluid retention
    • Other notable side effects may affect various systems, including GI (bloating, nausea), GU (breakthrough bleeding), and metabolic (weight changes)

    Drug Interactions

    • Certain drugs (e.g., anticonvulsants, corticosteroids) may reduce the efficacy of progestins
    • St. John's wort may diminish progestin effects; caution with caffeine and grapefruit due to potential interactions
    • Smoking increases CV risk; may require alternative therapy

    Contraindications and Precautions

    • Contraindications include allergies, pregnancy, and breastfeeding
    • Black Box Warning against using estrogens with progestins for CV disease or dementia prevention
    • Not recommended for patients with active thromboembolic disorders, history of stroke, or certain cancers
    • Caution for long-term use of the injectable form beyond two years without adequate alternatives

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    Description

    Test your knowledge on Medroxyprogesterone Acetate with these flashcards. Covering classification, generic names, trade names, and pharmacologic actions, these cards are a perfect study tool for students and healthcare professionals alike. Understand the uses and impacts of this important progestin.

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