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Medroxyprogesterone

General Information and Indications:

Medroxyprogesterone is used to treat abnormal menstruation (periods) or irregular vaginal bleeding. Medroxyprogesterone is also used to bring on a normal menstrual cycle in women who menstruated normally in the past but have not menstruated for at least 6 months and who are not pregnant or undergoing menopause (change of life). Medroxyprogesterone is also used to prevent overgrowth of the lining of the uterus (womb) and may decrease the risk of cancer of the uterus in patients who are taking estrogen. Medroxyprogesterone is in a class of medications called progestins. It works by stopping the growth of the lining of the uterus and by causing the uterus to produce certain hormones.
 

Information For Users:

Medroxyprogesterone comes as a tablet to take by mouth. It is usually taken once a day on certain days of a regular monthly cycle. To help you remember to take medroxyprogesterone, take it at around the same time every day on the days you are scheduled to take it. Follow the directions on your prescription label, ask your doctor or pharmacist If you have any questions. Take medroxyprogesterone exactly as directed. Do not take more or less of it or take it more often than prescribed by your health care provider.

Medroxyprogesterone may control your condition but will not cure it. Continue taking medroxyprogesterone according to your monthly schedule even if you feel well. Do not discontinue taking medroxyprogesterone without informing your doctor.
Other uses for this medicine

Special precautions:

o Inform your doctor or pharmacist if you have allergy to medroxyprogesterone (Provera, Depo-Provera), any other medications, or corn.
o Inform your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention aminoglutethimide (Cytadren). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
o inform your doctor if you are breast-feeding cancer of the breasts or female organs; unexplained vaginal bleeding; a missed abortion (a pregnancy that ended when the unborn child died in the uterus but was not expelled from the body); blood clots in your legs, lungs, brain, or eyes; stroke or mini-stroke; seizures; migraine headaches; depression; asthma; diabetes; or heart, kidney, or liver disease.
o Inform your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking medroxyprogesterone, call your doctor without delay. Medroxyprogesterone should never be used to test for pregnancy or to prevent miscarriage during the first few months of pregnancy. Medroxyprogesterone has not been shown to prevent miscarriage and may harm the fetus.
o if you are having surgery, including dental surgery, Inform your doctor or dentist that you are taking medroxyprogesterone.


Possible Adverse Effects:

Medroxyprogesterone may cause adverse effects. Inform your doctor if any of the following symptoms are severe or do not go away:

o breasts that are tender or produce a liquid
o changes in menstrual flow
o irregular vaginal bleeding or spotting
o acne
o growth of hair on face
o loss of hair on scalp
o difficulty falling asleep or staying asleep
o drowsiness
o upset stomach
o weight gain or loss

Some adverse effects could be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor without delay:

o pain, swelling, warmth, redness, or tenderness in one leg only
o slow or difficult speech
o dizziness or faintness
o weakness or numbness of an arm or leg
o shortness of breath
o coughing up blood
o sudden sharp or crushing chest pain
o fast or pounding heartbeat
o sudden vision changes or loss of vision
o double vision (diplopia)
o blurred vision (Impaired vision)
o bulging eyes (Exophthalmos or Proptosis)
o missed periods
o depression
o yellowing of the skin or eyes, jaundice
o fever
o hives (Urticaria)
o skin rash
o itching
o difficulty swallowing or breathing
o swelling of the hands, feet, ankles, or lower legs

Some laboratory animals who were given medroxyprogesterone developed breast tumors. It is not known if medroxyprogesterone increases the risk of breast cancer in humans. Medroxyprogesterone may also increase the chance that you will develop a blood clot that moves to your lungs or brain. Talk to your doctor about the risks of taking this medication.

Brand Name(s):

o Depo-Provera®
o Depo-Provera® Contraceptive
o Provera®

Other Name(s):

o Lunelle® Monthly Contraceptive Injection containing Medroxyprogesterone Acetate and Estradiol Cypionate
o Premphcontaining Medroxyprogesterone Acetate, Conjugated Estrogens, and Conjugated Estrogens
o Prempro® containing Medroxyprogesterone Acetate and Conjugated Estrogens
o acetoxymethylprogesterone
o methylacetoxyprogesterone

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