Provera ® , Depo-Provera
2.5, 5, or 10 mg Oral tablets (Provera) or intramuscular injection (Depo-Provera)
Secondary amenorrhea (Provera), Contraception (Depo-Provera), with:
- No current pregnancy
- No breastfeeding
- Liver dysfunction or disease
- No thrombotic disorders
- Known or suspected malignancy of breast or genital organs
- Undiagnosed unusual vaginal bleeding
- Incomplete miscarriage
Inducing a menstrual period in cases of amenorrhea (lack of menstrual bleeding). Also used for long-term contraception and for palliative treatment of advanced endometrial or renal carcinoma.
How does it work?
Possesses hormonal activities of follicle stimulating hormone (FSH).
- thyroid disease
- ovarian enlargement or cyst formation
- uterine fibroid tumors
- undiagnosed unusual vaginal bleeding
- estrogen levels
- primary pituitary or ovarian failure or enlargement
- evidence of prostate cancer in men
- testicular failure
- renal and hepatic functions
- mid-cycle urine LH test (OPK)
- estrogen levels
- progesterone levels
- mid-cycle ultrasound to detect follicle development
- 5 to 10 mgs daily for 5 to 10 days.
- Injection by medical practitioner at 3-month intervals.
- For amenorrhea
- May be started at any time during cycle. Withdrawal bleeding usually begins within 3 to 7 days after discontinuing tablets.
- For contraception
- Must be started during first 5 days of menstrual period to assure no pregnancy exists.
Common side effects
- Injection site pain
- Lower abdomen tenderness
- Fluid retention
- Emotional irritability
- Breast discomfort
- Multiple births
Side effects to report to your doctor
- Severe pain or swelling in lower abdomen or extremities
- Shortness of breath
- Vomiting or diarrhea
- Pregnancy Category X: May cause birth defects if used during pregnancy.
- Exercise caution if patient is breastfeeding.
- May result in ovarian hyperstimulation.
- May result in multiple births.
Drug interactions or incompatibility
Herbal preparations using blue or black cohosh.
© Tracy Morris