HPC DS 500 mg/2 ml (IM Injection)

2 ml ampoule: ৳ 750.00

Medicine Details

Indications

  • Reduction of risk of preterm birth in women with singleton pregnancy
  • Prevention of preterm labor in singleton pregnancy

Description

  • Synthetic steroid hormone similar to medroxyprogesterone acetate and megestrol acetate, ester derivative of 17a-hydroxyprogesterone formed from caproic acid

Pharmacology

  • Progesterone vital for regulation of female reproductive system
  • Important for successful implantation of embryo and maintenance of pregnancy
  • Acts by binding to progesterone receptors in uterus, ovaries, breasts, and central nervous system
  • Receptors exist in 2 isoforms, PR-A and PR-B
  • Anti-inflammatory effect blunts proinflammatory state and maintains uterine queiscence

Dosage & Administration

  • Administer intramuscularly at a dose of 500mg or 250mg once weekly
  • Begin treatment between 16 weeks, 0 days and 20 weeks, 6 days of gestation
  • Continue administration once weekly until week 37 (through 36 weeks, 6 days) of gestation or delivery, whichever occurs first
  • Injection procedure steps

Contraindications

  • Thrombosis or thromboembolic disorders
  • Known or suspected breast cancer or other hormone-sensitive cancer
  • Undiagnosed abnormal vaginal bleeding unrelated to pregnancy
  • Cholestatic jaundice of pregnancy
  • Liver tumors, benign or malignant, or active liver disease
  • Uncontrolled hypertension

Side Effects

  • Injection site reactions (pain, swelling, pruritus, nodule)
  • Hives
  • Itching
  • Nausea
  • Diarrhea
  • Symptoms of blood clots
  • Allergic reactions

Pregnancy & Lactation

  • Category B for pregnancy
  • No adverse effects on breastfeeding performance or infant health

Precautions & Warnings

  • Discontinue if thrombosis or thromboembolism occurs
  • Monitor glucose tolerance in pre-diabetic and diabetic women
  • Monitor fluid retention in women with specific conditions
  • Monitor women with history of clinical depression
  • Carefully monitor women with jaundice or hypertension

Use in Special Populations

  • Not indicated for pediatric patients
  • Not evaluated in women over 65 years of age
  • Effect not evaluated in hepatic or renal impairment

Overdose Effects

  • No adverse events reported

Therapeutic Class

  • Hormone preparations for other uses

Storage Conditions

  • Store at controlled room temperature between 15°C to 30°C, protect from light, keep out of reach of children

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