Ethinyl Estradiol + Desogestrel (0.02 mg)

Generic Details

Generic Name

Ethinyl Estradiol/Desogestrel 0.02 mg

Other Names

  • EE/DSG 0.02 mg

Drug Class

  • Contraceptive - Progestin/Estrogen Combination

Chemical Formula

Molecular Weight

Mechanism of Action

  • Inhibition of ovulation
  • Thickening of cervical mucus
  • Changes in endometrium

Indications

  • Prevention of pregnancy

Common Dosage Forms

  • Oral tablet

Typical Dosage

  • Take one tablet daily for 28 days, starting on the first day of the menstrual cycle

Pediatric Dosage

  • Use not recommended in premenarchal females

Geriatric Dosage

  • Use with caution in women over 35 years

Side Effects

  • Nausea
  • Breast tenderness
  • Headache
  • Weight changes
  • Irregular bleeding

Contraindications

  • History of blood clots
  • Liver disease
  • Breast cancer

Pregnancy Category

  • Category X - Not to be used during pregnancy

Lactation Safety

  • Small amounts of hormones excreted in breast milk, not recommended during breastfeeding

Drug Interactions

  • Antibiotics (eg. Rifampin)
  • Anticonvulsants (eg. Carbamazepine)
  • St. John's Wort

Overdose Symptoms

  • Nausea
  • Vomiting
  • Vaginal bleeding

Antidote for Overdose

  • No specific antidote, symptomatic and supportive treatment

Storage Conditions

  • Store at room temperature away from moisture and heat

Pharmacokinetics

  • Absorption: Rapidly and completely absorbed from the gastrointestinal tract
  • Distribution: Highly protein bound
  • Metabolism: Metabolized in the liver
  • Excretion: Excreted in urine and feces

Precautions

  • Smoking increases the risk of serious cardiovascular events

Warnings

  • Increased risk of blood clots
  • Higher risk in women with certain medical conditions

Others