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Topiramate itself is a weak inhibitor of CYP2C19 and induces CYP3A4; a decrease in plasma levels of estrogens and digoxin has been noted during topiramate therapy. This can reduce the effectiveness of oral contraceptives (birth control pills); use of alternative birth control methods is recommended. [ 55 ]
[1] [2] It is used together with dietary changes and exercise. [3] If less than 3% weight loss is seen after 3 months it is recommended the medication be stopped. [ 3 ] The weight loss is modest. [ 3 ]
Birth control, also known as contraception, anticonception, and fertility control, is the use of methods or devices to prevent pregnancy. [1] [2] Birth control has been used since ancient times, but effective and safe methods of birth control only became available in the 20th century. [3]
The combined oral contraceptive pill (COCP), often referred to as the birth control pill or colloquially as "the pill", is a type of birth control that is designed to be taken orally by women. It is the oral form of combined hormonal contraception .
Combined hormonal contraception (CHC), or combined birth control, is a form of hormonal contraception which combines both an estrogen and a progestogen in varying formulations. [ 1 ] [ 2 ] The different types available include the pill , the patch and the vaginal ring , which are all widely available, [ 3 ] and an injection , which is available ...
[30] [31] [32] The progestin is a long-acting progestogen ester, which may or may not act as a prodrug. [24] Progesterone derivatives including medroxyprogesterone acetate , algestone acetophenide (dihydroxyprogesterone acetophenide), hydroxyprogesterone caproate , and megestrol acetate are active themselves and are not prodrugs, whereas the ...
The risk of venous thromboembolism with EE/CPA-containing birth control pills is similar to that with EE and gestodene-, desogestrel-, and drospirenone-containing birth control pills and about 50 to 80% higher than with EE and levonorgestrel-containing birth control pills.
Algestone acetophenide, also known more commonly as dihydroxyprogesterone acetophenide (DHPA) and sold under the brand names Perlutal and Topasel among others, is a progestin medication which is used in combination with an estrogen as a form of long-lasting injectable birth control.