in DESOGEN
What it isThird-generation progestin used in combined and progestin-only pills.
Why this oneLow androgenicity, and the progestin-only pill has a twelve-hour window rather than three.
What limits itA higher VTE risk than levonorgestrel-containing combined pills. Irregular bleeding.
⚠ BOXED WARNING
Cost, est. cash$300–$2,500/month
Generic entry1999
Legacy pregnancy categoryX
Defining liabilityVenous thromboembolism and hormone-related adverse effects; estrogen also lowers lamotrigine exposure.

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