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Desogestrel

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.

FDA-approved for

⚠ BOXED WARNING

Cost, est. cash$300–$2,500/month

Generic entry1999

Classes and tags

Clinical profile

Therapeutic safety burden2 / 4
Overdose danger1 / 4
Weight-gain liability0 / 4
Sedation liability0 / 4
QT / Torsades0 / 4
Direct muscarinic antagonism0 / 4
Embryofetal risk0 / 4

Legacy pregnancy categoryX

Defining liabilityVenous thromboembolism and hormone-related adverse effects; estrogen also lowers lamotrigine exposure.

Mechanism of action: Desogestrel ballicule

Desogestrel ballicule: receptor binding, kinetics and half-life diagram

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Memory aids: mascots and interaction avatars

Desogestrel CYP3A4 substrate avatar
CYP3A4 substrate

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