Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Medroxyprogesterone acetate
Drug ID BADD_D01366
Description Medroxyprogesterone acetate (MPA) is a [progesterone] derivative that is more resistant to metabolism for improved pharmacokinetic properties.[A14848] MPA can be use to treat secondary amenorrhea, endometrial hyperplasia, abnormal uterine bleeding, osteoporosis, vasomotor symptoms in menopause, vulvar and vaginal atrophy, prevent pregnancy, manage pain in endometriosis, prevent pregnancy, and is also used in palliative care for endometrial and renal carcinoma.[L8657,L8660,L8663,L8666,L8669] Medroxyprogesterone acetate was granted FDA approval on 18 June 1959.[L8657]
Indications and Usage Medroxyprogesterone acetate (MPA) oral tablets are indicated to treat secondary amenorrhea, reduce the incidence of endometrial hyperplasia in postmenopausal women, and to treat abnormal uterine bleeding due to hormonal imbalance, not organic pathology.[L8657] Oral tablets containing MPA and conjugated estrogens are indicated to prevent postmenopausal osteoporosis and to treat moderate to severe menopausal symptoms such as vasomotor symptoms, vulvar atrophy, and vaginal atrophy.[L8660] Subcutaneous MPA is indicated to prevent pregnancy and manage pain associated with endometriosis.[L8663] Intramuscular MPA is indicated to prevent pregnancy,[L8666] and at higher concentrations for palliative treatment of endometrial or renal carcinoma.[L8669]
Marketing Status approved; investigational
ATC Code Not Available
DrugBank ID DB00603
KEGG ID D00951
MeSH ID D017258
PubChem ID 6279
TTD Drug ID Not Available
NDC Product Code 51552-0790; 60722-1006; 0009-0051; 0009-0746; 63629-8744; 63629-8825; 66993-370; 68788-8112; 0555-0872; 12866-1099; 16714-999; 0009-0065; 50090-5619; 50090-5747; 53002-3570; 63629-2612; 66993-371; 70518-3336; 38779-1422; 62991-1474; 50090-4251; 59762-0055; 55150-330; 55289-160; 59762-4537; 63629-8824; 67296-0396; 67457-887; 69097-539; 0548-5400; 46439-8749; 65089-0022; 16714-981; 0009-0287; 0009-7376; 62756-090; 70121-1480; 0548-5410; 65089-0002; 24201-150; 0009-4709; 50090-0490; 50090-0491; 68788-9899; 70518-3070; 0555-0873; 51927-0112; 59762-0056; 63187-382; 70121-1467; 0555-0779; 72789-043; 63592-0089; 55150-329; 59762-0058; 60687-105; 62756-091; 0548-5701; 52221-118; 0009-0286; 50090-0166; 50102-591; 0548-5711; 71205-118; 0009-5097; 46439-8712; 50090-3328; 63629-8826; 49452-4725; 50090-5925; 59762-4538
UNII C2QI4IOI2G
Synonyms Medroxyprogesterone Acetate | 6-alpha-Methyl-17alpha-hydroxyprogesterone Acetate | 6 alpha Methyl 17alpha hydroxyprogesterone Acetate | Depo-Medroxyprogesterone Acetate | Depo Medroxyprogesterone Acetate | (6 alpha)-17-(Acetoxy)-6-methylpregn-4-ene-3,20-dione | Pregn-4-ene-3,20-dione, 17-(acetyloxy)-6-methyl-, (6alpha)- | Medroxyprogesterone 17-Acetate | Medroxyprogesterone 17 Acetate | Depo-Provera | Depo Provera | DepoProvera | Farlutal | Gestapuran | Curretab | Medroxyprogesterone 17-Acetate, (6 beta)-Isomer | Perlutex | Provera | Veramix | Cycrin | Medroxyprogesterone 17-Acetate, (6 alpha,17 alpha)-Isomer
Chemical Information
Molecular Formula C24H34O4
CAS Registry Number 71-58-9
SMILES CC1CC2C(CCC3(C2CCC3(C(=O)C)OC(=O)C)C)C4(C1=CC(=O)CC4)C
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Epistaxis24.07.01.005; 22.04.03.001--
Erythema23.03.06.0010.002212%Not Available
Erythema multiforme10.01.03.015; 23.03.01.003--
Erythema nodosum23.07.02.001; 10.02.01.020--Not Available
Euphoric mood19.04.02.006--
Eye disorder06.08.03.001--Not Available
Eye irritation06.04.05.0030.000119%Not Available
Eye swelling06.08.03.0030.000178%Not Available
Face oedema23.04.01.004; 10.01.05.002; 08.01.07.003--
Facial paralysis17.04.03.0080.000119%Not Available
Fatigue08.01.01.002--
Feeling abnormal08.01.09.0140.001023%Not Available
Feeling cold08.01.09.0080.000523%Not Available
Feeling hot08.01.09.0090.000785%Not Available
Fibroadenoma of breast21.05.01.005; 16.14.01.001--Not Available
Fibrocystic breast disease21.05.04.018; 16.14.01.0030.000262%Not Available
Flatulence07.01.04.002--
Fluid retention20.01.02.003; 14.05.06.0020.000238%Not Available
Flushing23.06.05.003; 08.01.03.025; 24.03.01.0020.000559%
Galactorrhoea21.05.02.002; 05.03.04.002--Not Available
Gallbladder disorder09.03.02.0010.000119%Not Available
Gastrointestinal disorder07.11.01.001--Not Available
Gastrointestinal pain07.01.05.005--
Generalised tonic-clonic seizure17.12.01.002--Not Available
Glaucoma06.03.01.0020.000119%
Glucose tolerance decreased13.02.02.004--Not Available
Glycosuria20.02.01.005--
Haemangioma of liver09.04.01.003; 24.03.06.006; 16.06.01.003--Not Available
Haemoglobin13.01.05.018--Not Available
Haemolytic anaemia01.06.03.002--Not Available
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