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)
Injection site urticaria10.01.06.003; 08.02.03.029; 23.04.02.003; 12.07.03.0290.000666%Not Available
Injection site vesicles23.03.01.024; 12.07.03.051; 08.02.03.0510.000607%Not Available
Insomnia19.02.01.002; 17.15.03.002--
Intestinal infarction24.04.08.008; 07.15.02.006--Not Available
Intestinal obstruction07.13.01.0020.000119%Not Available
Irritability19.04.02.013; 08.01.03.011--
Jaundice23.03.03.030; 09.01.01.004; 01.06.04.004--Not Available
Jaundice cholestatic09.01.01.005--Not Available
Joint swelling15.01.02.004--Not Available
Laryngeal oedema22.04.02.001; 10.01.05.003; 23.04.01.005--
Laryngospasm22.04.02.002--
Lethargy19.04.04.004; 17.02.04.003; 08.01.01.008--
Leukocytosis01.02.01.002--
Libido decreased21.03.02.005; 19.08.03.001--
Libido increased19.08.03.002; 21.03.02.007--
Lip swelling23.04.01.007; 10.01.05.005; 07.05.04.0050.000678%Not Available
Lipoatrophy23.07.01.001; 14.08.04.0060.000238%
Livedo reticularis23.06.05.001; 24.03.04.0030.000702%Not Available
Liver disorder09.01.08.001--Not Available
Loss of consciousness17.02.04.004--Not Available
Loss of libido19.08.03.003--Not Available
Macular oedema06.04.06.005--Not Available
Malaise08.01.01.0030.002165%
Malignant melanoma23.08.01.001; 16.03.01.001--Not Available
Mania19.16.02.0020.000119%
Mass08.03.05.003--Not Available
Meningioma17.20.01.005; 16.30.01.0050.000238%Not Available
Menometrorrhagia21.01.03.0010.000464%Not Available
Menopausal symptoms21.02.02.002--Not Available
Menstrual disorder21.01.01.0040.000523%Not Available
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