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QuickView for Norgestimate (compound)


PubChem
Name: norgestimate
PubChem Compound ID: 11773081
Molecular formula: C23H31NO3
Molecular weight: 369.497 g/mol
DrugBank
Identification
Name: norgestimate
Name (isomeric): DB00957
Drug Type: small molecule
Synonyms:
Norgestimatum [INN-Latin]; Norgestimato [INN-Spanish]; Dexnorgestrel Acetime
Brand: Ortho-Prefest, Ortho Cyclen-21, Ortho Cyclen-28, Ortho Tri-Cyclen
Brand name mixture: Tri-Cyclen Tablets - 28-Day(Ethinyl Estradiol + Norgestimate), Tri-Cyclen Tablets - 21-Day(Ethinyl Estradiol + Norgestimate)
Category: Contraceptives, Oral, Synthetic, Contraceptives
CAS number: 35189-28-7
Pharmacology
Indication: For the prevention of pregnancy
Pharmacology:
Norgestimate is used as a female contraceptive. Norgestimate is a progestin or a synthetic form of the naturally occurring female sex hormone, progesterone. In a woman's normal menstrual cycle, an egg matures and is released from the ovaries (ovulation). The ovary then produces progesterone, preventing the release of further eggs and priming the li...
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Mechanism of Action:
Norgestimate binds to androgen and progestogen receptors. Target cells include the female reproductive tract, the mammary gland, the hypothalamus, and the pituitary. Once bound to the receptor, progestins like Norgestimate will slow the frequency of release of gonadotropin releasing hormone (GnRH) from the hypothalamus and blunt the pre-ovulatory L...
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Biotransformation: GI tract/Hepatic
Half Life: 12-30 hours
Affected organisms: Humans and other mammals
Interactions
Food interaction:
Avoid alcohol.
Increase dietary intake of magnesium, folate, vitamin B6, B12, and/or consider taking a multivitamin.
Avoid excessive quantities of coffee or tea (Caffeine).
Take with food.
Take at the same time everyday.
Drug interaction:
TretinoinOral Tretinoin may decrease the effect of oral contraceptive, Norgestimate. An alternate form of contraception should be used during concomitant therapy.
ArtemetherArtemether may decrease the effectiveness of norgestimate by increasing its metabolism via CYP3A4. Consider an alternate non-hormonal means of contraception during artemether therapy.
ColesevelamBile Acid Sequestrants may decrease the serum concentration of Contraceptives (Progestins). Administer oral progestin-containing contraceptives at least 1-4 hours prior to or 4-6 hours after administration of a bile acid sequestrant. Consider alternatives in order to avoid this combination when possible, due to the risk for impaired contraceptive effectiveness.
BexaroteneBexarotene may decrease the serum concentration of Contraceptives (Progestins). Since bexarotene is teratogenic and can lower serum concentrations of norgestimate, it is advised that women of childbearing potential use two forms of contraception (including at least one non-hormonal form).
WarfarinNorgestimate may alter the anticoagulant effect of warfarin. Concomitant therapy should be avoided. Monitor for changes in coagulation status if norgestimate is initiated, discontinued or dose changed.
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Targets


Transporters