Dr. Reddy’s Laboratories has launched progesterone capsules, 100 mg and 200 mg, a therapeutic equivalent generic version of Prometrium (Progesterone) capsules in the US market, approved by the USFDA. Prometrium is a registered trademark of ABBVIE Products LLC. Dr. Reddy’s progesterone capsules, 100 mg and 200 mg, are available in bottle count size of 100.
The prometrium brand and generic had US sales of approximately $153 million MAT for the most recent twelve months ending in February 2017 according to IMS Health.
Estrogens plus progestin therapy should not be used for the prevention of cardiovascular disease or dementia. The Women’s Health Initiative (WHI) estrogen plus progestin substudy reported increased risks of deep vein thrombosis, pulmonary embolism, stroke and myocardial infarction in postmenopausal women (50 to 79 years of age) during 5.6 years of treatment with daily oral conjugated estrogens (CE) [0.625 mg] combined with medroxyprogesterone acetate (MPA) [2.5 mg], relative to placebo.
The WHI Memory Study (WHIMS) estrogen plus progestin ancillary study of the WHI reported an increased risk of developing probable dementia in postmenopausal women 65 years of age or older during 4 years of treatment with daily CE (0.625 mg) combined with MPA (2.5 mg), relative to placebo. It is unknown whether this finding applies to younger postmenopausal women.
The WHI estrogen plus progestin substudy also demonstrated an increased risk of invasive breast cancer. In the absence of comparable data, these risks should be assumed to be similar for other doses of CE and MPA, and other combinations and dosage forms of estrogens and progestins.
Progestins with estrogens should be prescribed at the lowest effective doses and for the shortest duration consistent with treatment goals and risks for the individual woman.