Role of Mirena in HRT - Nick Panay

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Routes of AdministrationAdvantagesVaginal Creams and Tablets• Greater effect if vaginalproblems are the onlysymptoms• Easily reversibleDisadvantages• Some is absorbed intothe bloodstream• Long-term use needs to considerprogestogen treatment• Messy (tablets less so)Subcutaneous (Implants)• 100% compliance• More natural deliveryof hormones• Prolonged effect(4-6 months)• Affordable• Needs a small surgical procedure• Can cause unnaturally high levels ofhormones• Not easily reversible• Progestogens need to be continued forseveral months after implantJones H. A Change for the Better. How to survive -- and thrive -- during the menopause.
HRTVaginal PreparationsP• Products that deliver only local estrogen– Creams– Pessaries– Tablets– Oestrogen ring Estring ®• Products that deliver local andsystemic estrogen– Oestrogen ring Menoring ®Monthly Index of Medical Specialties. September 2001.
Page 1 and 2: HRTNew delivery systemsImperial Col
Page 3 and 4: New delivery systems for HRT• Pha
Page 5 and 6: New delivery systems for HRT• Des
Page 7: Routes of AdministrationAdvantagesO
Page 11 and 12: HRT Delivery SystemsIntranasal
Page 13 and 14: Aerodiol - intranasal HRT• 17 Bet
Page 15 and 16: Aerodiol: “pulsed” pharmacokine
Page 17 and 18: Tissue response to pulsed oestrogen
Page 20 and 21: Schematic representations of kineti
Page 22 and 23: ANGELIQ ®Comparison of Drospirenon
Page 24 and 25: Red Clover
Page 26 and 27: HRT: Maximising EfficacyMinimising
Page 28 and 29: Selectiveelective oEstrogenReceptor
Page 30 and 31: Role of ERα and ERβ in Body Organ
Page 32: HRT: Maximising EfficacyMinimising
Page 35 and 36: Specific binding affinities:nuclear
Page 37 and 38: HRT Delivery SystemsSkin - patches
Page 39: HRT delivery systems - skinTransder
Page 42 and 43: HRT delivery systems - skin• Matr
Page 44: HRT Delivery SystemsSkin - creams/g
Page 48 and 49: HRT Delivery SystemsSubcutaneous im
Page 50 and 51: HRT Delivery SystemsUterine systems
Page 52 and 53: Mirena - mechanism of action
Page 54 and 55: Mirena - endometrial effect
Page 56 and 57: Women on 17β oestradiol implants,
Page 58 and 59:
A Novel ERTMenoring ®• Intravagi
Page 60 and 61:
Menoring ® Pharmacokinetics• Est
Page 62 and 63:
HRT Delivery SystemsVaginal - rings
Page 64:
HRT Delivery SystemsVaginal - gels
Page 67 and 68:
New delivery vehicles for progestog
Page 69 and 70:
HRT delivery systemsConclusions•
Page 71:
Thank you for your attention!
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Role of Mirena in HRT - Nick Panay

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