Re: OB: progesterone "X"
From: Braun, R. Daniel (rbraun@iupui.edu)
Fri Jun 26 01:23:30 1998
You probably could defend the lawsuit, but do you want to???
Dan
-----Original Message-----
>From: Garry E. Siegel
>To: Multiple recipients of list
>Sent: 6/25/98 1:45 PM
>Subject: RE: OB: progesterone
Category X; Prometrium 100 mg.
Garry
At 06:53 AM 6/25/98 -0500, you wrote:
> What does the insert say about use in pregnancy?
>Dan
>
>-----Original Message-----
>From: Garry E. Siegel
>To: Multiple recipients of list
>Sent: 6/24/98 8:03 PM
>Subject: RE: OB: progesterone
>
>Oral Micronised progesterone, 10 mg. BID. Available at local pharmacy
>or
>at certain pharmacies that compound it. Solvay pharmaceuticals now has
>this commercially, but I can't remember the name.
>
>Garry
>
>At 06:55 PM 6/24/98 -0500, you wrote:
>> What do people use as "Progesterone"????? Not Provera, I hope. We
used
>>to use Provera as a Pregnancy test before we had HCG. We had to stop
>>that because of supposed birth defects (VACTERL Syndrome) caused by
the
>>Provera. As a result of this, Progesterone and all progestational
>agents
>>carry a warning on the label (in the U.S.) that they are not to be
>given
>>in pregnancy.
>>Dan
>>
>>-----Original Message-----
>>From: garrys@mindspring.com
>>To: Multiple recipients of list
>>Sent: 6/23/98 7:40 PM
>>Subject: Re: OB: progesterone
>>
>>>My impression is that without a clearcut diagnosis of LPD, this is a
>>>useless therapy. Even with LPD, it's usage is of questionable value.
>>>The progesterone is drawn as a PROGNOSTIC factor and does not
indicate
>>>the need to TREAT.
>>>
>>>Am I missing something?
>>>
>>>Geffrey H Klein, MD
>>>Dept OB-GYN
>>>MacGregor Medical Association
>>>2200 Nasa Road 1 Suite 200
>>>Houston, Texas 77058
>>>(713) 741-2273 ext. 2628
>>>geffrey.klein@obgyn.net
>>
>>You are missing an opportunity to treat the patient's wishes, not a
>>condition, and to make yourself a hero when nature is the real hero.
>>Your approach is exactly as mine is, and I abhor the useage of the
>>progesterone level in early pregnancy to treat spotting. I do use it
>as
>>a prognosticator frequently.
>>
>>There is probably one patient every year or two who *insists* on
>>progesterone to prevent a miscarriage when she's spotting, or because
>>she had it in a successful pregnancy elsewhere after a miscarriage.
>>After a frank discussion, I will generally give it. I make this
>>decision with the patient, and I make it so as to not lose or alienate
>a
>>patient over an treatment that is likely harmless, and, frankly is
>>prescribed commonly by others.
>>
>>Garry
>>
>>--
>>Garry E. Siegel, M.D., FACOG
>>Private Practice
>>Roswell, Ga.
>>
>
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