Re: OB: progesterone "X"
From: Garry E. Siegel (garrys@mindspring.com)
Fri Jun 26 22:04:57 1998
No, thanks.
I'll use the compounded micronized progesterone from the drug store
upstairs that isn't in the PDR, and thus isn't category X.
Don't tell Bob Woolley :)
Garry
At 10:05 PM 6/25/98 -0500, you wrote:
> 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.
>>>
>>
>
