norethindrone acetate ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | PK/Tox | Related Drugs | BioActivity |

Stem definitionDrug idCAS RN
1963 51-98-9

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • aygestin
  • norlutate
  • norethindrone acetate
  • 19-Norethisterone acetate
  • norethisterone acetate
Acetate ester of norethindrone that is used as a long-term contraceptive (CONTRACEPTIVE AGENTS).
  • Molecular weight: 340.46
  • Formula: C22H28O3
  • CLOGP: 3.93
  • LIPINSKI: 0
  • HAC: 3
  • HDO: 0
  • TPSA: 43.37
  • ALOGS: -4.80
  • ROTB: 2

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

None

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 2 Benet LZ, Broccatelli F, Oprea TI
S (Water solubility) 0.01 mg/mL Benet LZ, Broccatelli F, Oprea TI
EoM (Fraction excreted unchanged in urine) 0 % Benet LZ, Broccatelli F, Oprea TI
MRTD (Maximum Recommended Therapeutic Daily Dose) 0.63 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD

Predicted pharmacokinetic/toxicological properties (PK-AZ):

PropertyDescriptionValueUnitConfidenceSimilarity
kinase-safety-class ACVR2B,AXL,BRAF,BTK,CAMK2D,CDK5,CDK9,EIF2AK3,ERBB2,GRK2,ITK,MAPK10,MAPK7,MAPKAPK2,NTRK2,PDK1,PDK2,PDK4,PRKDC,TEK 20
kinase-selectivity-class EIF2AK3,GRK2,MAP2K6 3
pfas-class PFAS structural alert (1 = True, 0 = False) 0

Approvals:

DateAgencyCompanyOrphan
April 30, 1973 FDA WARNER CHILCOTT LLC

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Hepatic adenoma 214.83 15.97 37 8446 402 90619562
Vaginal haemorrhage 197.93 15.97 83 8400 31188 90588776
Heavy menstrual bleeding 148.59 15.97 60 8423 20470 90599494
Endometriosis 138.20 15.97 42 8441 6206 90613758
Pelvic pain 108.08 15.97 44 8439 15313 90604651
Hot flush 102.98 15.97 66 8417 59422 90560542
Prostatic disorder 75.08 15.97 11 8472 36 90619928
Intermenstrual bleeding 63.43 15.97 26 8457 9197 90610767
Aplastic anaemia 60.52 15.97 28 8455 13241 90606723
Borderline serous tumour of ovary 53.09 15.97 7 8476 7 90619957
Metaplasia 48.66 15.97 11 8472 510 90619454
Purpura 45.90 15.97 24 8459 14754 90605210
Haemorrhage 44.86 15.97 43 8440 69326 90550638
Mood swings 40.90 15.97 25 8458 20677 90599287
Menstruation irregular 39.87 15.97 18 8465 8042 90611922
Dysmenorrhoea 38.48 15.97 15 8468 4657 90615307
Adnexal torsion 37.79 15.97 9 8474 525 90619439
Ovarian cyst 37.02 15.97 22 8461 17296 90602668
Abdominal pain 32.67 15.97 96 8387 395625 90224339
Nasal mucosal discolouration 29.68 15.97 5 8478 47 90619917
Rash maculo-papular 25.75 15.97 25 8458 40908 90579056
Menstrual disorder 25.05 15.97 12 8471 6126 90613838
Pulmonary embolism 24.58 15.97 44 8439 130776 90489188
Dermatitis atopic 24.20 15.97 19 8464 23453 90596511
Arthropathy 24.03 15.97 3 8480 366239 90253725
Rash erythematous 23.95 15.97 30 8453 65074 90554890
Migraine 23.76 15.97 54 8429 190338 90429626
Acne 22.97 15.97 20 8463 28487 90591477
Abnormal uterine bleeding 22.18 15.97 8 8475 2004 90617960
Transfusion 22.13 15.97 16 8467 17472 90602492
Surgery 22.05 15.97 24 8459 44863 90575101
Product administration interrupted 21.94 15.97 14 8469 12478 90607486
Abnormal withdrawal bleeding 21.72 15.97 4 8479 65 90619899
Post viral fatigue syndrome 21.60 15.97 5 8478 258 90619706
Uterine leiomyoma 21.15 15.97 13 8470 10851 90609113
Hepatic rupture 20.84 15.97 4 8479 82 90619882
Superior sagittal sinus thrombosis 20.33 15.97 6 8477 800 90619164
Haemoglobin decreased 20.28 15.97 46 8437 161910 90458054
Uterine spasm 20.11 15.97 6 8477 831 90619133
Contraindicated product administered 20.10 15.97 3 8480 320136 90299828
Uterine pain 19.74 15.97 5 8478 377 90619587
Abdominal distension 19.69 15.97 40 8443 130561 90489403
Melaena 19.57 15.97 20 8463 34777 90585187
Blood iron decreased 19.52 15.97 15 8468 17944 90602020
Coronary artery dissection 19.34 15.97 6 8477 948 90619016
Irritability 19.16 15.97 20 8463 35642 90584322
Peliosis hepatis 19.07 15.97 4 8479 130 90619834
Menopausal symptoms 18.88 15.97 8 8475 3070 90616894
Depression 18.49 15.97 66 8417 300535 90319429
Pregnancy on oral contraceptive 18.42 15.97 6 8477 1109 90618855
Haemorrhagic tumour necrosis 18.24 15.97 3 8480 24 90619940
Intracranial pressure increased 18.17 15.97 10 8473 6801 90613163
Mood altered 17.94 15.97 14 8469 17130 90602834
Exposure to allergen 17.93 15.97 5 8478 545 90619419
Tympanic membrane perforation 17.31 15.97 7 8476 2390 90617574
Crying 16.76 15.97 16 8467 25629 90594335
Treatment failure 16.64 15.97 4 8479 303924 90316040

FDA Adverse Event Reporting System (Male)

None

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Hepatic adenoma 231.09 18.03 37 6236 430 110582596
Vaginal haemorrhage 200.64 18.03 69 6204 25005 110558021
Metaplasia 132.43 18.03 24 6249 603 110582423
Heavy menstrual bleeding 119.17 18.03 42 6231 16323 110566703
Endometriosis 95.49 18.03 26 6247 4308 110578718
Prostatic disorder 94.14 18.03 23 6250 2486 110580540
Pelvic pain 72.54 18.03 29 6244 15913 110567113
Hot flush 63.38 18.03 42 6231 65994 110517032
Borderline serous tumour of ovary 55.66 18.03 7 6266 9 110583017
Intermenstrual bleeding 55.10 18.03 19 6254 6915 110576111
Aplastic anaemia 54.75 18.03 27 6246 24281 110558745
Adnexal torsion 44.10 18.03 9 6264 427 110582599
Purpura 43.07 18.03 23 6250 24365 110558661
Ovarian cyst 35.98 18.03 17 6256 13913 110569113
Menstruation irregular 35.15 18.03 13 6260 5784 110577242
Dysmenorrhoea 33.04 18.03 11 6262 3599 110579427
Haemorrhage 30.80 18.03 34 6239 106658 110476368
Mood swings 30.70 18.03 18 6255 22794 110560232
Borderline ovarian tumour 30.63 18.03 5 6268 66 110582960
Nasal mucosal discolouration 29.97 18.03 5 6268 76 110582950
Haemorrhagic tumour necrosis 25.26 18.03 4 6269 43 110582983
Rash erythematous 25.22 18.03 27 6246 81805 110501221
Uterine leiomyoma 24.80 18.03 11 6262 7789 110575237
Abnormal withdrawal bleeding 24.56 18.03 4 6269 52 110582974
Transfusion 23.94 18.03 16 6257 25456 110557570
Post viral fatigue syndrome 23.67 18.03 5 6268 281 110582745
Blood iron decreased 22.85 18.03 14 6259 19200 110563826
Genital haemorrhage 22.33 18.03 10 6263 7242 110575784
Migraine 22.19 18.03 37 6236 171615 110411411
Abdominal pain 21.57 18.03 71 6202 512918 110070108
Superior sagittal sinus thrombosis 21.18 18.03 6 6267 1147 110581879
Hepatic rupture 20.60 18.03 4 6269 147 110582879
Death 20.59 18.03 7 6266 698862 109884164
Rash maculo-papular 20.29 18.03 23 6250 74199 110508827
Exposure to allergen 20.28 18.03 5 6268 560 110582466
Throat tightness 20.01 18.03 16 6257 33473 110549553
Acne 20.00 18.03 16 6257 33504 110549522
Abnormal uterine bleeding 19.84 18.03 6 6267 1441 110581585
Peliosis hepatis 19.53 18.03 4 6269 193 110582833
Off label use 19.33 18.03 148 6125 1500037 109082989
Dermatitis atopic 19.22 18.03 14 6259 25527 110557499
Haemoglobin decreased 19.10 18.03 43 6230 248684 110334342

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
FDA CS M0447349 Progesterone Congeners
FDA Chemical/Ingredient N0000011301 Progesterone Congeners
MeSH PA D000080066 Contraceptive Agents, Hormonal
MeSH PA D003271 Contraceptive Agents, Female
MeSH PA D012102 Reproductive Control Agents
MeSH PA D003278 Contraceptives, Oral, Hormonal
MeSH PA D003280 Contraceptives, Oral, Synthetic
FDA EPC N0000175602 Progestin
CHEBI has role CHEBI:35480 analgesic
CHEBI has role CHEBI:35610 antineoplastic agent
CHEBI has role CHEBI:49326 synthetic oral contraceptive
CHEBI has role CHEBI:59826 progestin

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Contraception indication 13197004
Dysfunctional uterine bleeding indication 19155002
Secondary physiologic amenorrhea indication 86030004
Acne vulgaris indication 88616000
Uterine fibroids indication 95315005 DOID:13223
Endometriosis indication 129103003
Amenorrhea off-label use 14302001 DOID:13938
Female hypogonadism syndrome off-label use 16041008
Polycystic ovaries off-label use 69878008
Dysmenorrhea off-label use 266599000
Abnormal uterine bleeding unrelated to menstrual cycle off-label use 312984006
Menorrhagia off-label use 386692008
Heart valve disorder contraindication 368009 DOID:4079
Hypercholesterolemia contraindication 13644009
Myocardial infarction contraindication 22298006 DOID:5844
Depressive disorder contraindication 35489007
Migraine contraindication 37796009 DOID:6364
Hypertensive disorder contraindication 38341003 DOID:10763
Disorder of gallbladder contraindication 39621005 DOID:0060262
Body fluid retention contraindication 43498006
Thrombosis of retinal vein contraindication 46085004
Chronic heart failure contraindication 48447003
Systemic lupus erythematosus contraindication 55464009 DOID:9074
Hyperlipidemia contraindication 55822004 DOID:1168
Benign mammary dysplasia contraindication 57993004
Obstructive hyperbilirubinemia contraindication 59848001
Thrombophlebitis contraindication 64156001 DOID:3875
Intermenstrual bleeding - irregular contraindication 64996003
Diabetes mellitus contraindication 73211009 DOID:9351
Hyperglycemia contraindication 80394007 DOID:4195
Epilepsy contraindication 84757009 DOID:1826
Kidney disease contraindication 90708001 DOID:557
Malignant neoplasm of liver contraindication 93870000 DOID:3571
Deep venous thrombosis contraindication 128053003
Liver function tests abnormal contraindication 166603001
Angina pectoris contraindication 194828000
Asthma contraindication 195967001 DOID:2841
Cerebrovascular accident contraindication 230690007
Pulmonary thromboembolism contraindication 233935004
Disease of liver contraindication 235856003 DOID:409
Cholestasis of pregnancy contraindication 235888006
Endometrial carcinoma contraindication 254878006 DOID:2871
Pregnancy, function contraindication 289908002
Hypertriglyceridemia contraindication 302870006
Functional visual loss contraindication 313165001
Malignant tumor of cervix contraindication 363354003 DOID:4362
Thromboembolic disorder contraindication 371039008
Cardiovascular event risk contraindication 395112001
Disorder of coronary artery contraindication 414024009
Obesity contraindication 414916001 DOID:9970
Estrogen receptor positive tumor contraindication 416053008
Porphyria contraindication 418470004
Optic disc edema contraindication 423341008 DOID:146
Hypertensive urgency contraindication 443482000
Carcinoma of female breast contraindication 447782002
Smokes tobacco daily contraindication 449868002
Major Surgery with Prolonged Post-Operative Immobilization contraindication
Nonspecific Abnormal Papanicolaou Smear of Cervix contraindication




๐Ÿถ Veterinary Drug Use

None

๐Ÿถ Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

None

Orange Book patent data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRoutePatent numberPatent expiration datePatent use
0.01MG,0.01MG;1MG,N/A LO LOESTRIN FE APIL N022501 Oct. 21, 2010 RX TABLET ORAL 7704984 Feb. 2, 2029 LO LOESTRIN FE IS INDICATED FOR THE PREVENTION OF PREGNANCY IN WOMEN WHO ELECT TO USE ORAL CONTRACEPTIVES AS A METHOD OF CONTRACEPTION
0.01MG,0.01MG,N/A;1MG,N/A,N/A LO MINASTRIN FE APIL N204654 July 24, 2013 DISCN TABLET, CHEWABLE, TABLET ORAL 7704984 Feb. 2, 2029 PREVENTION OF PREGNANCY
1MG;0.5MG;40MG MYFEMBREE SUMITOMO PHARMA AM N214846 May 26, 2021 RX TABLET ORAL 11033551 Sept. 29, 2037 MANAGEMENT OF HEAVY MENSTRUAL BLEEDING ASSOCIATED WITH UTERINE LEIOMYOMAS (FIBROIDS) IN PREMENOPAUSAL WOMEN
1MG;0.5MG;40MG MYFEMBREE SUMITOMO PHARMA AM N214846 May 26, 2021 RX TABLET ORAL 11957684 Sept. 29, 2037 MANAGEMENT OF HEAVY MENSTRUAL BLEEDING ASSOCIATED WITH UTERINE LEIOMYOMAS (FIBROIDS) IN PREMENOPAUSAL WOMEN
1MG;0.5MG;40MG MYFEMBREE SUMITOMO PHARMA AM N214846 May 26, 2021 RX TABLET ORAL 11793812 May 3, 2038 MANAGEMENT OF MODERATE TO SEVERE PAIN ASSOCIATED WITH ENDOMETRIOSIS

Orange Book exclusivity data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRouteExclusivity dateDescription
1MG;0.5MG;40MG MYFEMBREE SUMITOMO PHARMA AM N214846 May 26, 2021 RX TABLET ORAL Jan. 27, 2026 INFORMATION ADDED TO THE LABELING TO DESCRIBE THE RESULTS OF MVT-601-035
0.02MG;1MG FEMLYV MILLICENT MFG PR N218718 July 22, 2024 RX TABLET, ORALLY DISINTEGRATING ORAL July 22, 2027 NEW PRODUCT

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Progesterone receptor Nuclear hormone receptor AGONIST ED50 11.26 WOMBAT-PK CHEMBL
Glucocorticoid receptor Nuclear hormone receptor Ki 6.53 DRUG MATRIX
Estrogen receptor Nuclear hormone receptor Ki 6.64 CHEMBL
Androgen receptor Nuclear hormone receptor IC50 7.12 WOMBAT-PK
Cytochrome P450 2C19 Enzyme IC50 6.10 DRUG MATRIX
Sex hormone-binding globulin Secreted Kd 7.97 CHEMBL
Sodium-dependent serotonin transporter Transporter Ki 5.62 CHEMBL
Androgen receptor Transcription factor Ki 7.15 DRUG MATRIX
Progesterone receptor Transcription factor Ki 8.44 DRUG MATRIX

External reference:

IDSource
D00953 KEGG_DRUG
4018495 VANDF
4018496 VANDF
C0068980 UMLSCUI
CHEBI:7628 CHEBI
CHEMBL1201146 ChEMBL_ID
D000077563 MESH_DESCRIPTOR_UI
5832 PUBCHEM_CID
9S44LIC7OJ UNII
215496 RXNORM
182290 MMSL
2712 MMSL
41718 MMSL
5187 MMSL
5188 MMSL
d00555 MMSL
001298 NDDF
001299 NDDF
001326 NDDF
005925 NDDF
126102009 SNOMEDCT_US
126104005 SNOMEDCT_US
63758001 SNOMEDCT_US
C0028356 UMLSCUI
DB00717 DRUGBANK_ID
6230 PUBCHEM_CID
687 INN_ID
D009640 MESH_DESCRIPTOR_UI
CHEBI:7627 CHEBI
9S44LIC7OJ INXIGHT DRUGS

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Jinteli HUMAN PRESCRIPTION DRUG LABEL 2 0093-3122 TABLET 1 mg ORAL ANDA 29 sections
Mimvey HUMAN PRESCRIPTION DRUG LABEL 2 0093-5455 TABLET, FILM COATED 0.50 mg ORAL ANDA 30 sections
NORETHINDRONE ACETATE AND ETHINYL ESTRADIOL HUMAN PRESCRIPTION DRUG LABEL 2 0378-7274 TABLET 1.50 mg ORAL ANDA 21 sections
NORETHINDRONE ACETATE AND ETHINYL ESTRADIOL HUMAN PRESCRIPTION DRUG LABEL 2 0378-7280 TABLET 1 mg ORAL ANDA 22 sections
Norethindrone Acetate HUMAN PRESCRIPTION DRUG LABEL 1 0555-0211 TABLET 5 mg ORAL ANDA 20 sections
Junel21 Day HUMAN PRESCRIPTION DRUG LABEL 2 0555-9025 TABLET 1 mg ORAL ANDA 15 sections
Junel21 Day HUMAN PRESCRIPTION DRUG LABEL 2 0555-9027 TABLET 1.50 mg ORAL ANDA 15 sections
Norethindrone Acetate HUMAN PRESCRIPTION DRUG LABEL 1 42291-650 TABLET 5 mg ORAL ANDA 12 sections
Norethindrone Acetate and Ethinyl Estradiol HUMAN PRESCRIPTION DRUG LABEL 2 50090-6782 TABLET 1 mg ORAL ANDA 16 sections
Estradiol / Norethindrone Acetate HUMAN PRESCRIPTION DRUG LABEL 2 50090-8003 TABLET, FILM COATED 0.50 mg ORAL ANDA 32 sections
Estradiol and Norethindrone Acetate HUMAN PRESCRIPTION DRUG LABEL 2 50090-8004 TABLET 0.10 mg ORAL ANDA 27 sections
Norethindrone acetate Human Prescription Drug Label 1 50742-267 TABLET 5 mg ORAL ANDA 20 sections
Estradiol and Norethindrone Acetate HUMAN PRESCRIPTION DRUG LABEL 2 50742-657 TABLET 0.50 mg ORAL ANDA 27 sections
Estradiol and Norethindrone Acetate HUMAN PRESCRIPTION DRUG LABEL 2 50742-658 TABLET 0.10 mg ORAL ANDA 27 sections
Loestrin21 Day HUMAN PRESCRIPTION DRUG LABEL 2 51285-127 TABLET 1.50 mg ORAL ANDA 15 sections
Loestrin21 Day HUMAN PRESCRIPTION DRUG LABEL 2 51285-131 TABLET 1 mg ORAL ANDA 15 sections
Norethindrone Acetate HUMAN PRESCRIPTION DRUG LABEL 1 51407-599 TABLET 5 mg ORAL ANDA 20 sections
Estradiol / Norethindrone Acetate HUMAN PRESCRIPTION DRUG LABEL 2 51991-474 TABLET, FILM COATED 0.50 mg ORAL ANDA 33 sections
Estradiol / Norethindrone Acetate HUMAN PRESCRIPTION DRUG LABEL 2 51991-623 TABLET, FILM COATED 0.10 mg ORAL ANDA 33 sections
MICROGESTIN 1/20 HUMAN PRESCRIPTION DRUG LABEL 2 53002-1549 TABLET 1 mg ORAL NDA AUTHORIZED GENERIC 21 sections
Estradiol / Norethindrone Acetate HUMAN PRESCRIPTION DRUG LABEL 2 54868-4677 TABLET, FILM COATED 0.50 mg ORAL ANDA 25 sections
femhrt HUMAN PRESCRIPTION DRUG LABEL 2 54868-4679 TABLET 1 mg ORAL NDA 20 sections
Microgestin HUMAN PRESCRIPTION DRUG LABEL 2 54868-6213 TABLET 1 mg ORAL ANDA 24 sections
JINTELI HUMAN PRESCRIPTION DRUG LABEL 2 54868-6251 TABLET 1 mg ORAL ANDA 25 sections
Junel 1.5/30 HUMAN PRESCRIPTION DRUG LABEL 2 54868-6272 TABLET 1.50 mg ORAL ANDA 23 sections
Etyqa Human Prescription Drug Label 2 59651-424 TABLET, FILM COATED 0.50 mg ORAL ANDA 29 sections
Etyqa Human Prescription Drug Label 2 59651-425 TABLET, FILM COATED 0.10 mg ORAL ANDA 29 sections
Norethindrone Acetate HUMAN PRESCRIPTION DRUG LABEL 1 60687-921 TABLET 5 mg ORAL ANDA 21 sections
Activella HUMAN PRESCRIPTION DRUG LABEL 2 60846-231 TABLET, FILM COATED 0.10 mg ORAL NDA 28 sections
Activella HUMAN PRESCRIPTION DRUG LABEL 2 60846-232 TABLET, FILM COATED 0.50 mg ORAL NDA 28 sections