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Cenestin
Clinical Pharmacology
Cenestin
Non-fatal MI
1.32 (1.02-1.72)
23
30
CHD death
1.18 (0.70-1.97)
6
7
Invasive breast cancerb
1.26 (1.00-1.59)
30
38
Stroke
1.41 (1.07-1.85)
21
29
2.13 (1.39-3.25)
8
16
Colorectal cancer
0.63 (0.43-0.92)
16
10
Endometrial cancer
0.83 (0.47-1.47)
6
5
Hip fracture
0.66 (0.45-0.98)
15
10
Death due to causes other than the events above
0.92 (0.74-1.14)
40
37
Global indexc
1.15 (1.03-1.28)
151
170
2.07 (1.49-2.87)
13
26
Vertebral fracturesd
0.66 (0.44-0.98)
15
9
Other osteoporotic fracturesd
0.77 (0.69-0.86)
170
131
aadapted from JAMA, 2002; 288:321-333.
bincludes metastatic and non-metastatic breast cancer with the exception of in situ breast cancer.
ca subset of the events was combined in a "global index", defined as the earliest occurrence of CHD events, invasive breast cancer, stroke, pulmonary embolism, endometrial cancer, colorectal cancer, hip fracture, or death due to other causes.
dnot included in Global Index.
*nominal confidence intervals unadjusted for multiple looks and multiple comparisons.
For those outcomes included in the "global index," absolute excess risks per 10,000 women-years in the group treated with CE/MPA were 7 more CHD events, 8 more strokes, 8 more PEs, and 8 more invasive breast cancers, while absolute risk reductions per 10,000 women-years were 6 fewer colorectal cancers and 5 fewer hip fractures. The absolute excess risk of events included in the "global index" was 19 per 10,000 women-years. There was no difference between the groups in terms of all-cause mortality. (See BOXED WARNINGS, WARNINGS, and PRECAUTIONS.)
Generic Name: Synthetic conjugated estrogens
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