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Indications

REMS


Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: DEEP VEIN THROMBOSIS, MI

Derm: hot flush

EENT: retinal vein thrombosis

MS: leg cramps

Neuro: STROKE

Resp: PULMONARY EMBOLISM

Interactions

Drug-drug:

Availability

(Generic available)

Route/Dosage

US Brand Names

Evista

Action

  • Binds to estrogen receptors, producing estrogen-like effects on bone, resulting in reduced resorption of bone and decreased bone turnover.
Therapeutic effects:
  • Prevention of osteoporosis in patients at risk.
  • Decreased risk of breast cancer.

Classifications

Therapeutic Classification: bone resorption inhibitors

Pharmacologic Classification: selective estrogen receptor modulators

Pharmacokinetics

Absorption: Although well absorbed (>60%), after oral administration, extensive first-pass metabolism results in 2% bioavailability.

Distribution: Extensively distributed to tissues.

Protein Binding: 95%.

Metabolism/Excretion: Extensively metabolized by the liver; undergoes enterohepatic cycling; excreted primarily in feces.

Half-Life: 27.7 hr.

Time/Action Profile

(effects on bone turnover)

ROUTEONSETPEAKDURATION
POunknown3 mounknown

Patient/Family Teaching

Pronunciation

ra-LOX-i-feen

Code

NDC Code