Dysfunctional Uterine Bleeding

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There was an order for Ortho Cyclen dosed as followed: one tab TID x 1 day, one tab BID x 1 day, then one tab QD. When I called for clarification, the nurse said it was dosed for uterine bleeding. OC's can be used for dysfunctional uterine bleeding, but I failed to find a reference for the encountered dosing regimen. Has anyone see such a regimen for DUB?

 

[Nkemjika]

There was an order for Ortho Cyclen dosed as followed: one tab TID x 1 day, one tab BID x 1 day, then one tab QD. When I called for clarification, the nurse said it was dosed for uterine bleeding. OC's can be used for dysfunctional uterine bleeding, but I failed to find a reference for the encountered dosing regimen. Has anyone see such a regimen for DUB?

Yes, I have seen several variations of the regimen. I have listed the links to some references below.Not sure if you can get access to these articles. If you can't let me know and PM me your email address and i can send you the article and the uptodate summary/reference as well.

Rimsza ME. Dysfunctional uterine bleeding. Pediatr Rev 2002; 23:227.

De Silva NK,Zurawin RK. Management of abnormal uterine bleeding in adolescents. In: UpToDate, Middleman AB, Kirkland JL (Ed), UpToDate, Waltham, MA, 2013.
http://www.uptodate.com/contents/ma...leeding+in+adolescentsate&selectedTitle=3~150

 

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I love UpToDate. Too bad it is not more widely accessible. Anyway, thanks for your help!