Combination drug
Ethinylestradiol/cyproterone acetate (EE/CPA ), also known as co-cyprindiol and sold under the brand names Diane and Diane-35 among others, is a combination of ethinylestradiol (EE), an estrogen , and cyproterone acetate (CPA), a progestin and antiandrogen , which is used as a birth control pill to prevent pregnancy in women.[ 2] It is also used to treat androgen-dependent conditions in women such as acne , seborrhea , excessive facial/body hair growth , scalp hair loss , and high androgen levels associated with ovaries with cysts .[ 3] [ 4] [ 5] [ 6] [ 7] [ 8] The medication is taken by mouth once daily for 21 days, followed by a 7-day free interval.[ 2]
^ "List of nationally authorised medicinal products" (PDF) . European Medicines Agency.
^ a b "Diane 35 Label" (PDF) . Bayer . Archived from the original (PDF) on 2020-11-12.
^ Miller JA, Jacobs HS (May 1986). "Treatment of hirsutism and acne with cyproterone acetate". Clinics in Endocrinology and Metabolism . 15 (2): 373–389. doi :10.1016/S0300-595X(86)80031-7 . PMID 2941191 .
^ Hammerstein J (1990). "Antiandrogens: Clinical Aspects". In Orfanos CE, Happle R (eds.). Hair and Hair Diseases . Springer. pp. 827–886. doi :10.1007/978-3-642-74612-3_35 . ISBN 978-3-642-74614-7 .
^ Van der Spuy ZM, le Roux PA (2003). "Cyproterone acetate for hirsutism" . The Cochrane Database of Systematic Reviews . 2003 (4): CD001125. doi :10.1002/14651858.CD001125 . PMC 8955083 . PMID 14583927 .
^ Jing Z, Liang-Zhi X, Tai-Xiang W, Ying T, Yu-Jian J (October 2008). "The effects of Diane-35 and metformin in treatment of polycystic ovary syndrome: an updated systematic review". Gynecological Endocrinology . 24 (10): 590–600. doi :10.1080/09513590802288242 . PMID 19012104 . S2CID 38997400 .
^ Bitzer J, Römer T, Lopes da Silva Filho A (June 2017). "The use of cyproterone acetate/ethinyl estradiol in hyperandrogenic skin symptoms - a review" . The European Journal of Contraception & Reproductive Health Care . 22 (3): 172–182. doi :10.1080/13625187.2017.1317339 . PMID 28447864 .
^ Ruan X, Kubba A, Aguilar A, Mueck AO (June 2017). "Use of cyproterone acetate/ethinylestradiol in polycystic ovary syndrome: rationale and practical aspects" . The European Journal of Contraception & Reproductive Health Care . 22 (3): 183–190. doi :10.1080/13625187.2017.1317735 . PMID 28463030 .