
FSRH CEU Statement: New manufacturer/MHRA advice regarding nomegestrol acetate – how does this affect prescribing of Zoely®? (April 2023)
File size 497KB | Date: 13 April 2023
Date: 13 Apr 2023
Type: FSRH Clinical Guidance and Clinical Statements
Theramex, in agreement with the MHRA, has issued guidance relating to prescribing of Zoely®, a combined oral contraceptive containing estradiol in combination with 2.5mg of the progestogen nomegestrol acetate (NOMAC).
The guidance is a response to evidence indicating an association between use of preparations containing nomegestrol acetate at higher doses than in Zoely (3.75mg-5mg) and increased risk of intracranial meningioma. There is not evidence relating directly to use of Zoely itself. The Theramex guidance is available here.
In line with MHRA/EMA guidance, FSRH CEU advises that Zoely should not be used by individuals who have or have had meningioma.
Additionally, although this evidence does not relate directly to Zoely, but to preparations containing higher doses of NOMAC, FSRH CEU suggests that:-
Suspected adverse drug reactions should be reported to the MHRA through the Yellow Card Scheme.