Objectives: To study the effect of risk minimization measures taken in 2013 for cyproterone acetate/ethinylestradiol (CPA/EE) on initiation, concomitant use of other hormonal contraceptives (HC) and potential indications.
Study design: This retrospective study included data on CPA/EE use in 2011-2017 from the Netherlands, UK, and Italy.
Results: The initiation rate of CPA/EE decreased by 44%-91% between 2011 and 2017. Proportions with concomitant use of other HC (<3%) and approved indications did not change over time.
Conclusion: Apart from a strong reduction in CPA/EE use following risk minimization measures, no major changes were observed regarding concomitant use of other HC or potential reasons for use.
Keywords: Acne; Cyproterone acetate/ethinylestradiol; Diane-35; Prescribing; Real world data; Risk minimization.
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