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Oriahnn is an FDA-approved oral fixed-dose combination prescription drug developed by AbbVie in collaboration with Neurocrine Biosciences. It is indicated for the management of heavy menstrual bleeding associated with uterine leiomyomas (fibroids) in premenopausal women. The combination consists of elagolix (a small-molecule gonadotropin-releasing hormone [GnRH] receptor antagonist), estradiol (an estrogen), and norethindrone acetate (a progestin). Elagolix suppresses ovarian hormone production by antagonizing the GnRH receptor, while the estradiol and norethindrone acetate components serve as 'add-back' therapy to mitigate hypoestrogenic side effects, such as bone mineral density loss and vasomotor symptoms. Due to the risk of irreversible bone loss, treatment with Oriahnn is limited to a maximum duration of 24 months.
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