#2 Female Contraception Flashcards
Ortho-Cept/Apri dosage
1 active tablet daily for 21 days
1 inactive tablet daily for 7 days
Ortho-Cept other name
Apri
Ortho-Cept/Apri indications
Oral contraception
Monophasics have fewer side effects from hormone fluctuations
Mircetta other name
Kariva
Mircette/Kariva dosage
1 active tablet daily for 21 days
1 inactive tablet daily for 2 days
1 active tablet for 5 days
Mircette/Kariva indications
Oral contraception
Biphasics lessen headaches caused by drop in estrogen
Ortho Tri-Cyclen other name
Tri-Sprintec
Ortho Tri-Cyclen/Tri-Sprintec dosage
1 active tablet daily for 7 days
1 active tablet daily for 7 days
1 active tablet daily for 7 days
1 inactive tablet daily for 7 days
Ortho Tri-Cyclen/Tri-Sprintec indications
Oral contraception
Acne
Triphasics mimic natural menstrual cycle
Loestrin Fe 1/20 other name
Junel Fe
Loestrin Fe 1/20 / Junel Fe dosage
1 active tablet daily for 21 days
1 iron tablet daily for 7 days
Loestrin Fe 1/20 / Junel Fe indications
Oral contraception
Replaces iron lost during menses
Seasonale other name
Quasense
Seasonale/Quasense dosage
1 active tablet daily for 84 days
1 inactive tablet daily for 7 days
Seasonale/Quasense indications
Oral contraception
Reduces number of periods
Yaz other name
Gianvi
Yaz/Gianvi dosage
1 active tablet daily for 24 days
1 inactive tablet daily for 4 days
Yaz/Gianvi indications
Oral contraception
Acne
Premenstrual dysphoric disorder (PMDD)
Shorter menstrual periods
Ortho Evra dosage
Apply one new patch each week for 3 weeks then week 4 is patch-free
Yaz/Gianvi counseling tips
Drospirenone lessens the water retention/weight gain side effects of estrogen
Ortho Evra indications
Contraception
Ortho Evra counseling tips
Same side effects as OC’s but more common
Skin rash/rotate sites
Don’t cut patch
Apply to butt, upper torso, stomach, upper arm
NuvaRing dosage
Insert one ring into vagina on or before day 5 of cycle and leave in for 3 weeks then remove for week 4 and discard
NuvaRing indications
Contraception
NuvaRing counseling tips
If it falls out, rinse with cool water and re-insert within 3 hrs
Don’t remove for intercourse
Medication is only effective for 3 weeks
Depo-Provera generic
medroxyprogesterone acetate
Depo-Provera dosage
150mg/ml deep intramuscular injection in gluteal or deltoid muscle every 3 months
Depo-Provera indications
Contraception
No pills to remember and no estrogen component
Depo-Provera counseling tips
Nervousness
Administer in physicians office
Don’t use >2 years due to bone loss
May have absent menses or spotting
Plan B/Plan B One-Step generic
levonorgestrel (OTC)
Plan B/Plan B One-Step dosage
Plan B
1 0.75mg tablet ASAP within 72 hrs of unprotected sex, take 2nd tablet 12 hrs after first dose
Plan B One-Step
1 1.5mg tablet ASAP within 72 hrs of unprotected sex
Plan B/Plan B One-Step indications
Emergency post-coital contraception
Plan B/Plan B One-Step counseling tips
Same side effects as OC’s but more common
Fatigue
No evidence of interaction with antibiotics
Will not terminate existing pregnancy
Common side effects
Water retention
Upset stomach/nausea
Headache
Other non-FDA uses
Regulate menstrual cycle
Lessen menstrual flow
Reduce painful menses
Acne
Missed dose?
Take ASAP or with next days dose, if you miss 2 or more days, refer to package directions
Products containing estrogen
Increase cardiovascular risk and therefore are not recommended for the following patients: 35 years old, smokers, or who have a history or stroke/blood clots
General counseling tips
If OC started on 1st day of menses, use an additional non-drug form of contraception for the first week of therapy
Take pills at the same time each day for max effectiveness
Amoxicillin and doxycycline may decrease effectiveness of OC’s
None of these meds protect against HIV, AIDS, STDs
