#2 Female Contraception Flashcards by Heidi Anderson

Ortho-Cept/Apri dosage

1 active tablet daily for 21 days

1 inactive tablet daily for 7 days

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Ortho-Cept other name

Apri

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Ortho-Cept/Apri indications

Oral contraception

Monophasics have fewer side effects from hormone fluctuations

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Mircetta other name

Kariva

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Mircette/Kariva dosage

1 active tablet daily for 21 days
1 inactive tablet daily for 2 days
1 active tablet for 5 days

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Mircette/Kariva indications

Oral contraception

Biphasics lessen headaches caused by drop in estrogen

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Ortho Tri-Cyclen other name

Tri-Sprintec

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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

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Ortho Tri-Cyclen/Tri-Sprintec indications

Oral contraception
Acne

Triphasics mimic natural menstrual cycle

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Loestrin Fe 1/20 other name

Junel Fe

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Loestrin Fe 1/20 / Junel Fe dosage

1 active tablet daily for 21 days

1 iron tablet daily for 7 days

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Loestrin Fe 1/20 / Junel Fe indications

Oral contraception

Replaces iron lost during menses

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Seasonale other name

Quasense

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Seasonale/Quasense dosage

1 active tablet daily for 84 days

1 inactive tablet daily for 7 days

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Seasonale/Quasense indications

Oral contraception

Reduces number of periods

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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