COCP Flashcards
What are the 3 forms of COCP
Monophasic -> 21 days 7 days off
Phasic -> 21days 7 days off but requires specific order
Everyday pill -> 28 days (7day placebos)
What are 3 benefits of taking COCP?
Improves acne
PMS symptoms improved
Non invasive w/99% effectivness
What are 3 side effects from COCP?
headache
Nausea
Breast tenderness
What are the 3 risk of COCP?
VTE risk
Breast Ca
Cervical Ca risk
Who cannot take COCP? (5)
BMI >35
active breastfeeding (so just given birth cant start immediatly)
Migraine w/aura
VTE past
Smoker + >35year old
How to start taking COCP?
What is required?
Start anytime
Need condom for 7 days
What is needed before taking COCP (Tests) (3)
BP
BMI
Pregnancy test
When is the follow up appointment done for COCP?
3 months time
=> BP
=>BMI
=> checking if migraines /aura present
What drug contraindications should a COCP be aware of? (2)
Anti-epileptic drugs (Lamotrigine)
Some Antibiotics (Rifampicin)
What OTC should a COCP be aware of?
St John Wort
When can a woman on COCP want to become pregnant
Try pregnancy 1 month after normal bleed after stopping COCP
When can a COCP pt stop taking pills
Wait until end of the pack to stop
If 2+ days are missed, what to do (COCP)?
Take the most recent day’s pill missed
Condoms 7days
