Contraception requirements Flashcards
Sodium valproate
- Use during
- at least 3 months after
- Increased risk of neurodevelopmental disorders in children
Methotrexate
- During
- 6m after
Isotretinoin
- During
- 1 m after
Mycophenolate mofetil
WOMEN
- during
- 6 weeks after
MEN
- during
- 90 days after
Statins
- During
- 1 m after
Warfarin
- During
- Teratogenic in 1st and 3rd trimester
Topiramate
During
Carbimazole
During
- Teratogenic in 1st trimester
Propylthiouracil
During
Other drugs that need contraception during treatment
- Alprostadil
- Chemo
- Dutasteride/ finasteride
- Misoprostol
Which contraception should pts who smoke be offered?
Desogestrel
Which contraception should pt who suffers from acne and irregular menstrual cycle be offered?
Femodene ED
Which contraception should pt with weight gain and high BMI be offered?
Yasmin
ETHINYLESTRADIOL WITH DROSPIRENONE
- Drospirenone has diuretic effect which helps reduces water fluid retention in the body helping combat weight gain.
Which contraception should pt with epilepsy be offered?
Depo-provera
Ulipristal 5mg for uterine fibroids
- Serious liver injury and liver failure
- Monitor before during and after each course
Primary dysmennorhoea
- Back pain common
- Painful cramping, throbbing
- Pain begins on onset of period
- Heavy bleeding occurs towards the end
- Pain tends to decrease once period has started
Cancer risk with COC
- Breast cancer
Tamoxifen counselling
- Tamoxifen should be taken daily to reduce the risk of breast cancer returning
- May increase the risk of endo cancer
Tamoxifen common SE
Hot flush
Paroxetine and tamoxifen
Paroxetine reduces the effectiveness fo tamoxifen, inhibits it from being converted to active form
Which cancer risk is increased with tamoxifen?
Breast cancer
What is the safest medication for urinary retention due to BPH in a person who has frequent falls, asthma and hypotension?
AVOID a blockers due to hypotensive effects
Go for finasteride
Supplying EHC to men
explain that ideally you need to have consultation with parter in person to make the sale and ensure it is safe
BPH diagnosis
- DRA
if pt is obese which form of HRT is preferred patches or oral?
PATCHES
Anastrazole and HRT =
CI due to history of rbeast cancer
GTN and sildenafil =
hypotension
Which contraception can be started on the same day as EHC containing levonorgestrel
Desogestrel
Oxybutinin common SE
Constipation
AM SE
How often do you do routine cervical screening?
3 yrs
Highly effective contraception methods
- Male and female sterilsation
- Cu-IUD
- LVNG- IUD
- Progesterone only implant
Which contraceptives must you discontinue prior to surgery?
- Oestrogen containing - 4 weeks before
- Recommence 2 weeks after full mobilisation
- These do not apply to minor surgeries such as tooth extraction
- Progestogen only contraception is fine. Don’t need to discontinue
Do you have to discontinue norethisterone prior to surgery?
No
it is a progesterone only
