Contraception requirements Flashcards

1
Q

Sodium valproate

A
  • Use during
  • at least 3 months after
  • Increased risk of neurodevelopmental disorders in children
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2
Q

Methotrexate

A
  • During
  • 6m after
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3
Q

Isotretinoin

A
  • During
  • 1 m after
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4
Q

Mycophenolate mofetil

A

WOMEN
- during
- 6 weeks after
MEN
- during
- 90 days after

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5
Q

Statins

A
  • During
  • 1 m after
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6
Q

Warfarin

A
  • During
  • Teratogenic in 1st and 3rd trimester
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7
Q

Topiramate

A

During

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8
Q

Carbimazole

A

During
- Teratogenic in 1st trimester

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9
Q

Propylthiouracil

A

During

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10
Q

Other drugs that need contraception during treatment

A
  • Alprostadil
  • Chemo
  • Dutasteride/ finasteride
  • Misoprostol
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11
Q

Which contraception should pts who smoke be offered?

A

Desogestrel

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12
Q

Which contraception should pt who suffers from acne and irregular menstrual cycle be offered?

A

Femodene ED

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13
Q

Which contraception should pt with weight gain and high BMI be offered?

A

Yasmin
ETHINYLESTRADIOL WITH DROSPIRENONE
- Drospirenone has diuretic effect which helps reduces water fluid retention in the body helping combat weight gain.

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14
Q

Which contraception should pt with epilepsy be offered?

A

Depo-provera

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15
Q

Ulipristal 5mg for uterine fibroids

A
  • Serious liver injury and liver failure
  • Monitor before during and after each course
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16
Q

Primary dysmennorhoea

A
  • 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
17
Q

Cancer risk with COC

A
  • Breast cancer
18
Q

Tamoxifen counselling

A
  • Tamoxifen should be taken daily to reduce the risk of breast cancer returning
  • May increase the risk of endo cancer
19
Q

Tamoxifen common SE

A

Hot flush

20
Q

Paroxetine and tamoxifen

A

Paroxetine reduces the effectiveness fo tamoxifen, inhibits it from being converted to active form

21
Q

Which cancer risk is increased with tamoxifen?

A

Breast cancer

22
Q

What is the safest medication for urinary retention due to BPH in a person who has frequent falls, asthma and hypotension?

A

AVOID a blockers due to hypotensive effects
Go for finasteride

23
Q

Supplying EHC to men

A

explain that ideally you need to have consultation with parter in person to make the sale and ensure it is safe

24
Q

BPH diagnosis

A
  1. DRA
25
Q

if pt is obese which form of HRT is preferred patches or oral?

A

PATCHES

26
Q

Anastrazole and HRT =

A

CI due to history of rbeast cancer

27
Q

GTN and sildenafil =

A

hypotension

28
Q

Which contraception can be started on the same day as EHC containing levonorgestrel

A

Desogestrel

29
Q

Oxybutinin common SE

A

Constipation
AM SE

30
Q

How often do you do routine cervical screening?

A

3 yrs

31
Q

Highly effective contraception methods

A
  • Male and female sterilsation
  • Cu-IUD
  • LVNG- IUD
  • Progesterone only implant
32
Q

Which contraceptives must you discontinue prior to surgery?

A
  • 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
33
Q

Do you have to discontinue norethisterone prior to surgery?

A

No
it is a progesterone only