Contraception requirements

Question 1

Sodium valproate

Answer 1

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

Question 2

Methotrexate

Answer 2

• During
• 6m after

Question 3

Isotretinoin

Answer 3

• During
• 1 m after

Question 4

Mycophenolate mofetil

Answer 4

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

Question 5

Statins

Answer 5

• During
• 1 m after

Question 6

Warfarin

Answer 6

• During
• Teratogenic in 1st and 3rd trimester

Question 7

Topiramate

Answer 7

During

Question 8

Carbimazole

Answer 8

During
- Teratogenic in 1st trimester

Question 9

Propylthiouracil

Answer 9

During

Question 10

Other drugs that need contraception during treatment

Answer 10

• Alprostadil
• Chemo
• Dutasteride/ finasteride
• Misoprostol

Question 11

Which contraception should pts who smoke be offered?

Answer 11

Desogestrel

Question 12

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

Answer 12

Femodene ED

Question 13

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

Answer 13

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

Question 14

Which contraception should pt with epilepsy be offered?

Answer 14

Depo-provera

Question 15

Ulipristal 5mg for uterine fibroids

Answer 15

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

Question 16

Primary dysmennorhoea

Answer 16

• 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

Question 17

Cancer risk with COC

Answer 17

• Breast cancer

Question 18

Tamoxifen counselling

Answer 18

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

Question 19

Tamoxifen common SE

Answer 19

Hot flush

Question 20

Paroxetine and tamoxifen

Answer 20

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

Question 21

Which cancer risk is increased with tamoxifen?

Answer 21

Breast cancer

Question 22

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

Answer 22

AVOID a blockers due to hypotensive effects
Go for finasteride

Question 23

Supplying EHC to men

Answer 23

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

Question 24

BPH diagnosis

Answer 24

1. DRA

Question 25

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

Answer 25

PATCHES

Question 26

Anastrazole and HRT =

Answer 26

CI due to history of rbeast cancer

Question 27

GTN and sildenafil =

Answer 27

hypotension

Question 28

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

Answer 28

Desogestrel

Question 29

Oxybutinin common SE

Answer 29

Constipation AM SE

Question 30

How often do you do routine cervical screening?

Answer 30

3 yrs

Question 31

Highly effective contraception methods

Answer 31

* Male and female sterilsation * Cu-IUD * LVNG- IUD * Progesterone only implant

Question 32

Which contraceptives must you discontinue prior to surgery?

Answer 32

- 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

Question 33

Do you have to discontinue norethisterone prior to surgery?

Answer 33

No it is a progesterone only