Contraceptives Flashcards
1
Q
Combined contraceptives missed doses counselling
A
Take as soon as remembered (even if 2 pills together)
missed pill is one that is >24hrs late:
1 missed - take one as soon as remembered and continue
2 or more missed- especially in 1st 7 days of cycle - use extra protection and restart (if at end of cycle, omit 7 days free period and start new cycle)
2
Q
MHRA alert for IUC (intra-uterine contraceptive devices)
A
Uterine perforation, refer if:
severe pelvic pain after insertion (worse than cramps)
sudden chnage in period
pain or increased bleeding for few weeks after insertion
pain during intercourse
unable to feel the thread
3
Q
COC, POP, patches, rings and emergency contraception interact with which drugs
A
DOSE REDUCED BY: Carbamazepine phenobarbital primidone ritonavir st john worts topiromate rifabutin rifampicin griseofulvin oscarbazepine phenytoin SWITCH TO: depot injection, barrier method, intrauterine device, sterilisation and continue for 4 weeks after stopping treatment with drugs as above.
