Contraceptives Flashcards
Junel Fe 1/20
Microgestin Fe 1/20
COC
Norethindrone / EE / iron supp
Monophasic
Sprintec 28
COC
Norgestimate / EE
Monophasic
Loestrin 1/20
COC
Norethindrone / EE
Monophasic
Yasmin 28
COC
Drospirenone / EE
Monophasic
Yaz
COC
Drospirenone / EE
Monophasic
Tri-Sprintec
COC
Norgestimate / EE
Triphasic
Natazia
COC
Estradiol valerate / progestin dienogest
Quadriphasic
Seasonique
COC
Levonorgestrel / EE
Extended cycle
- period every 3 months
Amethyst
COC
Levonorgestrel / EE
Continuous
Yasmin 28
Yaz
Loryna
Beyaz
Drospirenone containing formulations
CI in renal or liver disease
functions as a mild K sparing diuretic -> monitor K levels
anti-androgenic activity ->
- less bloating
- weight loss
- less PMS
- less acne
Xulane
COC patch
ethinyl estradiol / norelgestromin
weekly for 3 weeks, 1 week off
NuvaRing
COC vaginal ring
Etonogestrel / EE
once monthly, in 3 weeks out 1
Errin
Camila
Nora-BE
POP
Norethindrone
Slynd
POP
Drospirenone
Depo-provera
POP injection
Medroxyprogesterone
Q3 months
Do not use estrogen with these conditions:
- DVT/PE
- stroke
- CAD
- Hx of breast, ovarian, or liver cancer
- migraine WITH aura
contraception in lactation
POP or non-hormonal method
Estrogen can decrease milk production
Also crosses into breast milk
Backup protection for COCs
if not started within 5d of period -> 7d BUC
>/= 48 hours since last dose -> 7d BUC
Backup protection for POPs
when starting POP -> 48h BUC
> 3 hours late admin -> 48h BUC
Old system:
Pregnancy category A
Controlled studies in animals & pregnant patients show no risk in the first trimester. Fetal harm is remote.
Old system:
Pregnancy category B
Animal studies have not demonstrated a fetal risk but no well-controlled studies are available in pregnant patients
Old system:
Pregnancy category C
Animal studies have shown harm
no well controlled studies in pregnant pts
use only if benefit outweighs the risk
Old system:
Pregnancy category D
Positive evidence of risk to human fetus
but benefits may outweigh risk in serious disease
Old system:
Pregnancy category X
Studies in humans and animals show fetal abnormalities
contraindicated in pregnancy
