Contraceptives, Anxiety, Muscle Spasms - Counseling Tips Flashcards
All contraceptives: Side effects
Water retention
Upset Stomach/nausea
Headache
All contraceptives: Non-FDA uses
Regulation of menstrual cycle
Lessen menstrual flow
Reduce painful menses
All contraceptives: Miss a Dose?
Take ASAP or with next days’ dose; e.g., miss Monday, take 2 on Tuesday. If you miss 2 or more days, refer to package directions
Contraceptives containing EE:
Increased cardiovascular risk (DVT, PE, MI).
Not recommended for those: +35 years old, smoker, or history of strokes/ blood clots
All contraceptives: Tips
If OC not started day 1 of menses, use additional non-drug form of contraception first week of therapy
Take same time each day for maximum effectiveness
Some anti-convulsants [ex: divalproex, lamotrigine] may decrease effectiveness of hormonal contraceptives and/or increase chance of seizures
None of the medications on this list protect against HIV/ AIDS/ STDs
EE/ drospirenone
Drospirenone lessens the water retention/weight gain side effects of estrogen
EE/ Norelgestromin
Same side effect profile as OC but more common
Adhesive may cause skin rash/rotate sites
Do not cut patch
Apply to butt, upper torso, stomach, upper arm
EE/ Etonogestrel
If it falls out, rinse with cool water and re-insert within 3 hrs
Don’t remove for intercourse
Ring is drug delivery device; not a barrier
Medroxyprogesterone
Nervousness
Administration by healthcare professional
Don’t use >2 years due to potential bone loss
Spotting or absent menses may result
levonorgestrel (OTC)
Same side effects as OC but more common
Fatigue
No evidence of interaction with antibiotics
Will not terminate existing pregnancy
Clonazepam
Drowsiness
Fatigue
Ataxia
Behavioral problems
Alprazolam
Confusion
Drowsiness
Excessive drowsiness with alcohol -avoid
Do not stop drug suddenly if taking routinely
Cyclobenzaprine
Dry mouth (aka xerostomia)
Dizziness
Drowsiness
