EHC & AZITHROMYCIN

Question 1

Under 16’s and contraception rules?

Answer 1

children under the age of 13 should not be having sexual intercourse and social services should be informed

you can supply to under 16 in some situations under PGD

Question 2

mechanism of action of Ella one? and its drug name

Answer 2

EllaOne ( Ulipristal) works by

• preventing and disrupting ovulation
• alters endometrium so pregnancy cannot happen by inhibiting implantation

Question 3

how does levonorgestrel work?

Answer 3

by inhibiting ovulation

- progesterone hormoine

Question 4

levonorgestrel interactions and what can it increase the risk of

Answer 4

enzyme inducing drugs:

• carbamazepine
• phenytoin
• st johns wort
• barbiturates
• ritanovir

Question 5

EllaOne interactions

Answer 5

• carbamazepine
• phenytoin
• phenobarbital

Question 6

who shouldn’t take levonorgestrel and ulipristal?

Answer 6

women requiring EHC and are on enzyme inducing drugs should be given copper IUD instead

Question 7

Levonorgestrel counselling

Answer 7

• 1500mcg in one single dose
• if vomiting in 3 hours take again
• not contraindicated in breast feeding however can take tablets after feeding baby
• can be taken at any point during mestrual cycle
• can take more than one but might affect menstrual cycle

Question 8

EllaOne counseling

Answer 8

• 30mg single dose
• 3 hour vomiting then take again
• can be taken at any point during menstrual cycle
• dont breastfeed for one week once taken this medicine
• can be taken with or without food

Question 9

side effects

Answer 9

nausea
headache
altered bleeding patterns

Question 10

azithromycin

Answer 10

used to treat chlamydia and can be supplied as a P medicine to over 16’s by a pharmacist

can bring in a positive test result from camelle tasing kit to if partner has a conformed test

1 g single dose of azithromycin

cannot supply to under 16 as a P but can be given as a PGD

pharmacist would need to take a record of everything