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Pharmacy > EHC/ Pill > Flashcards

EHC/ Pill Flashcards

1
Q

what is the failure rate of the CHC if used correctly?

A

1%

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2
Q

which of the pills allows for a 7 day pill free period to induce bleeding?

A

COC

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3
Q

the first 7 days of treatment with CHC do what?

A

inhibit ovulation

following 14 days maintain anuovulation

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4
Q

for the CHC patch, how many patches should be applied and when?

A

one every week
the fourth week is patch free

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5
Q

when can you start taking the CHC?

A

first 5 days of the cycle

if starting at any other time, use barrier method for 7 days

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6
Q

how long must you wait to start taking CHC after taking ulipristal?

A

5 days

barrier method for those 5 days and additional 7 days until CHC effective

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7
Q

if starting the CHC outside of the first 5 days, what must be ensure to give a supply?

A

patient is not pregnant

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8
Q

can a patient be started on CHC if there is a risk pregnancy from recent UPSI?

A

yes, pregnancy test should be taken 21 days post UPSI

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9
Q

how long must you wait to start taking CHC after taking levenorgestrel?

A

can take immediately

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10
Q

when switching from a POP to a CHC, are any additional methods required?

A

start immediately, additional barrier method for 7 days

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11
Q

when switching from the desogestrel only pill to CHC, are the any additional methods required?

A

no, take immediately

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12
Q

taking CHC alongside lamotrigine can have what effect?

A

reduce seizure control or cause lamotrigine toxicity

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13
Q

if 1 pill of CHC has been missed in the week following HFI, what advice should be given?

A

take pill
no other action required

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14
Q

it is a Tuesday morning, a patient who takes CHC has presented to the pharmacy, they have just finished their pill free week, taking their last pill on the Monday morning of the week before, they have forgot to start the new pack, what advice should you give?

A

take the pill, no other action needed

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15
Q

it is a Thursday morning, a patient who takes CHC has presented to the pharmacy, they have just finished their pill free week, taking their last pill on the Monday morning of the week before, they have forgot to start the new pack, what advice should you give?

A

take the pill, additional barrier method needed for 7 days

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16
Q

when starting CHC late after HFI (>9 days since last pill), what advice should be given?

A

recommence pill
additional barrier for 7 days
EC if UPSI within this period

17
Q

if 1 pill of CHC has been missed in the 2-3 weeks following HFI, what advice should be given?

A

take pill
no other action required

18
Q

if 2-7 pills of CHC have been missed in the week following HFI, what advice should be given?

A

take pill
additional barrier method for 7 days
EC if UPSI within this period

19
Q

if 2-7 pills of CHC have been missed in the 2-3 weeks following HFI, what advice should be given?

A

take pill
if missed pills within the week prior to HFI, omit doses
additional barrier method for 7 days

20
Q

if more than 7 pills of CHC have been missed at any point of the cycle, what advice should be given?

A

manage as if starting new medication

21
Q

when can the POP be started?

A

first 5 days of cycle

if started at other point, additional method for 2 days

22
Q

if one pill of POP has been missed (3 hours late/ 27 hours since last pill) what advice should be given?

A

take a pill
barrier method for 48 hours

23
Q

if one pill of desogestrel has been missed (12 hours late/ 36 hours since last pill) what advice should be given?

A

take a pill
barrier method for 48 hours

24
Q

what EC methods are available for patients with UPSI > 120 hours ago?

A

copper IUD

25
Q

does levonorgestrel have an age restriction?

A

yes, > 16 years

26
Q

does ulipristal have an age restriction?

A

no

27
Q

what oral EH contraception is available for patients with UPSI occurring up to 120 hours?

A

ulipristal (ella one)

28
Q

what oral EH contraception is available for patients with UPSI occurring up to 96 hours?

A

levenorgestrel (levonelle)

29
Q

what can be given as oral EH for patients weighing > 70kg and or BMI >26?

A

ulipristal
double dose levenorgestrel

30
Q

when can a double dose of levonorgestrel be used for EH?

A

if on enzyme inducer (licensed)
overweight (unlicnesed)

31
Q

what is ulipristal contraindicated in?

A

patients with asthma on steroids

32
Q

if UPSI occured within the 5 days prior to ovulation, which is the most suitable method of oral EH?

A

ulipristal

Pharmacy (20 decks)

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