Emergency Hormonal Contraception Flashcards
1
Q
EMC Use
A
- unprotected sexual intercourse
- contraceptive failure
- advanced supply
2
Q
EMC referral
A
- > 5 days since unprotected sex
- changes to period (heavier, time)
- severe liver function
3
Q
Medications that interact with EHC
A
- Phenytoin
- Carbamazepine
- Rifampicin
- Rifabutin
- Ritonavir
- St Johns Wort
- Griseofulvin
4
Q
What are the 2 EHC pills
A
- Levonorgestrel (Levonelle)
- Ulipristal (EllaOne)
5
Q
Levonelle EMC pill monograph
A
- 16+
- only within 72 hours
- can take more than 1 in the same cycle
- fine in breastfeeding
- risk of ectopic pregnancy
- fine with regular contraception
6
Q
When to avoid Levonelle
A
- severe liver impairment
- Crohn’s disease
7
Q
What is the significant interaction with Levonelle
A
Ciclosporin
8
Q
EllaOne EMC pill monograph
A
- women of child bearing age and above
- taken within 120 hours since sex
- can’t take more than once in same cycle
- not recommended in breastfeeding
- reduces efficacy of regular contraception
9
Q
When to avoid EllaOne
A
- severe liver impairment
- if using steroids to treat asthma
10
Q
Advice for EHC
A
- take ASAP for greatest efficacy
- if you vomit within 3 hours, take another dose
- use barrier contraceptive as EllaOne reduce contraceptive efficacy
- abnormal period, see GP
- if period delayed see GP
- severe abdominal pain see GP
11
Q
What could severe abdominal pain suggest?
A
Ectopic pregnancy
12
Q
How long should a period be delayed to be a GP referral when using Levonelle
A
> 5 days
13
Q
How long should a period be delayed to be a GP referral when using EllaOne
A
> 7 days
