Female Contraception Flashcards
Tri-Sprintec (brand?)
Ortho Tri-Cyclen
Products containing estrogens (e.g. ethinyl estradiol)…
Increase cardiovascular risk (DVT; PE; MI) Are not recommended for patients: over 35 smokers history of stroke/blood clots
Gianvi (brand?)
Yaz
levonorgestrel (brand?)
Plan B (One-Step)
medroxyprogesterone acetate (brand?)
Depo-Provera
Depo-Provera (medroxyprogesterone acetate) (counseling tips?)
nervousness administer in physician’s office don’t use >2 yrs due to bone loss amenorrhea or spotting
Yaz
Gianvi (branded generic)
(indications/use? claim to fame?)
contraception
acne
PMDD
Shorter menstrual periods
Non-FDA uses for all ‘regular’ oral contraceptives
regulate menstrual cycle lessen menstrual flow reduce painful menses acne treatment
Ortho Evra (Directions? Counseling tips?)
One patch EACH week 1-3; off week 4 Side-effects more common than oral contraceptives Skin rash – rotate sites Do not cut patch Butt; upper torso; upper arm; stomach
Ortho-Cept Apri (branded generic) (indications/use? claim to fame?)
only contraception monophasics - fewer side effects from hormone fluctuations
Ortho-Cept (generic?)
Apri
Mircette (generic?)
Kariva
Seasonale (generic?)
Quasense
Seasonale Quasense (branded generic) (indications/use? claim to fame?)
only contraception reduces # of periods (4 annually)
Apri (brand?)
Ortho-Cept
Yaz (generic?)
Gianvi
Depo-Provera (medroxyprogesterone acetate) (indications/use? claim to fame?)
contraception [endometriosis pain, abnormal uterine bleeding, amenorrhea] No pills to remember No estrogen component
Loestrin Fe 1/20 Junel Fe (branded generic) [Microgestin Fe; Gildess Fe] (indications/use? claim to fame?)
only contraception replaces iron lost during menses
Depo-Provera (generic?)
medroxyprogesterone acetate
Depo-Provera (medroxyprogesterone acetate) (Dose? Directions?)
150 mg (1 mL) IM injection Gluteal or Deltoid muscle Every 3 months
Common side effects for all ‘regular’ oral contraceptives
water retention (e.g. bloating, weight gain, breast tenderness, contact lens fit) upset stomach / nausea headache
Mircette Kariva (branded generic) (indications/use? claim to fame?)
only contraception biphasics - lessen headaches caused by drop in estrogen
Loestrin Fe 1/20 (generic?)
Junel Fe [Microgestin Fe; Gildess Fe]
Ortho Tri-Cyclen Tri-Sprintec (branded generic) (indications/use? claim to fame?)
contraception AND acne triphasics - mimic natural menstrual cycle
Biphasics dosing regimen
1 tab daily for 21 days 1 INACTIVE daily for 2 days 1 tab daily for 5 days
Plan B (One-Step) (generic?)
levonorgestrel
Ortho Tri-Cyclen (generic?)
Tri-Sprintec
NuvaRing (Directions? Counseling tips?)
Insert on or before day 5 of cycle; leave in for 3 weeks then remove for week 4 If it falls out, rinse with cool water and reinsert within 3 hours Leave in-place for sex Not a barrier device
Quasense (brand?)
Seasonale
Kariva (brand?)
Mircette
Plan B (One-Step) levonorgestrel (dose? directions?)
1 ASAP within 72 hours of unprotected sex; take 2nd tab (if not One-Step) 12 hours after 1st dose 0.75 mg - Plan B (each tab) 1.5 mg - Plan B One-Step
Counseling: “If you miss a dose…”
Take as soon as possible (or) with next day’s dose; If you miss 2 or more days, refer to package directions
Junel Fe (brand?)
Loestrin Fe 1/20
Additional Tips for oral contraceptives
If not started 1st day of menses, use add’l non-drug contraceptive for first week of therapy; Take same time each day for max efficacy; Doesn’t protect against HIV/AIDS/STDs Amoxicillin & Doxycycline may decrease efficacy
Yaz Gianvi (branded generic) (Counseling tips?)
Drospirenone lessens water retention/weight gain side effects of estrogen
