GU Flashcards
Mirabegron side effects
Qt interval prolongnation severe on control hypertension is contra indicated
Is duloxetine licensed in men
No women only avoid abrupt withdrawal
Can you give desmopressin intranasally?
No increased risk of side effects
Transdermal patch evra
One cycle weekly patch for three weeks and one week patch free detach for more than 24 hours or delete application start new day, one cycle and condom for seven days delete application in the middle of the cycle beginning of week to all week three less than 48 hours apply new patch and continue as normal more than 48 hours start new day, one cycle and condom for seven days
When would you use a double dose of levonorgestrel ?
When using enzyme inducers
Which drugs affect L1
Enzyme inducers and drugs that increase gastric , pH antacids H2 receptor antagonist PPI
First line for emergency, hormonal contraception
First line copper IUD for five days
second line is levonorgestrel norgestrel or Ella one (more effective)
BMI> 26 or >70kg Ella one or double dose of levonorgestrel
What is a dose of levonorgestrel
1500 mg within three days. If vomiting occur less than three hours, take replacement dose
cautions Crohn’s disease past eco-type of pregnancy cyclosporine
Ella one dose
Within five days of unprotected sex dose 30 mg vomiting occurs less than three hours give replacement dose, caution, severe asthma, treated by oral corticosteroids, severe liver impairment repeated use in the same cycle
Can you use Ella one or just after levonorgestrel
No wait five days as contraceptive effect of Ella one will be reduced
What is the risk of medroxyprogesterone injection?
Delay in return to fertility and menstrual irregularities . Osteoporosis risk
Does food affect phosphodiesterase type five inhibitors?
Yes, delayed affect with food
Side effect of oxytocin
Contraction of the uterus
Treatment of trichomonas vaginalis
Metronidazole
Tinidazole
Can ereticle dysfunction increase the risk of cardiovascular disease
Yes