gynae pharm

Question 1

what medication is used to induce labour

Answer 1

The synthetic version of oxytocin, called Syntocinon, is typically used to induce labour. It can also be used in the active management of the third stage of labour as it causes the uterus to contract.

Question 2

ergometrine can be used in the third stage of labour - how does it reduce blood loss

Answer 2

Ergometrine is an alternative medication that may be used in the third stage of labour, it helps to reduce blood loss by causing vascular smooth muscle within the uterus to contract. However, it is not indicated for the induction of labour.

Question 3

what is the most common HRT combo presribed to women with menopausal sx

Answer 3

Oral estradiol and levonorgestrel are one of the most common oestrogen and progesterone combination for HRT.

Question 4

menopausal sx but no uterus

Answer 4

Oral estradiol only should only be prescribed as HRT to women who don’t have a uterus. This is due to the fact that oestrogen causes endometrial hyperplasia, and without the progesterone’s input to shred it monthly, it can lead to the development of malignancy.

Question 5

menopausal sx with history of DVT

Answer 5

transdermal estradiol and levonorgestrel

better than oral if ci

Question 6

Concurrent use of which one of the following would make combined oral contraceptive pill less effective?

Answer 6

carbamazepine - p450 inductor