hormonal contraceptive drugs Flashcards
brand name of Tri-phasics:
ethinyl estradiol/
norgestimate
Ortho Tri-Cyclen
Tri-Sprintec
Tri-ViLibra
frequency of Tri-phasics:
ethinyl estradiol/ norgestimate
One first phase tablet daily for 7 days, then one second phase tablet daily for 7 days, then one third phase tablet daily for 7 days, then one inactive tablet daily for 7 days
indication/ use of Tri-phasics: ethinyl estradiol/
norgestimate
- Oral Contraception
- Acne
Claim to fame:
*mimic natural
menstrual cycle
brand name of iron containing: ethinyl estradiol/ norethindrone/ ferrous fumarate
loestrin Fe
Junel Fe
Microgestin Fe
common frequency of iron Containing: ethinyl estradiol/ norethindrone/ ferrous fumarate
take one active tablet daily for 21 days, then one iron tablet daily for 7 days
idications/ uses of iron Containing: ethinyl estradiol/ norethindrone/ ferrous fumarate
- Oral Contraception
- Acne
Claim to fame:
* replaces iron lost
during menses
side effects for all estrogen/ progestin medications
*water retention (bloating, weight gain, breast tenderness)
*upset stomach/nausea
*headache
Non-FDA approved uses may include:
*Regulation of menstrual cycle
*Lessen menstrual flow
*Reduce painful menses
Miss a dose?
*Take as soon as possible or with next days’ dose; e.g., miss Monday, take 2 on Tuesday. If you miss 2 or more days, refer to package directions.
Products containing ethinyl estradiol:
*↑ cardiovascular risk (DVT, PE, MI). Not recommended for those: +35 years old, smoker, or history of stroke/blood clots.
Tips:
*If OC not started day 1 of menses, use additional non-drug form of contraception first week of therapy
*Take same time each day for maximum effectiness
*Some anti-convulsants [ex: divalproex, lamotrigine] may ↓ effectiveness of hormonal contraceptives and/or increase chance of seizures
brand name ethinyl estradiol/ drospirenone
yaz
loryna
jasmiel
common frequency of ethinyl estradiol/ drospirenone
one active tablet daily for 24 day, then one inactive tablet daily for 4 days
indications/ use of eithnyl estradiol/ drospirenone
- Oral Contraception
- Acne
- Premenstrual Dysphoric Disorder
Claim to fame:
* Only 4 inactive days =
shorter menstrual
periods
counseling tip and important info for ethnyl estradiol, drospirenone
Drospirenone lessens the water retention/weight gain side effects of
estrogen
brand name of ethinyl estradiol/ norelgestromin
xulane
common frequency of ethinyl estradiol/ norelgestromin
apply one new patch each week for 3 weeks then week 4 is patch free
indication/ uses of ethinyl estradiol/ norelgestromin
contraception
counseling tips and important info for ethinyl estradiol/ norelgestromin
*Same side effect profile as oral contraceptives but more common
*Adhesive may cause skin rash/rotate sites
*Do not cut patch
*Apply to butt, upper torso, stomach, or upper arm