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
brand name of ethinyl estradiol/ etonogestrel
nuvaring
common frequency of ethinyl estradiol/ etonogestrel
insert one ring into vagina one or before day 5 of cycle and leave in for 3 weeks then remove one week 4 and discard
indication/ use of ethinyl estradiol/ etongestrel
contraception
counseling tip and important info for ethinyl estradiol/ etongestrel
- If ring falls out, rinse with cool water and re-insert within 3 hrs
- Don’t remove for intercourse
*Ring is drug delivery device; Not a barrier
brand name for medroxyprogesterone
depo provera
common frequency of medroxyprogesterone
150 mg deep intramuscular injection in gluteal or deltoid muscle every 3 months
indication/ uses of medroxyprogesterone
- Contraception
- Endometriosis pain,
abnormal uterine
bleeding, amenorrhea
Claim to fame:
* No estrogen
counseling tips and important info for medroxyprogesterone
*Nervousness
*Administration by healthcare professional
*Don’t use >2 years due to potential bone loss
* Spotting or absent menses may result
brand name of levonorgestrel (OTC)
Plan B one step
EContra One-Step
common frequency of leveonorgestrel
take 1 tablet by mouth as soon as possible within 72 hours of unprotected sex
indication/ use of levonorgestrel
emergency post-coital contraception
counseling tips and important info for levonorgestrel
- fatique
- No evidence of interaction with antibiotics
- Will not terminate an existing pregnancy
- Spotting or changes in menses may resul