List 2 Contraceptives Flashcards
Ortho-Cept branded generic name
Apri
Ortho-Cept (Apri) usual dose and frequency
One active tablet daily for 21 days then one inactive tablet daily for 7 days
Ortho-Cept (Apri) use
Oral contraception – claims monophasics fewer side effects from hormone fluctuations
Mircette branded generic name
Kariva
Mircette (Kariva) usual dose and frequency
One active tablet daily for 21 days then one inactive tablet for 2 days then one half active tablet for 5 days
Mircette (Kariva) use
Oral contraception – claims biophysics lessen headaches from drop in estrogen
Ortho Tri-Cyclen branded generic name
Tri-Sprintec
Ortho Tri-Cyclen (Tri-Sprintec) usual dose and frequency
Take one active tablet daily for 7 days, then one higher dose active tablet daily for 7 days, then one highest dose active tablet daily for 7 days, then one inactive tablet daily for 7 days.
Ortho Tri-Cyclen (Tri-Sprintec) use
Oral contraception & acne – claims triphasics mimic natural menstrual cycle.
Loestrin Fe 1/20 branded generic name
Junel Fe
Loestrin Fe 1/20 (Junel Fe) use
Oral contraception – claims to replace iron lost during menses
Loestrin Fe 1/20 (Junel Fe) usual dose and frequency
One active tablet daily for 21 days then one iron tablet for 7 days.
Seasonale branded generic name
Quasense
Seasonale (Quasense) usual dose and frequency
One active tablet daily for 84 days then one inactive tablet daily for 7 days.
Seasonale (Quasense) use
Oral contraception – reduces # of periods
Yaz branded generic name
Gianvi
Yaz (Gianvi) usual dose and frequency
One active tablet daily for 24 days then one inactive tablet daily for 4 days
Yaz (Gianvi) use
Oral contraception & acne & PMDD – shorter menstrual periods
Yaz (Gianvi) counseling tips
Lessens the water retention and weight gain side effects of estrogen.
Ortho Evra usual dose and frequency
One new patch each week for 3 weeks then 4th week patch free
Ortho Evra use
Contraception
Ortho Evra counseling tips
Side effects of OCs more frequently, rotate sites to avoid rash (butt, upper torso, stomach, upper arm), do not cut patch
Nuva Ring usual dose and frequency
Insert one ring into vagina on or before day 5 of cycle and leave in for 3 weeks. Remove for week 4 and discard.
Nuva Ring counseling tips
If it falls out, rinse with col water and re-insert within 3 hours,
don’t remove for intercourse,
medication only effective for 3 weeks.
Depo-Provera usual dose and frequency
150mg/mL intramuscular injection in gluteal or deltoid muscle every 3 months
Depo-Provera use
Contraception & female problems – no pills to remember and no estrogen
Nuva Ring use
Contraception
Depo-Provera counseling points
Administer as shot in physicians office,
don’t use >2 years due to bone loss,
absent menses or spotting
Plan B usual dose and frequency
One 0.75mg tablet as soon as possible within 72 hours of unprotected sex, then second 0.75mg tablet 12 hours after first dose
Plan B One-Step usual dose and frequency
One 1.5mg tablet as soon as possible within 72 hours of unprotected sex.
Plan B uses
Emergency post-coital contraception
Plan B side effects
Same SE as other OC but more often, fatigue, no antibiotic interaction, will not terminate existing pregnancy
Standard OC side effects
Water retention (bloating, weight gain, breast tenderness, contact lens fit)
upset stomach/nausea
headache
Standard OC uses
Contraception, cycle regulation, flow and pain reduction, acne
Standard OC tips and warnings
Do not protect against HIV/STDs,
take pills at same time each day,
amoxicillin and doxycycline may decrease effectiveness,
if not started on first day of menses, use additional (non-drug) form of contraception for the first week.
estrogens increase CV risk - caution if over 35, smoker, history of stroke/blood clots
