missed pill advice Flashcards
COC missed pill window
greater than equal to 24hrs
but in zoely/qlaira (> equal to 12hr)
POP missed pill window
> 3hrs, >12hr = desogestrel
one missed pill COC
take one pill ASAP and next pill at the usual time even if it means taking 2 together
no precaution need
one or more missed pill POP
take asap and protection for 2 days
EHC if upsi is had before 2 pills taken correct
2 or more missed pill COC
take one pill asap and condom 7 days
(if zoely / qlaira 9 days)
if EHC in first 7 days = provide EHC
if last 7 days of cycle= omit pill free interval
COC and POP vomit and diarrhoea
if vomit <2hrs of dose = take another asap
severe >24 vom/ diarrhoea in coc
protection until 7days after recovery (9days-zoely) and pill is resumed
if occurs last 7 days = omit pill free interval
POP severe vom and diarrhoea
severe or pill not taken <3hr normal time or <12= deso
= protection until 2 days after recovery
How transdermal patches work
1 cycle = one patch every week for 3 weeks then 1 week patch free
what to do if patch detach >24hr or delayed at beginning of cycle
-apply new patch asap,
- start new day 1 cycle + condom 7 days
delayed application in middle of cycle; beginning of week 2 (day 8) or day week 3 (day 15)
< equal to 48h= apply new patch continue as normal
>48hr= start new day 1+ 7 day condom