Female health Flashcards
(11 cards)
Who is Lovima licensed for OTC?
Women and adolescents of childbearing age (no age restriction)
Who is HANA licensed for OTC?
Women of childbearing age (no age restriction though)
Which OTC contraceptive cannot be used in those with a soy or peanut allergy?
Lovima (desogestrel)
When to refer when someone requests desogestrel OTC?
If the person is pregnant
If the person has a contraindication
If the person is taking a medicine that causes a clinically relevant interaction in your professional judgement.
If the person is concerned with their bleed pattern
If the person has a history of thrombosis or breast cancer
If the person has diabetes
If the person has uncontrolled hypertension
If there is any doubt person is suitable for supply e.g. person has previously tried POP, it didn’t suit them and they can’t remember why but they would like to try it again
If the person experiences any serious side effects or signs and symptoms of adverse effects e.g. depression, thrombosis, allergy, liver disease, breast cancer or ectopic pregnancy
If the person is due to have surgery or is immobile.
Missed pill advice given OTC when supplying HANA/Lovima
If pill missed <12 hours then take when remeber and take next pill as normal
> 12 hours — not protected — take it as soon as you remember and carry on with the next pill at the right time AND use an additional barrier method (e.g. condom) for the next 7 days. Consider emergency contraception if unprotected sexual intercourse occurred after the missed pill.
Symptoms of Vaginal Candidiasis?
- Erythema
- Discharge- white, cottage- cheese/curd like
- No smell
- Sometimes accompanied by cystitis symptoms
Action to be taken if patient presents with vaginal discharge and cystitis symptoms?
Refer as may be a sign of vaginitis
When to refer a patient presenting with thrush?
Never been diagnosed with thrush before (1st presentation)
more than two infections of candidal vaginitis in the last six months
previous history of a sexually transmitted disease or exposure to partner with sexually transmitted disease
pregnancy or suspected pregnancy
aged under 16 or over 60 years
known hypersensitivity to imidazole or other vaginal antifungal products
If the patient has any of the following symptoms whereupon medical advice should be sought:
- irregular vaginal bleeding
- abnormal vaginal bleeding or a blood-stained discharge
- vulval or vaginal ulcers, blisters or sores
- lower abdominal pain or dysuria
- any adverse events such as redness, irritation or swelling associated with the treatment
- fever or chills
- nausea or vomiting
- diarrhoea
- foul smelling vaginal discharge
Dosing for Canestan 2% cream in thrush?
2-3 times daily until the symptoms disappear. If no resolution in 7 days- refer.
Dosing for Canestan 2% cream in thrush when used for the partner of the patient?
2-3 times daily for 2 weeks
Contraceptive advice when using clotrimazole 2% cream for thrush?
Latex contraceptives can be damaged so precaution should be taken during treatment and for 5 days after
