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hormonal contraceptive drugs Flashcards

1
Q

brand name of Tri-phasics:
ethinyl estradiol/
norgestimate

A

Ortho Tri-Cyclen
Tri-Sprintec
Tri-ViLibra

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2
Q

frequency of Tri-phasics:
ethinyl estradiol/ norgestimate

A

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

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3
Q

indication/ use of Tri-phasics: ethinyl estradiol/
norgestimate

A
  • Oral Contraception
  • Acne

Claim to fame:
*mimic natural
menstrual cycle

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4
Q

brand name of iron containing: ethinyl estradiol/ norethindrone/ ferrous fumarate

A

loestrin Fe
Junel Fe
Microgestin Fe

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5
Q

common frequency of iron Containing: ethinyl estradiol/ norethindrone/ ferrous fumarate

A

take one active tablet daily for 21 days, then one iron tablet daily for 7 days

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6
Q

idications/ uses of iron Containing: ethinyl estradiol/ norethindrone/ ferrous fumarate

A
  • Oral Contraception
  • Acne

Claim to fame:
* replaces iron lost
during menses

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7
Q

side effects for all estrogen/ progestin medications

A

*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

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8
Q

brand name ethinyl estradiol/ drospirenone

A

yaz
loryna
jasmiel

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9
Q

common frequency of ethinyl estradiol/ drospirenone

A

one active tablet daily for 24 day, then one inactive tablet daily for 4 days

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10
Q

indications/ use of eithnyl estradiol/ drospirenone

A
  • Oral Contraception
  • Acne
  • Premenstrual Dysphoric Disorder

Claim to fame:
* Only 4 inactive days =
shorter menstrual
periods

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11
Q

counseling tip and important info for ethnyl estradiol, drospirenone

A

Drospirenone lessens the water retention/weight gain side effects of
estrogen

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12
Q

brand name of ethinyl estradiol/ norelgestromin

A

xulane

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13
Q

common frequency of ethinyl estradiol/ norelgestromin

A

apply one new patch each week for 3 weeks then week 4 is patch free

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14
Q

indication/ uses of ethinyl estradiol/ norelgestromin

A

contraception

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15
Q

counseling tips and important info for ethinyl estradiol/ norelgestromin

A

*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

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16
Q

brand name of ethinyl estradiol/ etonogestrel

A

nuvaring

17
Q

common frequency of ethinyl estradiol/ etonogestrel

A

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

18
Q

indication/ use of ethinyl estradiol/ etongestrel

A

contraception

19
Q

counseling tip and important info for ethinyl estradiol/ etongestrel

A
  • 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
20
Q

brand name for medroxyprogesterone

A

depo provera

21
Q

common frequency of medroxyprogesterone

A

150 mg deep intramuscular injection in gluteal or deltoid muscle every 3 months

22
Q

indication/ uses of medroxyprogesterone

A
  • Contraception
  • Endometriosis pain,
    abnormal uterine
    bleeding, amenorrhea

Claim to fame:
* No estrogen

23
Q

counseling tips and important info for medroxyprogesterone

A

*Nervousness
*Administration by healthcare professional
*Don’t use >2 years due to potential bone loss
* Spotting or absent menses may result

24
Q

brand name of levonorgestrel (OTC)

A

Plan B one step
EContra One-Step

25
Q

common frequency of leveonorgestrel

A

take 1 tablet by mouth as soon as possible within 72 hours of unprotected sex

26
Q

indication/ use of levonorgestrel

A

emergency post-coital contraception

27
Q

counseling tips and important info for levonorgestrel

A
  • fatique
  • No evidence of interaction with antibiotics
  • Will not terminate an existing pregnancy
  • Spotting or changes in menses may resul

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