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Stack #180915

oral contraceptive highly effective combination of estrogens and progestins
estrogen in oral contraceptives ethinyl estradiol
progestins used in oral contraceptives levonorgestrel, desogestrel, norethindrone, norgestimate, drospirenone, norgestrel, ethynodiol, norelgestromin, and etonogestrel
MOA of oral contraceptives inhibit ovulation by suppressing the gonadotropins follicle stimulating hormone (FSH) & luteinizing hormone (LH);they also alter cervical mucus to decrease sperm penetration & induce changes in the endometrium which decreases chance of egg implantation
when taken according to prescribed regimen, only __________ is a more effective form of contraception sterilization
patients using O.C. for the first time should use an additional method of birth control for ___________; some clinicians recommend an additional method of birth control be used ___________ of O.C. use the first seven days; duing the first cycle
adverse effects reported with oral contraceptives melasma, alveolar osteitis, hirsutistm, weight gain, and nausea ( nausea occurs in approximately 10-30% of pts during first cycle; most cases resovle in 3 months)
Smoking is not recommended in pts taking O.C. because of an increased risk of ______. The risk is greatest in patients over __ years of age who smoke more than __ cigs per day. cardiovascular side effects; 35 years of age; 15 cigs per day
failure rate for no method use 85%
failure rate for spermicides alone 26%
failure rate for condom alone (male) 14%
failure rate for oral contraceptives 1-3%
failure rate for diaphragm with spermicides 20%
failure rate for condom alone (female) 21%
periodic abstinence 25%
Alesse levonorgestrel, ethinyl estradiol
Indication, dosage form, and dosing interval of ALL oral contraceptives prevention of pregnancy; tablet; once daily
Trivora levonorgestrel, ethinyl estradiol
Levora levonorgestrel, ethinyl estradiol
Triphasil levonorgestrel, ethinyl estradiol
Aviane levonorgestrel, ethinyl estradiol
Kariva desogestrel, ethinyl estradiol
Ortho-Cept desogestrel, ethinyl estradiol
Apri desogestrel, ethinyl estradiol
Mircette desogestrel, ethinyl estradiol
Ovcon-35 norethindrone, ethinyl estradiol
Necon 1/35 norethindrone, ethinyl estradiol
Estrostep norethindrone, ethinyl estradiol
Indications of Estrostep 1. prevention of pregnancy 2. treatment of acne in females 15 years of age or older
Ortho Tri-Cyclen norgestimate, ethinyl estradiol
Ortho Tri-Cyclen Lo norgestimate, ethinyl estradiol
Ortho-Cyclen norgestimate, ethinyl estradiol
TriNessa norgestimate, ethinyl estradiol
Sprintec norgestimate, ethinyl estradiol
Tri-Sprintec norgestimate, ethinyl estradiol
Indications of Ortho Tri-Cyclen 1. prevention of pregnancy 2. treatment of acne in females 15 years of age or older
Yasmin drospirenone, ethinyl estradiol
Yaz drospirenone, ethinyl estradiol
Indications of Yaz 1. prevention of pregnancy2. premenstrual dysphoric disorder (PMDD)3. treatment of acne in females 15 years of age or older
Medications indicated for PMDD 1. fluoxetine (Sarafem)2. sertraline (Zoloft)3. paroxetine (Paxil)4. drospirenone, ethinyl estradiol (Yaz)
Drospirenone is derived from _________ (comparable to a ______ dose). Drospirenone has the potential to raise ____________. spironolactone; 25 mg; serum potassium
Yasmin and Yaz should be cautiously prescribed to patients taking what 4 classes of drugs? 1. ACE Inhibitors2. Angiotensin II Receptor Antagonists3. potassium-sparing diuretics4. potassium supplements
Low-Ogestrel norgestrel, ethinyl estradiol
Ortho Evra norelgestromin, ethinyl estradiol
Dosage form and dosing interval of Ortho Evra transdermal system; once weekly
If an Ortho Evra system is partially or completely detached for less then 24 hours, the pt should.... immediately try to reapply the system or replace it with a new system
If an Ortho Evra system is partially or completely detached for over 24 hours, the patient should... stop the current cycle and immediately start a new cycle by applying a new system; there is now a new "day one" and a new "patch change day"; back-up contraception must be used for the first week of the new cycle
NuvaRing etonogestrel, ethinyl estradiol
Dosage form and dosing interval of NuvaRing vaginal ring; monthly (NuvaRing should be worn continuously for 3 weeks then removed for 1 week-- the menstrual period should begin 2 to 3 days after the ring is removed)
Storage of NuvaRing Pharmacists should store NuvaRing under refrigeration. Patients may store NuvaRing at room temperature.
Depo-Provera medroxyprogesterone
Dosage form and dosing interval of Depo-Provera suspension for injection; every 3 months
Pt counseling for Depo-Provera Prior to administration, the vial must be vigorously shaken to ensure the dose represents a uniform suspension.
Why are estrogens used in postmenopausal women? Estrogens are used for hormone replacement therapy (HRT)-- estrogens relieve vasomotor symptoms (hot flashes) and slow the development of osteoporosis by reducing bone resorption.
Long term HRT may increase the risk of.... 1. breast cancer2. stroke3. pulmonary embolism4. coronary heart disease
Evista raloxifene
Created by: akoshields