Professional Documents
Culture Documents
Your Name
Medicines Information Pharmacist
Your Medicines Information Service
Aim
To enable all staff
answering Oral
Contraceptive and
Emergency Hormonal
Contraception calls to
work within role
competencies and
fulfil them safely,
reliably and
effectively in this area
of care.
Oral Contraception and EHC
Learning Outcomes
1.
2.
3.
4.
Contraception
Intrauterine system
Sterilisation
Natural family planning
Combined pill
Progestogen-only pill
Emergency
contraception
Oral Contraception
Combined
oral
contraception (COC)
Progestogen only
pill (POP)
Emergency
Hormonal
Contraception (EHC)
Contains oestrogen
and progestogen
Take one tablet
daily for 21 days (28
for ED) followed by
a 7 day pill free
period
Most effective
preparation for
general use
With optimal use,
> 99% effective
Monophasic
fixed amount of an oestrogen and a
progestogen in each active tablet
Biphasic/Triphasic
varying amounts of the two hormones
according to the stage of the cycle
ED (every day)
includes 7 days of placebo tablets
Oral Contraception
Combined
oral
contraception (COC)
Progestogen only
pill (POP)
Emergency
Hormonal
Contraception (EHC)
Oral Contraception and EHC
Oral Contraception
Combined
oral
contraception (COC)
Progestogen only
pill (POP)
Emergency
Hormonal
Contraception (EHC)
Oral Contraception and EHC
Emergency Hormonal
Contraception
Levonelle
Emergency Hormonal
Contraception
Taking
A&E
GP
Walk in Centres
Family Planning Clinics
Sexual Health Clinics
Community Pharmacies
sexual intercourse
Reduced efficacy of other forms of
contraception:
Torn, leaking condom
Missed pills
Late implant or injection
Detached contraceptive patch
cycle
Either prevents or delays ovulation,
prevents fertilisation or prevents
implantation of the fertilised egg into
the uterus.
Clinical opinion is that EHC is not an
abortifacient
Oral Contraception and EHC
POP
Morethan
than12
12hours
hourselapsed
elapsed
More
Takemissed
missedpill
pilland
andcontinue
continueregime
regimeas
as
Take
normal.No
Noextra
extraprecautions
precautionsrequired
required
normal.
Whereininpill
pillcycle?
cycle?
Where
pillmissed
missedfrom
fromaapack
pack
11pill
thecycle
cycle
ininthe
ContinueCOC
COC
Continue
ormore
morepills
pillsmissed
missedat
atany
any
22or
timeininthe
thecycle
cycle
time
ContinueCOC
COCtotoend
endof
ofpack
pack
Continue
use
extra
precautions
for
use extra precautions for 77
days
days
ormore
morepills
pillsmissed
missedfrom
from
22or
days15-21
15-21
days
ContinueCOC
COCand
anduse
use
Continue
extra
precautions
for
extra precautions for 77
days.GO
GOstraight
straighton
onto
to
days.
nextpack
packwithout
withoutaabreak
break
next
Lessthan
than33hours
hourslate?
late?
Less
Cerazette?
Cerazette?
Takethe
themissed
missedpill
pilland
and
Take
continue
as
normal
continue as normal
NO
NO
Takemissed
missedpill
pillas
assoon
soonas
as
Take
possible,
possible,
Takerest
restofofpacket
packetas
asnormal
normal
Take
And
use
extra
precautions
forthe
the
And use extra precautions for
next
2
days
next 2 days
YES
YES
Lessthan
than
Less
12hours
hourslate?
late?
12
Morethan
than
More
12
hours
late?
12 hours late?
Takemissed
missedpill
pillas
assoon
soon
Take
aspossible
possibleand
andcontinue
continue
as
withpacket
packetas
asnormal
normal
with
Takemissed
missedpill
pillas
assoon
soonas
as
Take
possible,
take
the
rest
of
the
possible, take the rest of the
packetas
asnormal.
normal.
packet
Use
extra
precautions
untilpills
pills
Use extra precautions until
taken
for
2
consecutive
days
taken for 2 consecutive days
If vomiting within 3
hours of taking pill then
absorption will be
reduced and may be
ineffective.
Diarrhoea alone
without vomiting has to
be severe to reduce the
absorption of the pill.
Drug Interactions
The
Broad
Drug interactions
Which
Under
medical supervision?
How many tablets left in pack?
Active sexual relationship?
Oral Contraception and EHC
Case Scenarios
Think
Learning Outcomes
1.
2.
3.
4.