Podcast
Questions and Answers
What is the main purpose of emergency hormonal contraception (EHC)?
What is the main purpose of emergency hormonal contraception (EHC)?
- To prevent STIs
- To prevent unintended pregnancy after unprotected sexual intercourse or contraceptive failure (correct)
- To ensure a regular menstrual cycle
- To treat existing pregnancies
What is a common reason why women may visit a different pharmacy for emergency hormonal contraception?
What is a common reason why women may visit a different pharmacy for emergency hormonal contraception?
- Because they want to buy it cheaper
- Because their regular pharmacy is out of stock
- Because they are too busy to go to their regular pharmacy
- Because they want to remain anonymous (correct)
What is the time limit for taking ulipristal as a method of emergency contraception?
What is the time limit for taking ulipristal as a method of emergency contraception?
- Within 24 hours of unprotected intercourse
- Within a week of unprotected intercourse
- Within 120 hours of unprotected intercourse (correct)
- Within 72 hours of unprotected intercourse
What should a pharmacist do if a woman is under 16 years old and requests emergency hormonal contraception?
What should a pharmacist do if a woman is under 16 years old and requests emergency hormonal contraception?
What is a common side effect of taking ulipristal as a method of emergency contraception?
What is a common side effect of taking ulipristal as a method of emergency contraception?
When should a pharmacist refer a woman to have an IUD fitted as a method of emergency contraception?
When should a pharmacist refer a woman to have an IUD fitted as a method of emergency contraception?
Why is it important for pharmacists to have sensitive interpersonal skills when dealing with requests for emergency hormonal contraception?
Why is it important for pharmacists to have sensitive interpersonal skills when dealing with requests for emergency hormonal contraception?
What is the dosage of ulipristal as a method of emergency contraception?
What is the dosage of ulipristal as a method of emergency contraception?
What is the potential effect on the efficacy of ulipristal when taken with CYP3A4 inducers?
What is the potential effect on the efficacy of ulipristal when taken with CYP3A4 inducers?
What is the recommended dosage of levonorgestrel for emergency contraception?
What is the recommended dosage of levonorgestrel for emergency contraception?
What is a common side effect of levonorgestrel reported in clinical trials?
What is a common side effect of levonorgestrel reported in clinical trials?
What is the prevalence of erectile dysfunction (ED) associated with?
What is the prevalence of erectile dysfunction (ED) associated with?
What is a medical contraindication for sildenafil citrate?
What is a medical contraindication for sildenafil citrate?
What is the recommended timing of taking sildenafil citrate?
What is the recommended timing of taking sildenafil citrate?
What is the recommended daily dose limit of over-the-counter (OTC) sildenafil?
What is the recommended daily dose limit of over-the-counter (OTC) sildenafil?
What is a potential interaction to consider when taking ulipristal with other medications?
What is a potential interaction to consider when taking ulipristal with other medications?
What is the primary purpose of contraception?
What is the primary purpose of contraception?
Which type of contraception is more than 99% effective in preventing pregnancy?
Which type of contraception is more than 99% effective in preventing pregnancy?
What is a key factor to consider when choosing a contraception method?
What is a key factor to consider when choosing a contraception method?
What is the purpose of emergency hormonal contraception (EHC)?
What is the purpose of emergency hormonal contraception (EHC)?
What is a common side effect of hormonal contraception?
What is a common side effect of hormonal contraception?
What should a pharmacist consider when consulting with a patient about contraception?
What should a pharmacist consider when consulting with a patient about contraception?
What is a characteristic of long-acting reversible contraception (LARC)?
What is a characteristic of long-acting reversible contraception (LARC)?
Which type of contraception is available over-the-counter (OTC)?
Which type of contraception is available over-the-counter (OTC)?
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Study Notes
Ulipristal
- Taken as a 30 mg single dose as soon as possible after unprotected intercourse
- Efficacy may be reduced if taken with a CYP3A4 inducer (e.g. phenytoin, St John's wort)
- Side effects: headache (around 1 in 5 women), nausea (around 1 in 8 women)
Levonorgestrel
- Taken as a dose of one 1.5 mg tablet as soon as possible after unprotected intercourse
- Efficacy may be reduced if taken with a CYP3A4 inducer (e.g. phenytoin, St John's wort)
- Side effects: headache (around 1 in 5 women), nausea (around 1 in 8 women)
Erectile Dysfunction
- Defined as the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance
- Common condition, prevalence increases with age
- Associated with conditions such as hypertension, diabetes mellitus, hypercholesterolemia, or cardiovascular disease
- Purely psychological causes account for 1 in 10 cases
Sildenafil Citrate
- Phosphodiesterase type 5 (PDE5) inhibitor, prevents the breakdown of cyclic guanosine monophosphate (cGMP)
- No more than one dose of OTC sildenafil is to be taken per day
- One 50 mg tablet should be taken with water approximately 1 hour before sexual activity
Contraceptives
- Types: hormonal, non-hormonal, short acting, long acting, implants, intrauterine devices (IUDs), injections, oral contraceptive pills, vaginal rings, barrier methods, tubal ligation and vasectomy, emergency hormonal contraception (EHC)
- How to choose: method, need, general health, lifestyle, safety, STI risk, pregnancy, effort, and cost
Emergency Hormonal Contraception (EHC)
- An intervention aimed at preventing unintended pregnancy after unprotected sexual intercourse or contraceptive failure
- Requires sensitive interpersonal skills from the pharmacist
- Enables privacy for the consultation
- Careful thought needs to be given to the wording of questions
- EHC must be started within 120 hours of unprotected intercourse for ulipristal or 72 hours for levonorgestrel
When to Refer
- Age under 16 years
- Longer than 120 hours since unprotected sex
- Taking a medicine that interacts with EHC
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