Podcast
Questions and Answers
Most women who got pregnant during isotretinoin treatment were using only 1 method of birth control.
Most women who got pregnant during isotretinoin treatment were using only 1 method of birth control.
True (A)
If you think you may be pregnant and you have taken isotretinoin, what should you do?
If you think you may be pregnant and you have taken isotretinoin, what should you do?
- Not worry because it was only a few doses.
- Continue without any concerns.
- Stop isotretinoin and call your doctor/prescriber. (correct)
What should you tell the Red Cross if they call you to give blood during your first month after your last isotretinoin dose?
What should you tell the Red Cross if they call you to give blood during your first month after your last isotretinoin dose?
- I can never give blood again.
- I cannot give blood until 1 month after my last dose of isotretinoin. (correct)
You can get a prescription for isotretinoin only if:
You can get a prescription for isotretinoin only if:
If you missed 2 days of taking your birth control pills, what should you do?
If you missed 2 days of taking your birth control pills, what should you do?
If your partner has only one male latex condom, what should you do?
If your partner has only one male latex condom, what should you do?
In your third month of treatment, what must you do to get your isotretinoin prescription?
In your third month of treatment, what must you do to get your isotretinoin prescription?
For 1 month after your last dose, you must use 2 effective methods of birth control together all the time.
For 1 month after your last dose, you must use 2 effective methods of birth control together all the time.
Which of the following are signs you might be pregnant?
Which of the following are signs you might be pregnant?
What should you say if your neighbor wants to try your isotretinoin?
What should you say if your neighbor wants to try your isotretinoin?
Your pharmacist can fill and dispense your prescription only after:
Your pharmacist can fill and dispense your prescription only after:
You can switch to the progesterone-only mini-pill for your primary method of birth control while you are taking isotretinoin.
You can switch to the progesterone-only mini-pill for your primary method of birth control while you are taking isotretinoin.
The male latex condom can help prevent:
The male latex condom can help prevent:
You can use any 2 methods of birth control for the iPLEDGE program.
You can use any 2 methods of birth control for the iPLEDGE program.
You can possibly get pregnant if you have a uterus and ovaries.
You can possibly get pregnant if you have a uterus and ovaries.
Will you share your isotretinoin with anyone?
Will you share your isotretinoin with anyone?
If you have been using birth control pills for 5 years without getting pregnant, why do you need another method of birth control now?
If you have been using birth control pills for 5 years without getting pregnant, why do you need another method of birth control now?
For the iPLEDGE program, male latex condoms can be used with or without a spermicide.
For the iPLEDGE program, male latex condoms can be used with or without a spermicide.
It is okay to have unprotected sex if you have had a negative pregnancy test and received a prescription for isotretinoin.
It is okay to have unprotected sex if you have had a negative pregnancy test and received a prescription for isotretinoin.
It's okay to take isotretinoin when:
It's okay to take isotretinoin when:
What is the last day you can obtain your prescription if you had a pregnancy test on Tuesday?
What is the last day you can obtain your prescription if you had a pregnancy test on Tuesday?
Birth control pills may not work as well when you are taking isotretinoin. It is important to:
Birth control pills may not work as well when you are taking isotretinoin. It is important to:
You must keep your appointment every month because:
You must keep your appointment every month because:
Every month you need to answer questions and:
Every month you need to answer questions and:
You should talk to your doctor/prescriber about birth control:
You should talk to your doctor/prescriber about birth control:
The risk for birth defects for a baby whose mother took isotretinoin is:
The risk for birth defects for a baby whose mother took isotretinoin is:
I must not give blood while taking isotretinoin and for 1 month after stopping it.
I must not give blood while taking isotretinoin and for 1 month after stopping it.
Before you can obtain isotretinoin at a pharmacy after your doctor has entered your negative pregnancy test and methods of birth control, you must:
Before you can obtain isotretinoin at a pharmacy after your doctor has entered your negative pregnancy test and methods of birth control, you must:
Your partner should put his male latex condom on:
Your partner should put his male latex condom on:
You can obtain your prescription anytime you want.
You can obtain your prescription anytime you want.
If I’m using my primary method of birth control exactly as prescribed and my partner's male latex condom breaks, I would:
If I’m using my primary method of birth control exactly as prescribed and my partner's male latex condom breaks, I would:
One goal of the iPLEDGE program is to make sure pregnant women do not take isotretinoin.
One goal of the iPLEDGE program is to make sure pregnant women do not take isotretinoin.
Flashcards
iPLEDGE program purpose
iPLEDGE program purpose
Prevent pregnancy in women taking isotretinoin due to high birth defect risk.
Required birth control
Required birth control
Two effective birth control methods during treatment and for a month after.
Pre-prescription test
Pre-prescription test
Negative pregnancy test required before isotretinoin.
Isotretinoin birth defect risk
Isotretinoin birth defect risk
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Blood donation restriction
Blood donation restriction
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Verified birth control
Verified birth control
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Acceptable birth control
Acceptable birth control
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Birth control pill effectiveness
Birth control pill effectiveness
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Monthly doctor visits
Monthly doctor visits
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Pharmacy role in iPLEDGE
Pharmacy role in iPLEDGE
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Birth control failure
Birth control failure
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Limited intercourse
Limited intercourse
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Isotretinoin sharing
Isotretinoin sharing
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iPLEDGE patient cooperation
iPLEDGE patient cooperation
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Condom effectiveness
Condom effectiveness
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Birth defect risk
Birth defect risk
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Consistent birth control usage
Consistent birth control usage
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Program protocols
Program protocols
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Key pregnancy signs
Key pregnancy signs
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Isotretinoin Dose
Isotretinoin Dose
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Study Notes
iPLEDGE REMS Overview
- iPLEDGE program is designed to prevent pregnancy in women taking isotretinoin due to high birth defect risks.
- Women must use two effective methods of birth control simultaneously during treatment and for one month after.
Pregnancy and Isotretinoin
- Pregnancy tests must be negative before obtaining isotretinoin prescriptions.
- Even a small dose of isotretinoin can cause severe birth defects.
- Key pregnancy signs: missed period, nausea, breast tenderness.
Blood Donations
- Individuals taking isotretinoin cannot donate blood during treatment and for one month post-treatment.
Birth Control Methods
- Two methods of birth control must be entered into the iPLEDGE system and must be verified by the doctor.
- Not all birth control methods are acceptable for use during treatment.
- Birth control pills may be less effective when combined with isotretinoin.
Doctor and Pharmacy Interactions
- Monthly doctor visits are crucial for prescription refills and birth control discussions.
- Pharmacists can only fill prescriptions after confirming eligibility via the iPLEDGE program.
Emergency Situations
- If a birth control method fails, consult a doctor immediately regarding emergency contraception options.
- If a partner only has a single condom available, limit intercourse until more can be obtained to avoid pregnancy.
Additional Guidelines
- Patients should not share isotretinoin with others.
- The iPLEDGE system requires ongoing patient cooperation, including answering comprehension questions each month.
- Male latex condoms are effective in preventing pregnancy and sexually transmitted infections (STIs).
Risks and Responsibilities
- High risk for birth defects persists even with brief exposure to isotretinoin; vigilant birth control is essential.
- Consistent and correct usage of birth control is critical to mitigate pregnancy risk during treatment.
Final Reminders
- Adherence to program protocols is non-negotiable to ensure the safety of potential pregnancies.
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Description
This quiz covers the iPLEDGE program's guidelines, focusing on the requirements for women taking isotretinoin to prevent pregnancy. Key aspects include necessary birth control methods, pregnancy testing, and blood donation restrictions. Understanding these components is essential for safe isotretinoin use and adherence to the program's protocols.
