iPLEDGE Program Overview

Questions and Answers

Most women who got pregnant during isotretinoin treatment were using only 1 method of birth control.

True

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?

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:

All of these. Signup and view all the answers

If you missed 2 days of taking your birth control pills, what should you do?

Call your doctor/prescriber as soon as you realize it. Signup and view all the answers

If your partner has only one male latex condom, what should you do?

Have sex once and wait until he can get more male latex condoms. Signup and view all the answers

In your third month of treatment, what must you do to get your isotretinoin prescription?

Have a negative pregnancy test performed in a laboratory and discuss birth control with your doctor/prescriber. Signup and view all the answers

For 1 month after your last dose, you must use 2 effective methods of birth control together all the time.

True Signup and view all the answers

Which of the following are signs you might be pregnant?

Any of the above is a sign you might be pregnant. Signup and view all the answers

What should you say if your neighbor wants to try your isotretinoin?

Tell them both reasons. Signup and view all the answers

Your pharmacist can fill and dispense your prescription only after:

Checking with the iPLEDGE program system. Signup and view all the answers

You can switch to the progesterone-only mini-pill for your primary method of birth control while you are taking isotretinoin.

False Signup and view all the answers

The male latex condom can help prevent:

All of the above. Signup and view all the answers

You can use any 2 methods of birth control for the iPLEDGE program.

False Signup and view all the answers

You can possibly get pregnant if you have a uterus and ovaries.

True Signup and view all the answers

Will you share your isotretinoin with anyone?

No Signup and view all the answers

If you have been using birth control pills for 5 years without getting pregnant, why do you need another method of birth control now?

All of these. Signup and view all the answers

For the iPLEDGE program, male latex condoms can be used with or without a spermicide.

True Signup and view all the answers

It is okay to have unprotected sex if you have had a negative pregnancy test and received a prescription for isotretinoin.

False Signup and view all the answers

It's okay to take isotretinoin when:

You are using 2 effective methods of birth control together correctly all the time. Signup and view all the answers

What is the last day you can obtain your prescription if you had a pregnancy test on Tuesday?

On Monday of the next week. Signup and view all the answers

Birth control pills may not work as well when you are taking isotretinoin. It is important to:

Remember to take your birth control pill about the same time every day and always use a second effective method. Signup and view all the answers

You must keep your appointment every month because:

It is important for you and your doctor/prescriber to interact before you get a maximum 30-day supply. Signup and view all the answers

Every month you need to answer questions and:

Enter 2 methods of birth control you are using. Signup and view all the answers

You should talk to your doctor/prescriber about birth control:

Each month during your office visit. Signup and view all the answers

The risk for birth defects for a baby whose mother took isotretinoin is:

Very high even if a female patient takes isotretinoin for only a short time. Signup and view all the answers

I must not give blood while taking isotretinoin and for 1 month after stopping it.

True Signup and view all the answers

Before you can obtain isotretinoin at a pharmacy after your doctor has entered your negative pregnancy test and methods of birth control, you must:

Answer your comprehension questions in the iPLEDGE program system. Signup and view all the answers

Your partner should put his male latex condom on:

As soon as he gets an erection, because waiting too long lets sperm leak out. Signup and view all the answers

You can obtain your prescription anytime you want.

False Signup and view all the answers

If I’m using my primary method of birth control exactly as prescribed and my partner's male latex condom breaks, I would:

Call my doctor/prescriber to talk about emergency birth control. Signup and view all the answers

One goal of the iPLEDGE program is to make sure pregnant women do not take isotretinoin.

True Signup and view all the answers

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.