Medication Contraindications Side Effects Teaching (effectiveness,
medications that interfere,
missed pills, etc.)
Combined A history of Patient is alerted The effectiveness of oral
Oral thromboembolic to stop taking the contraceptives is decreased when
Contraceptiv disorders, pill and report the following medications are
e cerebrovascular or immediately any of taken simultaneously:
coronary artery the following
disease, breast symptoms to the • Anticonvulsants such as
cancer, estrogen- health care barbiturates, oxcarbazepine,
dependent tumors, provider. The phenytoin, phenobarbital,
pregnancy, impaired mnemonic ACHES carbamazepine, primidone, and
liver function, liver helps in topiramate
tumor, lactation less remembering this
than 6 weeks list: • Systemic antifungals such as
postpartum, smoking griseofulvin
if older than 35 A—Abdominal pain:
years of age, may indicate a • Antituberculosis drugs such as
migraine with aura, problem with the rifampicin and rifabutin
surgery with liver or gallbladder
prolonged • Anti-HIV protease inhibitors
immobilization or any C—Chest pain or such as nelfinavir and amprenavir
surgery on the legs, shortness of
hypertension breath: may After discontinuing oral
(≥160/100), and indicate a possible contraception, fertility usually
diabetes mellitus (of clot problem within returns quickly, but fertility
more than 20 years' the lungs or heart rates may be slightly lower the
duration) with first 3 to 12 months after
vascular disease. H—Headaches discontinuation.
(sudden or
persistent): may be To maintain adequate hormone
caused by levels for contraception and
cerebrovascular enhance compliance, COCs should
accident or be taken at the same time each
hypertension day. Taken exactly as directed,
COCs prevent ovulation, and
E—Eye problems: pregnancy cannot occur. The
may indicate overall user effectiveness rate of
vascular accident COCs is 91%
, or hypertension
S—Severe leg pain:
may indicate a
thromboembolic
process
Progestin Irregular Progestin-only pills are less
Only Oral You have or menstrual effective than COCs. Because
Contraceptiv have had bleeding minipills contain such a low dose
e breast cancer Acne of progestin, they must be taken
Breast at the same time every day. If
You have liver tenderness the pill is taken more than 3 hours
disease Decreased late (27 hours after the last pill),
sex drive a backup contraceptive method
You have (libido) must be initiated.
unexplained Depression
uterine Headaches
bleeding Nausea
Ovarian
You're taking cysts
medications
for
tuberculosis,
HIV/AIDS or
to control
seizures
You'll have
trouble taking
the pill at the
same time
every day due
to a changing
work schedule
or other
factors
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