Emergency contraception: Difference between revisions

Revision as of 23:41, 28 March 2011

Treatment

Progestin-Only Regimen

First dose within 48 hours after unprotected intercourse followed by second dose 12 hours later
1. may take both at once
Relative risk redction of pregnancy = 89% (1% with vs 8% without)
Side effects
1. Nausea (23%)
2. Vomiting (6%)
no teratogenisis
FDA approved regimens:
1. Plan B (marketed specifically for emergency contraception) - 1 pill (0.75 mg levonorgestrel) per dose

Yuzpe Regimen

(combination OCPs)

First dose within 72 hours after unprotected intercourse followed by second dose 12 hours later
May be given up to 120 hours later (but efficacy reduced)
Reduces risk of pregnancy by 75% (2% with vs 8% without)
Side effects
1. Nausea (50%)
2. Vomiting (20%)
Safety
1. No teratogenic effect
Contraindications
1. Pregnancy
FDA approved regimens:
1. Ovral, Ogestrel - 2 pills (100 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
2. Alesse, Aviane, Levlite - 5 pills (100 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
3. Levlen, Levora, Lo/Ovral, Low-Ogestrel - 4 pills (120 ug ethiny estradiol/0.6 mg levonorgestrel) per dose
4. Triphasil, Tri-Levlen, Trivora - 4 pills (120 ug ethiny estradiol/0.5 mg levonorgestrel) per dose

Source

7/09 PANI

Authors:

@@ Line 1: / Line 1: @@
 ==Treatment==
 ===Progestin-Only Regimen===
+# First dose within 48 hours after unprotected intercourse followed by second dose 12 hours later
+##may take both at once
+# Relative risk redction of pregnancy = 89% (1% with  vs 8% without)
+# Side effects
+## Nausea (23%)
+## Vomiting (6%)
+#no teratogenisis
+# FDA approved regimens:
+## Plan B (marketed specifically for emergency contraception) - 1 pill (0.75 mg levonorgestrel) per dose
+===Yuzpe Regimen===
-• First dose within 48 hours after unprotected intercourse followed by second dose 12 hours later
-*may take both at once
-• Relative risk redction of pregnancy = 89% (1% with  vs 8% without)
-• Side effects
-(1) Nausea (23%)
-(2) Vomiting (6%)
-*no teratogenisis
-• FDA approved regimens:
-(1) Plan B (marketed specifically for emergency contraception) - 1 pill (0.75 mg levonorgestrel) per dose
-===Yuzpe Regimen ===
 (combination OCPs)
-• First dose within 72 hours after unprotected intercourse followed by second dose 12 hours later
+# First dose within 72 hours after unprotected intercourse followed by second dose 12 hours later
+# May be given up to 120 hours later (but efficacy reduced)
-• May be given up to 120 hours later (but efficacy reduced)
+# Reduces risk of pregnancy by 75% (2% with vs 8% without)
+# Side effects
-• Reduces risk of pregnancy by 75% (2% with vs 8% without)
+## Nausea (50%)
+## Vomiting (20%)
-• Side effects
+# Safety
+##  No teratogenic effect
-(1) Nausea (50%)
+# Contraindications
+## Pregnancy
-(2) Vomiting (20%)
+# FDA approved regimens:
+## Ovral, Ogestrel - 2 pills (100 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
-• Safety
+## Alesse, Aviane, Levlite - 5 pills (100 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
+## Levlen, Levora, Lo/Ovral, Low-Ogestrel - 4 pills (120 ug ethiny estradiol/0.6 mg levonorgestrel) per dose
-(1)  No teratogenic effect
+## Triphasil, Tri-Levlen, Trivora - 4 pills (120 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
-• Contraindications
-(1) Pregnancy
-• FDA approved regimens:
-(1) Ovral, Ogestrel - 2 pills (100 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
-(2) Alesse, Aviane, Levlite - 5 pills (100 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
-(3) Levlen, Levora, Lo/Ovral, Low-Ogestrel - 4 pills (120 ug ethiny estradiol/0.6 mg levonorgestrel) per dose
-(4) Triphasil, Tri-Levlen, Trivora - 4 pills (120 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
 ==Source==
 /09 PANI
 [[Category:OB/GYN]]