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Family planning. Arwa al khatib Pharmacy 1, Training & drug information center 06-5510417. Non hormonal methods. Hormonal contraceptives. Types: Pills Implants. Injections. Iucd coated. Types of cocs. Mechanism of action. Metabolism of hormones. characteristics. Pharmacist role.

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family planning

Family planning

Arwa al khatib

Pharmacy 1, Training & drug information center

06-5510417

hormonal contraceptives
Hormonal contraceptives

Types:

  • Pills
  • Implants.
  • Injections.
  • Iucd coated.
pharmacist role
Pharmacist role
  • Enable the patient to feel empowered and in control of her life.
  • Refer to the physician.
  • Provide complete instruction in the use of the method.
slide9
COCs

What shall you ask about?

  • Prescription.
  • Age.
  • Smoking status.
  • Medication history.
drugs and the pill
DRUGS AND THE PILL
  • ANTI CONVULSANTS.
  • ANTIBIOTICS.
does she have or ever had
Does she have or ever had:
  • Very bad headaches.
  • Liver problems.
  • Heart disease or thrombolic disorder.
  • Cancer.
  • Diabetes.
  • Unexpected bleeding from the vagina between periods.
slide12

Explain what COC does to her body.

  • State the possible and common side effects.
  • Explain when shall she stop her pills and inform her physician immediately.
be prepared to answer her questions
Be prepared to answer her questions
  • Any concern
  • Is it safe? yes
  • What should I do if I miss a pill?
  • Will I gain weight on the pill? no
  • What if I become pregnant? Stop it immediately
  • How soon can I get pregnant after stopping the pill? After stopping the pill maximum after 6 months
management of side effects
Management of side effects.

Remember:

  • Most side effects are minor.
  • Patient should stop the pill immediately when she develops one of the following symptoms:
    • Abdominal pain.
    • Chest pain.
    • Headache.
    • Eye( blurred vision, brief loss of vision)
    • Sharp leg pain.
slide15

Does the pill cause cancer? no

  • Does it cause infertility? no
  • Does it cause birth defects? no
  • Do I need a rest period? no
  • Would it decrease my sex drive? no
  • Does it build up in my body? no
when to start
When to start?
  • Any time provider is reasonably sure the woman is not pregnant.
  • First 5 days of menstrual cycle.
  • After day 5, use backup method for 7 days.
  • Postpartum:
  • Not breast feeding: delay 3 weeks.
  • Breast feeding: delay 6 months.
slide18

Miss 3 or more active pills, or start pack 3 or more days late.

  • Take the missing pill as soon as remember.
  • Continue daily pill taking as usual +use back up method for next 7 days.
  • Count number of active pills remaining in pack.

7 or more active pills left in the pack

fewer than 7 active pills left in the pack.

  • finish active pills.
  • Take hormone-free break.
  • finish active pills.
  • Discard inactive pills.
  • start new pack immediately.
slide23
POPs

What shall you ask about?

  • Prescription.
  • Age.
  • Medication history.
slide24

Are you sure you are NOT pregnant?

  • Do you have breast cancer?
slide25

Explain what POP does to her body.

  • How shall she take it.
  • State the possible and common side effects.
  • Explain when shall she stop her pills and inform her physician immediately.
be prepared to answer her questions26
Be prepared to answer her questions
  • Any concern
  • Is it safe? yes
  • What should I do if I miss a pill?
  • Will I gain weight on the pill? no
  • What if I become pregnant? Stop it immediately
  • How soon can I get pregnant after stopping the pill? After stopping the pill
slide27

Does the pill cause cancer? no

  • Does it cause infertility? no
  • Does it cause birth defects? no
  • Do I need a rest period?no
  • Would it decrease my sex drive? no
  • Does it build up in my body? no
missed pills28
Missed pills
  • 3 or more hours, take the pill and use condoms for 48 hours
  • More than 24 hours, take 2 pills in the same day, use condoms for 2 weeks
  • 2 missed pills, take 2 pills per day for 2 days, use condoms 2 weeks
slide29
IUDs

What a pharmacist should know?

  • Difference between copper & hormonal IUD.
  • Common S/E.
  • When to refer to the physician.