Emergency contraception: Difference between revisions

Revision as of 03:54, 15 January 2015

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 reduction 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
  - Plan B levonorgestrel 0.75mg po q12h x2

Yuzpe Regimen

(combination OCPs)

Yuzpe ethinyl estradiol 100mcg po plus levonorgestral 0.5mg po; repeat in 12h

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
- Nausea (50%)
- Vomiting (20%)
Safety
- No teratogenic effect
Contraindications
- Pregnancy
FDA approved regimens:
- Ovral, Ogestrel - 2 pills (100 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
- 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
- Triphasil, Tri-Levlen, Trivora - 4 pills (120 ug ethiny estradiol/0.5 mg levonorgestrel) per dose

Source

Authors:

@@ Line 1: / Line 1: @@
 ==Treatment==
 ===Progestin-Only Regimen===
-# First dose within 48 hours after unprotected intercourse followed by second dose 12 hours later
+*First dose within 48 hours after unprotected intercourse followed by second dose 12 hours later
-##may take both at once
+**may take both at once
-# Relative risk reduction of pregnancy = 89% (1% with  vs 8% without)
+*Relative risk reduction of pregnancy = 89% (1% with  vs 8% without)
-# Side effects
+*Side effects
-## Nausea (23%)
+**Nausea (23%)
-## Vomiting (6%)
+**Vomiting (6%)
-#no teratogenisis
+*No teratogenisis
-# FDA approved regimens:
+*FDA approved regimens:
-## Plan B (marketed specifically for emergency contraception) - 1 pill (0.75 mg levonorgestrel) per dose
+**Plan B (marketed specifically for emergency contraception) - 1 pill (0.75 mg levonorgestrel) per dose
+***Plan B levonorgestrel 0.75mg po q12h x2
 ===Yuzpe Regimen===
 (combination OCPs)
+*Yuzpe ethinyl estradiol 100mcg po plus levonorgestral 0.5mg po; repeat in 12h
-# 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)
+*Reduces risk of pregnancy by 75% (2% with vs 8% without)
-# Side effects
+*Side effects
-## Nausea (50%)
+**Nausea (50%)
-## Vomiting (20%)
+**Vomiting (20%)
-# Safety
+*Safety
-##  No teratogenic effect
+**No teratogenic effect
-# Contraindications
+*Contraindications
-## Pregnancy
+** Pregnancy
-# FDA approved regimens:
+*FDA approved regimens:
-## Ovral, Ogestrel - 2 pills (100 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
+** Ovral, Ogestrel - 2 pills (100 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
-## Alesse, Aviane, Levlite - 5 pills (100 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
+** 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
+** Levlen, Levora, Lo/Ovral, Low-Ogestrel - 4 pills (120 ug ethiny estradiol/0.6 mg levonorgestrel) per dose
-## Triphasil, Tri-Levlen, Trivora - 4 pills (120 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
+** Triphasil, Tri-Levlen, Trivora - 4 pills (120 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
 ==Source==
-/09 PANI
 [[Category:OB/GYN]]