post coital contraception (Plan B, morning after)

From Aaushi
Jump to navigation Jump to search
[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]

Introduction

oral contraceptives taken within 72-120 hours (5 days) of unprotected intercourse (coitus).

Indications

* doxycycline (single dose) may prevent gonorrhea, Chlamydia & syphilis[25]

Contraindications

  • may not be effective in women > 165-175 pounds[19]

Dosage

in each of 2 doses* separated by 12 hours.

* Ref 2 indicates both tablets may be taken in 1 dose

89% effective within 3 days; still useful up to 5 days[2]

Considered safe[3]

OTC soon, cost $30 or more[6]

Some pharmacists may be reluctant to dispense[4]

Generic Plan B FDA approved June 2009

Copper IUD are effective as emergency contraception[12]

  • may be inserted up to 5 days after unprotected sex[19]

levonorgestrel IUD non-inferior to copper IUD[22]

Monitor

Adverse effects

Mechanism of action

Complications

Notes

More general terms

Additional terms

Components

References

  1. ↑ 1.0 1.1 Medical Knowledge Self Assessment Program (MKSAP) 11, 17. American College of Physicians, Philadelphia 1998, 2015
  2. ↑ 2.0 2.1 Prescriber's Letter 10(6):34 2003
  3. ↑ 3.0 3.1 Prescriber's Letter 11(1):5 2004 Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=200107&pb=PRL (subscription needed) http://www.prescribersletter.com
  4. ↑ 4.0 4.1 Prescriber's Letter 12(5): 2005 Pharmacist Conscience Clause Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=210514&pb=PRL (subscription needed) http://www.prescribersletter.com
  5. ↑ 5.0 5.1 Raymound EG et al, Bleeding pattenrms after use of levonorgestrel emergency contraceptive pills. Contraception 2006; 73:376 PMID: https://www.ncbi.nlm.nih.gov/pubmed/16531171
  6. ↑ 6.0 6.1 Prescriber's Letter 13(10): 2006 Plan B and OTC Status Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=221021&pb=PRL (subscription needed) http://www.prescribersletter.com
  7. ↑ 7.0 7.1 Zhang L et al Pregnancy outcome after levonorgestrel-only emergency contraception failure: A prospective cohort study. Hum Reprod 2009 Mar 31; [e-pub ahead of print] <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/19336440 <Internet> http://dx.doi.org/10.1093/humrep/dep076
  8. ↑ FDA NEWS RELEASE, June 24, 2009 FDA Approves Generic Prescription-Only Version of Plan B Emergency Contraceptive for Women Ages 17 and Under http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm168870.htm
  9. ↑ 9.0 9.1 Plan B One-Step - Highlights of Prescribing Information Duramed Pharmaceuticals, Inc. http://www.accessdata.fda.gov/drugsatfda_docs/label/2009/021998lbl.pdf Plan B One-Step - New FDA-Approved One-Pill Emergency Contraceptive - Teva Pharmaceuticals http://planbonestep.com/pdfs/PlanBOneRelease_FINAL.pdf
    ACOG Statement on Single-Dose EC Reformulation American College of Obsetricians and Gynecologists http://www.acog.org/from_home/publications/press_releases/nr07-15-09.cfm
  10. ↑ 10.0 10.1 Prescriber's Letter 18(6): 2011 COMMENTARY: Routine Use of Emergency Contraception... Is It Safe? GUIDELINES: American College of Obstetricians and Gynecologists (ACOG). Emergency Contraception (2010) Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=270612&pb=PRL (subscription needed) http://www.prescribersletter.com
  11. ↑ Federal court order from March 2009 http://www.nyed.uscourts.gov/pub/rulings/cv/2005/05cv366mofinal.pdf
  12. ↑ 12.0 12.1 Cleland K et al The efficacy of intrauterine devices for emergency contraception: a systematic review of 35 years of experience Hum. Reprod. (2012) May 8 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/22570193 <Internet> http://humrep.oxfordjournals.org/content/early/2012/05/02/humrep.des140.abstract?sid=4d51eb8d-0941-4dca-b81c-45042be909d1
  13. ↑ 13.0 13.1 13.2 Physician's First Watch, June 6, 2012 Massachusetts Medical Society
    Belluck P Abortion Qualms on Morning-After Pill May Be Unfounded New York Times http://www.nytimes.com/2012/06/06/health/research/morning-after-pills-dont-block-implantation-science-suggests.html?_r=1
    Marions L et al. Effect of emergency contraception with levonorgestrel or mifepristone on ovarian function. Contraception 2004 May; 69:373-7. PMID: https://www.ncbi.nlm.nih.gov/pubmed/15105059
  14. ↑ 14.0 14.1 American Academy of Pediatrics Emergency Contraception: Committee on Adolescence Policy Statement: Emergency Contraception Pediatrics. November 26, 2012 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/23184108 <Internet> http://pediatrics.aappublications.org/content/early/2012/11/21/peds.2012-2962.full.pdf+html
  15. ↑ 15.0 15.1 Daniels K et al Use of Emergency Contraception Among Women Aged 15-44: United States, 2006-2010 NCHS Data Brief. No 112. Feb 2013 http://www.cdc.gov/nchs/data/databriefs/db112.pdf
  16. ↑ 16.0 16.1 FDA News Release: April 30, 2013 FDA approves Plan B One-Step emergency contraceptive without a prescription for women 15 years of age and older. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm350230.htm
  17. ↑ 17.0 17.1 Reuters. Nov 26, 2013 U.S. FDA reviewing if weight limits effect of 'morning after' pill http://in.reuters.com/article/2013/11/26/us-fda-morningafter-idINBRE9AP02B20131126
  18. ↑ Langston A Emergency contraception: update and review. Semin Reprod Med. 2010 Mar;28(2):95-102 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20352558
  19. ↑ 19.0 19.1 19.2 Prescriber's Letter 21(1): 2014 Emergency Contraception: Is It Effective in Heavier Women? Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=300108&pb=PRL (subscription needed) http://www.prescribersletter.com
  20. ↑ Raymond EG and Cleland K Emergency Contraception. N Engl J Med 2015; 372:1342-1348. April 2, 2015 PMID: https://www.ncbi.nlm.nih.gov/pubmed/25830424
    Cleland K, Raymond EG, Westley E, Trussell J. Emergency contraception review: evidence-based recommendations for clinicians. Clin Obstet Gynecol. 2014 Dec;57(4):741-50 PMID: https://www.ncbi.nlm.nih.gov/pubmed/25254919
  21. ↑ 21.0 21.1 Bellows BK, Tak CR, Sanders JN, Turok DK, Schwarz EB. Cost-effectiveness of emergency contraception options over 1 year. Am J Obstet Gynecol 2018 May; 218:508.e1 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29409847
  22. ↑ 22.0 22.1 Turok DK, Gero A, Simmons RG et al Levonorgestrel vs. Copper Intrauterine Devices for Emergency Contraception. N Engl J Med 2021; 384:335-344. Jan 28. PMID: https://www.ncbi.nlm.nih.gov/pubmed/33503342 https://www.nejm.org/doi/full/10.1056/NEJMoa2022141
  23. ↑ 23.0 23.1 Woodhams EJ, Gilliam M. Contraception. Ann Intern Med. 2019;170:ITC18-ITC32. PMID: https://www.ncbi.nlm.nih.gov/pubmed/30716758
  24. ↑ 24.0 24.1 Li RHW et al. Oral emergency contraception with levonorgestrel plus piroxicam: A randomised double-blind placebo-controlled trial. Lancet 2023 Sep; 402:851 PMID: https://www.ncbi.nlm.nih.gov/pubmed/37597523 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)01240-0/fulltext
  25. ↑ 25.0 25.1 25.2 Branswell H CDC proposes new antibiotics policy aimed at reducing STIs. STAT Health. Oct 2, 2023 https://www.statnews.com/2023/10/02/cdc-proposes-new-antibiotics-policy-aimed-at-reducing-stis/
Retrieved from "https://aaushi.info/w/index.php?title=A10425&oldid=1171530"