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Family planning

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

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  1. Family planning Arwa al khatib Pharmacy 1, Training & drug information center 06-5510417

  2. Non hormonal methods

  3. Hormonal contraceptives Types: • Pills • Implants. • Injections. • Iucd coated.

  4. Types of cocs

  5. Mechanism of action

  6. Metabolism of hormones.

  7. characteristics

  8. 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.

  9. COCs What shall you ask about? • Prescription. • Age. • Smoking status. • Medication history.

  10. DRUGS AND THE PILL • ANTI CONVULSANTS. • ANTIBIOTICS.

  11. 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.

  12. 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.

  13. 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

  14. 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.

  15. 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

  16. 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.

  17. Missed pills

  18. 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.

  19. EASY TO REMEMBER.

  20. Non-menstrual problems

  21. Bleeding problems

  22. Contra-indications

  23. POPs What shall you ask about? • Prescription. • Age. • Medication history.

  24. Are you sure you are NOT pregnant? • Do you have breast cancer?

  25. 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.

  26. 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

  27. 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

  28. 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

  29. IUDs What a pharmacist should know? • Difference between copper & hormonal IUD. • Common S/E. • When to refer to the physician.

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