<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)'
sortBy
tiddler.title
ascending
write '"*[["+tiddler.title+"]]\n"'>>
<<tiddler AutoRefresh with: force>>
''levonorgestrel''
take asap (certainly by 72hrs) - 84% effective
1.5g stat
action - effects ovulation and inhibits implantation - not fully understood
well tolerate - may upset cycle
1% women vomit - if within 2hr - repeat
can be used again in same cycle
avoid in liver disease / porphyria
if taking enzyme inducing drugs then double dose
''Ulipristal''
progesterone receptor modulator - ? inhibits ovulation
30mg asap (not more than 120hrs since UPSI)
don't use with levonorgestrel
may effect use of COCP and POP
beware in severe asthmatics on oral steroids or liver disease
only use once in one cycle
avoid breast feeding for 1/52
don't use if on enzyme inducers
''IUD''
Insert within 5 days of UPSI (or up to 5 days post ovulation)
Inhibits fertilization or implantation
If high risk STI - also give Abs
99% effective
keep in till next period or for ongoing contraception
Note IUD should be offered first line
if on gastric acid Rx - reduce efficacy of oral EC
liver enzyme inducers of importance ...
antiepileptic - Carbamazepine, Eslicarbazepine, Oxcarbazepine, Phenytoin, Phenobarbital
antibiotics - Rifabutin, Rifampicin
antiretroviral
protease inhibitors - Ritonavir, Ritonavir-boosted atazanavir, darunavir, fosamprenavir, lopinavir,
non-nucleoside reverse transcriptase inhibitors - Efavirenz, Nevirapine
Herbal - St Johns Wort (3)