176 - Hormonal Harmony: A Pharmacist’s Guide to Hormonal Contraceptives (Part 2)

HelixTalk - Rosalind Franklin University's College of Pharmacy Podcast

Sean P. Kane, PharmD, BCPS

Health & Fitness, Medications, Rosalindfranklin, Rfums, Pharmacy, Pharmd, Pharmacist, Medicine, Drugs

5 • 644 Ratings

🗓️ 2 January 2024

⏱️ 43 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this two part episode, we review some of the most important clinical pearls in the pharmacotherapy and practice aspects of hormonal contraceptives with a brief focus on the very first FDA approved OTC hormonal contraceptive product (Opill).

Key Concepts (Part 2)

Missed dose instructions are particularly important with progestin only pills (POPs). Patients should take POPs at the same time (within 3 hours) each day - missing a dose beyond this 3 hour window is considered a missed dose and requires barrier contraception.
There are a wide variety of hormonal contraception options for patients - each with its own unique advantages and disadvantages. Shared decision making between a healthcare provider and a patient is critical to selecting the most appropriate form of contraception!
The CDC's Medical Eligibility Criteria (MEC) is an important resource to guide prescribers with regards to selecting hormonal contraception and also in identifying the clinical significance of a variety of drug interactions with hormonal contraception.
One of the most important aspects of hormonal conctraception is adequate patient follow-up. Especially given the wide variety of hormonal contraception options, patients may need to switch their contraceptive multiple times until they find one that works best for them. Close follow-up and patient counseling are pivotal for helping a patient identify their optimal regimen.

References

CDC Selected Practice Recommendations for Contraceptive Use. 2016. https://www.cdc.gov/mmwr/volumes/65/rr/rr6504a1.htm?s_cid=rr6504a1_w#B-1-1_down
CDC Summary Chart of U.S. Medical Eligibility Criteria for Contraceptive Use. 2016. https://www.cdc.gov/reproductivehealth/contraception/mmwr/mec/summary.html

Transcript

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0:00.0	Welcome to Helix Talk, an educational podcast for healthcare students and providers covering real-life clinical pearls, professional pharmacy topics, and drug therapy discussions.
0:11.0	This podcast is provided by pharmacists and faculty members at Rosal Franklin University College of Pharmacy.
0:17.0	This podcast contains general information for educational purposes only. This is not
0:22.0	professional advice and should not be used in lieu of obtaining advice from a qualified
0:26.0	health care provider. And now on to the show. Welcome to HelixTock, Episode 176. I'm your co-host,
0:34.7	Dr. Kaine. And I'm Dr. Patel. And once again, this is a part two episode of our
0:40.7	episode 175, where we discussed hormonal harmony, a pharmacist's guide to hormonal contraceptives.
0:47.1	And we had Dr. Danielle Candelario, as well as Dr. Nick Super with us. So welcome back, both of you, and we're going to pick up right where we left off.
0:57.6	So where we left off on part one was we were kind of summarizing combined oral contraceptives,
1:02.4	and it seems kind of logical to go through a couple other dosage forms that are available
1:06.6	that are not oral, but still contain estrogen and aprogestin.
1:11.0	The next one on our list here is the vaginal ring.
1:13.7	Dr. Candelario, how is this available?
1:15.4	And what does a health care provider need to know about the vaginal ring?
1:19.2	So the vaginal ring is currently available on the market as one branded name,
1:24.9	Neuvering.
1:26.0	It's a combination of adenogestral and ethanol estradiol at 120
1:31.3	micrograms and 15 micrograms, respectively. This looks like a
1:35.3	little flexible ring. It actually fits in the palm of your
1:39.3	hand. It's kind of like a small, thin, translucent
1:43.3	ring.
1:48.7	And it's to be inserted into the vaginal canal.
	...

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