Antibiotics, the pill, and pregnancy.

Mastrantonio, M; Minhas, Hersimren; Gammon, Alison

doi:10.1136/emj.16.4.268

Cited by 7 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3,6,8 In the USA, a patient filed a lawsuit against her dentist on behalf of her newborn child, alleging that she became pregnant despite taking the OCP, shortly after an antibiotic was prescribed by her dentist. The court ruled in favour of the woman and held that the dentist was responsible for child support payments.…”

Section: Discussionmentioning

confidence: 99%

“…The failure to inform patients of unintended pregnancy while taking antibiotics in conjunction with the OCP has been a topic of interest particularly for dentists but has also been investigated by doctors working in emergency medicine and general practice. 3,6,8 In the USA, a patient filed a lawsuit against her dentist on behalf of her newborn child, alleging that she became pregnant despite taking the OCP, shortly after an antibiotic was prescribed by her dentist. The court ruled in favour of the woman and held that the dentist was responsible for child support payments.…”

Section: Discussionmentioning

confidence: 99%

“…3 It has been argued that failure to advise patients of the reduced efficacy of the OCP is comparable to failing to obtain valid consent. 8 One UK study estimated the potential cost of failing to communicate and/or document this advice to a patient. 8 The cost to an NHS trust, as the result of a legal settlement, was estimated to be of the order of £100,000.…”

Section: Discussionmentioning

confidence: 99%

“…Methods to improve information have included the issuing of patient information leaflets and the posting of reminders in drug cupboards. 6,8 However, such measures do not absolve the prescriber of the need to discuss potential drug side effects and interactions with his or her patients. Some authors have recommended that oral antibiotics should not be prescribed at all to patients who are taking the OCP; 10 other authors strongly disagree and feel that antibiotics can be prescribed to patients taking the OCP as long as the patient clearly understands the increased chances of pregnancy 11 and additional precautions are taken as appropriate.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Advice given to women who are prescribed antibiotics while taking the oral contraceptive pill

Phillips¹,

Chokkalingam²,

McFerran³

2007

Clinical Risk

View full text Add to dashboard Cite

the OCP may affect the efficacy of the OCP and could result in an unintended pregnancy.A record was kept of all adult female patients of childbearing age (16-55 years) who were prescribed antibiotics during their inpatient stay and just before each patient was discharged from the ward, one of the authors (JSP) conducted a brief structured interview with the patient, asking whether they had been advised regarding risks accompanying the concurrent use of antibiotics and the OCP. If advice was given, the patient was further questioned for details of the advice and whether they were actually taking the OCP. The patient's medical notes were checked to see whether any advice given was documented.Following the first audit cycle, the induction programme for training grade doctors joining the ENT department was altered to include a brief presentation outlining the clinical and medicolegal importance of informing patients about the consequences of concurrent administration of antibiotics and the OCP. A re-audit was then undertaken for a further 6-month period.Although girls under the age of 16 years may be using the pill there are peculiar confidentiality issues. It was therefore decided that the audit should be restricted to those over the age of 16.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Advice given to women who are prescribed antibiotics while taking the oral contraceptive pill

Phillips¹,

Chokkalingam²,

McFerran³

2007

Clinical Risk

View full text Add to dashboard Cite

show abstract

“…Therefore, GPs should consider the possibility of interaction each time they choose to prescribe an antibiotic [ 21 , 30 , 31 ]. In a retrospective analysis, Mastrantonio et al, for example, showed that out of 100 female patients aged 15–39 to whom antibiotics were prescribed, the concomitant use of contraception was documented in only 3 % [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Oral contraceptives and antibiotics. A cross-sectional study about patients’ knowledge in general practice

et al. 2015

View full text Add to dashboard Cite

BackgroundThe evidence regarding oral contraceptives and its effectiveness with concomitant ingestion of antibiotics is conflicting. Until evidence becomes clearer, patients should be aware of this possible interaction. The aim of this study was to assess the knowledge and the source of information about this interaction in GP patients in Austria.MethodsWithin the framework of the APRES study, 20 Austrian GPs were purposefully selected from among a GP research network and were asked to recruit 200 patients each. The patient cohort was asked to complete a questionnaire. Subsequent analysis included descriptive statistics, statistical tests and logistic regression models.FindingsOverall, 3280 questionnaires could be used for analysis. Of these, 29.7 % (n = 974) of patients acknowledged an awareness of the interaction of antibiotics with OCPs. Women under the age of 46 years acknowledged this interaction in 52.3 % of cases. Positive associations for the belief in an existing interaction in women were identified with age (OR 2.2) and having read the package inserts (OR 1.6). Further, belief was recognized in males based on age (OR 2.5) and tertiary education (OR 2.0). The main source of information regarding antibiotics was the GP (55.9 %).ConclusionsLess than one-third of all participants and half of the women in the reproductive age acknowledged an interaction between antibiotics and OCPs. Since the GP is the main source of information, this finding depicts a large potential for knowledge transfer within the primary health care setting. A multifaceted strategy is needed at both the population and the GP level to improve awareness and to address these educational gaps.

show abstract

Beta-lactam antibiotics

2006

Meyler's Side Effects of Drugs: The International Encyclopedia of Adverse Drug Reactions and Interactions

View full text Add to dashboard Cite

Antibiotics, the pill, and pregnancy.

Abstract: The audit identified a gap in documentation and/or clinical practice in advising women of childbearing age of the risk of conceiving when using oral contraceptive pill and antibiotics. Recommendations are given as to how this may be addressed.

Cited by 7 publications

References 6 publications

Advice given to women who are prescribed antibiotics while taking the oral contraceptive pill

Advice given to women who are prescribed antibiotics while taking the oral contraceptive pill

Oral contraceptives and antibiotics. A cross-sectional study about patients’ knowledge in general practice

Beta-lactam antibiotics

Contact Info

Product

Resources

About