Training and supporting pharmacists to supply progestogen-only emergency contraception

Bacon, Lesley; Savage, Imogen; Cook, Sue; Taylor, Beth

doi:10.1783/147118903101197476

Cited by 17 publications

(18 citation statements)

References 4 publications

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“…Family planning doctors have also played a central role in initiating and supporting the provision of emergency contraception by pharmacists. 3 The White Paper therefore specifically supports the traditional philosophy of community family planning services, which is outward looking, inclusive and groundbreaking. Refreshingly, there is a call not simply for primary care to do more in the field of sexual health, but for commissioning enhanced services in the new Primary Care Medical Contract and for primary care practitioners with special interests to work alongside contraceptive and sexual health experts in true partnership.…”

Section: Specific Sexual Health Issuesmentioning

confidence: 99%

The White Paper: 'Choosing Health'

Bigrigg¹

2005

j fam plann reprod health care

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Section: Specific Sexual Health Issuesmentioning

confidence: 99%

The White Paper: 'Choosing Health'

Bigrigg¹

2005

j fam plann reprod health care

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“…Because prompt access to EC is critical for prevention of unwanted pregnancies, levonorgestrel-containing minipills could be considered as an alternative to the standard treatment because of their availability. Therefore, pharmacists could be trained so they would be able to counsel patients about the use of levonorgestrel pills (30 mg) for EC in countries where access to standard EC treatment is limited (7). Finally, the preliminary data presented herein offer the opportunity for further investigations of EC treatments.…”

Section: Pharmacokinetics Analysismentioning

confidence: 99%

Pharmacokinetics of a single oral dose of 1.5-mg levonorgestrel when administered as 750-μg tablets or as 30-μg minipills

Devoto

Espinoza

Muñoz

et al. 2007

Fertility and Sterility

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“…The primary concern expressed by all pharmacists at all time points was how clients might 'misuse' or 'abuse' the service, and this remained a concern despite the fact that it also applied to other routes of supply of EC (Bacon et al 2003).…”

Section: Trainingmentioning

confidence: 99%

Emergency contraception: a contraceptive intervention approaching target despite controversy and opposition

Sarkar

2006

J Public Health

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The objective of this study is to make the public aware of progress, safety, effectiveness of use, acceptance, and over-the-counter availability of emergency contraception (EC). Data were extracted from the literature for the period 2000-2006 via MEDLINE using a keyword, and also from some pre-2000 journals. Randomised trials, reviews, surveys, clinical investigations, and articles relevant to the subject matter are considered in this review. Approximately 85%, 57% and 84% of unintended pregnancy could be prevented by using levonorgestrel, the Yuzpe regimen (levonorgestrel plus ethinylestradiol), and mifepristone, respectively, as EC. Levonorgestrel was more effective than the Yuzpe regimen in preventing pregnancy. A dose of 1.5 mg levonorgestrel seemed to have similar effectiveness as that of split doses (0.75 mg twice) at 12 h apart, and that of a low-dose (10 mg) of mifepristone. Nausea and vomiting, dizzy spells and fatigue were less frequent in women using levonorgestrel only than in those receiving the Yuzpe regimen. The mode of action of EC is associated primarily with inhibition of ovulation. EC acts before implantation and hence does not amount to abortion. Teenagers are more likely to be repeat users of EC. Easy access to EC over the counter is likely to increase its use but will widen the chance of misuse or abuse. Both adolescents and health care providers need to be adequately educated and informed about EC to make this method successful. Over the counter supply of EC without prescription but with pharmacists' counselling may increase reduction of unintended pregnancy and abortion. The controversy surrounding, and opposition to, EC may subside with more awareness and knowledge among the public about its mode of action, safety and effectiveness. Educational programmes on EC and further studies on the psychosocial aspects of its use may resolve hurdles for implementation of 'advance provision' or 'over the counter supply' of EC in the community.

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Training and supporting pharmacists to supply progestogen-only emergency contraception

Cited by 17 publications

References 4 publications

The White Paper: 'Choosing Health'

The White Paper: 'Choosing Health'

Pharmacokinetics of a single oral dose of 1.5-mg levonorgestrel when administered as 750-μg tablets or as 30-μg minipills

Emergency contraception: a contraceptive intervention approaching target despite controversy and opposition

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