Question

What are the precautions for clients on oral contraceptives or who have hepatic dysfunction?

Answer 1

PRECAUTIONS

ORAL CONTRACEPTIVES

combined oral contraceptive pills-

• should not take if breastfeeding, obese or aged above 35 years.
• consumption of contraceptives increases hypertension and diabetes mellites so contraindicated in those with cardiovascular diseases.
• withhold immediately if leg, chest or abdominal pain

progesterone only pills-

• contraindicated in patients with malabsorption syndrome, functional ovarian cysts, past ectopic pregnancy, and history of breast cancer.
• should avoid those with vaginal bleeding, in case of any arterial disease and hepatic disease.
• increased risk of ovarian cyst.

HEPATIC DYSFUNCTION

• vaccines can be taken if they are not immunised previously against hepatitis A and B. Also vaccines against flu once in a year, pneumonia, diphtheria and tetanus(every 10 years)and pertusses.
• avoid the use of alcohol or over the counter medications such as acetaminophen and other substance which can cause harm to the liver.
• do not take any medication without the prescription of the physician.