There are currently no exact alternatives for these products. If your patient has been prescribed Brevinor, Brevinor-1, Norimin or Norimin-1, you may wish to consider an alternative combined oral contraceptive pill or methods of contraception. Table 1 below lists the combined oral contraceptive pills currently marketed in Australia.
Table 2 and Table 3 provide other goods on the Australian Register of Therapeutic Goods available for contraception. The benefits and risks of each option will need to be considered according to the individual needs and preferences of the patient, as well as their age and any co-morbidities. You can search the TGA Product Information and Consumer Medicines Information database for information to assist you with counselling patients on the suitability of the medicine for their medical and personal circumstances.
Consumers and health professionals are encouraged to report problems with medicines or vaccines. Your report will contribute to the TGA's monitoring of these products. Read more: Don't panic about the pill — it's safer than driving to work. The higher the oestrogen dose, the higher the risk of VTE, which is why pills with 50 micrograms of oestrogen Microgynon 50 and Norinyl-1 are very rarely prescribed.
Pills with newer generation progesterones potentially double the risk of venous thromboembolism. Yaz Flex — commonly prescribed for its convenient dosing dispenser Clyk and its reportedly low risk of weight gain and mood swings — contains one of these newer progesterones.
The oestrogen dose in the pill is also responsible for the very slightly increased risk of strokes and heart attacks. Women may not be able to take the pill if they have a history of heart disease, breast cancer, liver disease, VTE or migraines with aura; are over 50 or over 35 and smoke; have a BMI over 35; or have a family history of VTE. This means nine out of women becoming pregnant after a year on the pill, compared with less than one women with an IUD or arm implant.
Read more: Few Australian women use long-acting contraceptives, despite their advantages. If taken perfectly, the pill should work And if you do miss a pill, the complicated rules surrounding missed pills are difficult to remember and understand.
Decreasing the risk of unwanted pregnancy is best addressed by extending whatever regime you pick. By running the pill packs together, you reduce the risk of ovulating if a pill is accidentally missed. The unwanted side effects of the pill include breakthrough bleeding, mood changes , weight gain, sore breasts and acne. After a three month trial, if you experience any of these unwanted effects, but want to stick with the pill as a form of contraception, it might be helpful to change types or doses of hormones.
For example:. And because you can skip the sugar pills, you can pick when and how often you bleed. Most women experience irregular bleeding when starting on the pill, but this generally decreases over the first three months.
It presents equity issues. Dr Bateson said the shortage being chalked up to a "manufacturing delay" didn't provide patients or doctors with much information or reassurance that it couldn't happen again.
I think we do need some transparency from the pharmaceutical companies about these shortages. Alex from Wollongong also wants to know more about why the supply of these medications has virtually dried up. In a statement, a spokesperson for the TGA told Hack that patients affected by the shortage are "advised to see their doctor to be prescribed alternative oral contraceptive pills.
There are many brands of contraceptive pills containing an oestrogen and a progesterone. All are equally efficacious at reducing the risk of pregnancy. Hack Home Podcast Contact.
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