Monday, April 15, 2024

Can Antibiotics Mess With Nexplanon

When It Starts To Work

Are your antibiotics in the wrong fight? (30s)

Although the implant can be administered at any time, if it is fitted after the first 5 days of your menstrual cycle, you will be required to still use other forms of contraceptive for the subsequent 7 days. Protection is immediate if fitted during the first 5 days of your cycle, before day 21 of giving birth, andimmediately after an abortion or miscarriage.

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Combined Hormonal Contraceptives Include:

Combined hormonal contraceptives use multiple mechanisms to reduce the possibility of pregnancy. Estrogen suppresses the release of hormones from the pituitary. Progestin suppresses ovulation and thickens cervical mucus to prevent sperm from entering the upper genital tract. Progestin provides most of the contraceptive effects in hormonal contraceptive methods.

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Should I Expect Breast Or Vaginal Discharge With Nexplanon

Neither breast nor vaginal discharge were common side effects reported in clinical trials of Nexplanon. However, breast discharge was reported after the drug became available for use.

Keep in mind that breast discharge can be a symptom of breast cancer. In rare cases, hormonal birth control, such as Nexplanon, may increase the risk of breast cancer coming back in people whove had it in the past.

If you have breast discharge while using Nexplanon, talk with your doctor. Especially, tell them if you have this side effect and have had breast cancer in the past. Theyll likely check for other symptoms of breast cancer.

Youll likely wont experience vaginal discharge from Nexplanon use. But its possible to experience changes in your period. These changes may include bleeding more often or more intensely than usual.

If you notice any vaginal discharge while using Nexplanon, talk with your doctor. They can help you determine if this is due to using Nexplanon.

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Things To Keep In Mind When Youre Sick

Even if you arenât on rifampin, being ill is hard on the body and mind. If you are sick, itâs easy to lose track of time and responsibilities, and you might forget to take your pill . Use Clue to set up pill reminders, or task a family member, partner, or friend, to help remind to make sure to take your contraceptive pill daily at the same time.

Are There Any Other Precautions Or Warnings For This Medication

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.

Blood clots: As with any hormonal contraceptives, there is a risk of developing blood clots. Tell your doctor if you have a history of blood clots or are at risk of developing blood clots. Stroke symptoms, such as confusion, difficulty speaking, loss of coordination, sudden headache or vision changes may occur as a result of a clot blocking blood flow to the brain. Symptoms of blood clots in other parts of the body include: sharp pain in the chest, pain in the calf, sudden shortness of breath, or coughing up blood. If you experience any of these symptoms, contact your doctor immediately, as blood clots can be life threatening.

Blood pressure: Occasionally, high blood pressure may develop with the use of hormonal contraceptives. People with high blood pressure should discuss with their doctor how this medication may affect their medical condition, how their medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. You may need to visit your doctor more frequently to have your blood pressure checked while using this medication.

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Can You Get Pregnant Using Nexplanon

Yes, you can become pregnant using Nexplanon, but it is very rare. If you do become pregnant it is important to see your healthcare provider to make sure it is not an ectopic pregnancy, which is when the pregnancy is outside of the womb. Women on Nexplanon have a slightly higher risk of ectopic pregnancy compared to women not using birth control.

It is important to have the implant removed if you become pregnant and plan on maintaining the pregnancy. This medicine is not likely to cause birth defects if you become pregnant while using it.

Other Things That May Make Birth Control Less Effective

Additional factors that may cancel out hormonal birth control include:

  • Imperfect use of birth controlwith perfect use, birth control pills are 99% effective, but missing one or more active pillsduring your menstrual cycle makes you more likely to get pregnant. This goes for other forms of hormonal contraceptives too. For example, not getting a contraceptive shot on time or forgetting to insert a new vaginal ring can make the birth control less effective.
  • Vomiting and diarrhea, especially for more than two days, can reduce the effectiveness of oral contraceptives because the medication is not fully absorbed by the body.
  • Not storing your pills at room temperaturekeeping your medication too hot or too cold can make it less effective, so check the label for storage information.

Additionally, some options are better than others for women with higher BMIs. The emergency contraceptivePlan B is most effective for women with a BMI less than 25, and is not considered effective in women with obesity. The emergency contraceptive Ella is most effective for women with a BMI of 30 or lessits not effective in women with a BMI of 35 or more. For obese women, another form of birth control like an intrauterine device , implant, or a drosperinone-containing birth control like Slynd may be a better choice to avoid an unplanned pregnancy.

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What Are Rifamycin Antibiotics

Doctors use rifamycin antibiotics to treat bacterial infections, mainly tuberculosis. Theyâre not often used for that or any other condition, though.

Doctors sometimes call these drugs âenzyme-inducing antibiotics.â Thatâs because they raise levels of enzymes in your body, including those that can affect hormonal birth control. Itâs this process that can raise your chance of an unplanned pregnancy.

Hormonal birth control works because it enters your bloodstream and changes your hormones so that your ovaries don’t produce an egg. Your liver then breaks down, or metabolizes, the hormones in the birth control. When you take rifamycin antibiotics, your liver breaks down your hormonal birth control much faster.

That means your birth control doesn’t work as well to turn your ovaries off, French says.

The Connection Between Antibiotics And Birth Control Pills

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To date, the only antibiotic proven to impact birth control pills is rifampin. This drug is used to treat tuberculosis and other bacterial infections. If you take this medication while using birth control pills, it decreases the hormone levels in your birth control pills. This decrease in hormone levels can affect whether ovulation is prevented. In other words, your birth control becomes less effective. Rifampin also decreases hormone levels in the birth control patch and vaginal ring.

Other drugs may make birth control less effective, such as:

  • some anti-HIV protease inhibitors
  • some anti-seizure medications
  • the antifungal drug griseofulvin

Birth control pills may make other drugs less effective, such as analgesics and blood pressure medications. The effects of antidepressants, bronchodilators, and tranquilizers may be increased when you use them with birth control pills.

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Can I Have The Implant After Emergency Contraception

After taking levonorgestrel as emergency contraception the implant can be inserted immediately. You should avoid sex or use a barrier method of contraception for 7 days. In addition you should take a pregnancy test 3 weeks or so after the time you had unprotected sex.

If you took ulipristal acetate the implant should be inserted 5 days after taking the tablet. You should avoid having unprotected sex or use a barrier method of contraception until the implant is inserted and for 7 days after. You should also take a pregnancy test no sooner than 3 weeks after the last time you had unprotected sex.

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How Nexplanon Is Removed

When you are ready to have your Nexplanon implant removed, make an appointment with your doctor. They will feel for the implant in your arm to see exactly where it is. Then, they will mark the ends of the implant on your arm with a marker. After, they will numb your arm and then make a small cut near the implant. They will remove the implant with forceps .

The doctor will then apply a bandage or wound dressing to the site where they removed the implant. They will have you wear a pressure bandage for 24 hours. You will then wear a small bandage for 3 to 5 days.

If youre having another Nexplanon implant inserted, your doctor can remove the old implant and put a new one in at the same time.

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Side Effects Of Birth Control Pills And Antibiotics

There isnt much scientific research on the adverse side effects of taking antibiotics with birth control pills. In theory, similar side effects of both drugs may worsen when both types of drugs are taken together. These side effects may include:

Side effects vary depending on the person and the class of antibiotic taken. Not everyone who takes birth control pills and antibiotics experiences negative side effects.

Despite anecdotal evidence that antibiotics lessen the effectiveness of birth control pills, there may be other factors at play that lead to birth control failure. For example, you may not take your birth control pills on time or you may skip a pill or two if youre ill. You may not absorb the pill properly if youre vomiting. While it may seem that antibiotics are to blame, it may be a coincidence.

How Is The Contraceptive Implant Put In

The contraceptive implant is about the size of a matchstick and is placed under the skin of the inner side of your upper arm.

  • An injection of local anaesthetic is used to numb the skin.
  • A special device is used to place the implant under the skin. The wound is dressed and will soon heal just like any other small cut.
  • The area around the implant may be bruised and tender for a few days.
  • Once it has healed, knocking the implant will not do it, or you, any harm.
  • You do not need to have an internal vaginal examination or a genital examination to have an implant.

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How Is A Contraceptive Implant Fitted Or Removed

The Nexplanon implant is an incredibly quick and painless procedure. First, a local anesthetic will be applied to the upper arm to numb the area, then your doctor or nurse will inject the small flexible rod just under your skin.

The incision is slightly bigger than a typical injection, but there will be no need for stitches and any bleeding will subside relatively quickly.

After 3 years, it will be time to have your implant removed. This process is equally straight forward that involves a minimal incision and removal via a tweezer-like instrument.

How Long Does Nexplanon Last

Nexplanon lasts for 3 years and at the end of the 3 years your implant must be removed. If you still require contraception a new implant may be inserted at the time of removal. You can have Nexplanon removed at any time and you will return to your normal fertility.

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When To Have Nexplanon Inserted And Removed

Below is information about when Nexplanon is inserted and removed.

When to have Nexplanon inserted

Your doctor can insert Nexplanon once they have determined that you are not pregnant. However, the appropriate time to insert Nexplanon depends on several factors. These include whether you:

Nexplanon is a form of hormonal birth control. So, your doctor will likely insert your implant at a certain time during your period. This is because the levels of certain hormones in your body change during your period. And its important that Nexplanon is inserted at a certain time for it to be effective.

Specifically, your doctor will insert Nexplanon during the first 5 days of your period. If the implant is inserted after the fifth day, your doctor will recommend you use a form of nonhormonal birth control for 7 days. An example of nonhormonal birth control is a condom.

When to have Nexplanon removed

Nexplanon is effective for up to 3 years of use. You should have your Nexplanon implant replaced at least once every 3 years. Your doctor can help you keep track of when your implant needs to be removed.

If youd like to have your Nexplanon implant removed sooner than 3 years, talk with your doctor. They can safely remove the implant at any time.

Nexplanon And Other Forms Of Birth Control

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Nexplanon is a form of hormonal birth control thats implanted in your arm. Its approved to help prevent pregnancy.*

You shouldnt need to use any other forms of birth control when youre using Nexplanon unless:

  • its the first week after your doctor implants Nexplanon
  • you need to take certain medications

In these cases, talk with your doctor about the best form of birth control for you.

* For more information about Nexplanon and pregnancy, see the Nexplanon and pregnancy section above. To learn more about how Nexplanon is inserted, see the Nexplanon insertion and removal section above. For details about these medications, see the Nexplanon interactions section above.

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Q& A: Antibiotics And Birth Control

I have heard that taking antibiotics can make the birth control pill not work. I recently had a bladder infection and had to take antibiotics. Do I need to be using another method of birth control and for how long?

Answer:

This is an excellent question as there are definitely misconceptions about how other medications may affect the birth control pill. The most commonly used birth control pills are a combination of estrogen and progesterone. A birth control pill may also consist of progesterone alone, this is often referred to as a mini-pill.

The most common medications that can increase the livers activity are actually anti-seizure or anti-convulsant medications. According to the World health Organization women taking the anticonvulsants phenytoin , carbamazepine , barbiturates, primidone, topiramate or oxcarbazepine should not rely on a birth control pill for contraception. A birth control pill is not harmful to these women but its effectiveness may be decreased and the woman could experience an unplanned pregnancy. There are other effective methods of birth control for these women including depo-provera, nexplanon and intrauterine devices. Interestingly, birth control pills may actually reduce the effectiveness of the anticonvulsant lamotrigine by increasing the livers clearance of that medication. Anti-convulsants that do not seem to affect the birth control pill include gabapentin , levetriacetam , and tiagabine.

Nexplanon Post Removal Instructions

Like insertion, the removal procedure of the Nexplanon implant requires care and attention. Equally important is the care post removal. Once the implant is removed, from whichever method, it is important to not neglect the incision area are read the signs if any, the body gives post the removal procedure.

Once the implant is removed, there is no protection against pregnancy. Women are advised to use other methods of birth control like contraceptive pills or condoms if they do not want to get pregnant. One should use a back-up method for the first seven days post removal.

After the Nexplanon implant is removed, it is required that one watches for some signs of warning. There may be some numbness in the arm for a few days. As the numbness wears off, one may experience soreness for a day or two. During this period, over-the-counter pain relievers can be taken to relieve the pain. Cold packs also help in curbing swelling and pain.

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How Do I Change To The Implant From The Combined Pill

If you are taking the regular, combined hormone contraceptive pill, the implant can be inserted on the first or second pill-free day after you finish the packet. Protection is then continued without a break.

If you have the implant inserted during the remaining days of the pill-free interval you should use additional protection for the first seven days. If you have had unprotected sex during the gap, you are also advised to restart your CHC for at least seven days, taking it when you would normally have done so.

If you have the contraceptive implant inserted in the first seven days of your pill packet, you should either avoid sex, continue taking your CHC for a further seven days, or use an additional barrier method.

If you have the contraceptive implant inserted when you are more than seven days into your CHC pill packet, and have not missed any pills, you are covered immediately and do not need to finish your pill packet.

What Does The Research Say

A 2018 American Journal of Obstetrics & Gynecology review of 29 studies looked at this issue. It found no proof that any antibiotics other than the rifamycins affect how well your birth control works.

Other research and experts agree. This includes the CDC, the American College of Obstetricians and Gynecologists, and the World Health Organization.

They all say you can take non-rifamycin antibiotics without concerns about a higher risk of an unplanned pregnancy and without using a back-up birth control method. This includes antibiotics you use long-term, such as erythromycin to treat acne.

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