Tuesday 17 April 2012

contraindications of cocp


Contra-indications see notes above; 
also pregnancy

personal history of venous or arterial
thrombosis, severe or multiple risk factors for arterial
disease or for venous thromboembolism (see above),

heart disease associated with pulmonary hypertension
or risk of embolus;

sclerosing treatment for
varicose veins;

migraine (but see above);

transient
cerebral ischaemic attacks without headaches;

liver
disease including disorders of hepatic excretion (e.g.
Dubin-Johnson or Rotor syndromes),

infective
hepatitis (until liver function returns to normal);

systemic
lupus erythematosus;

acute porphyria (section
9.8.2);

liver tumour;

gallstones;

active trophoblastic
disease (until return to normal of urine and plasma
gonadotrophin concentration);

history of haemolytic
uraemic syndrome or history during pregnancy of
pruritus, cholestatic jaundice, chorea, pemphigoid
gestationis;

history of breast cancer but can be used
after 5 years if no evidence of disease and nonhormonal
methods unacceptable;

undiagnosed vaginal
bleeding;

breast-feeding (until weaning or for 6
months after birth—Appendix 5)

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