NSAIDs and contraceptives: critical thinking on a harmful drug interaction

As an early career doctor I prescribed diclofenac liberally. It was my go-to anti-inflammatory drug for patients in hospital. My prescribing habit wasn’t influenced by evidence but by learnt behaviour. It was the drug others prescribed. Ibuprofen was one of the other options, and during my stint in rheumatology a consultant had warned me of people taking ibuprofen “like smarties” but being unaware of the risk of renal failure. If not ibuprofen, then diclofenac, or another non-steroidal anti-inflammatory drug. Perhaps the evidence wasn’t then clear about the effects of prescribing NSAIDs to women using hormonal contraception? Perhaps I should have…
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HHS Awards $23 Million to Support Evidence-Based Teen Pregnancy Prevention Programs

"The U.S. Department of Health and Human Services (HHS), through the Office of Population Affairs (OPA), is announcing approximately $23 million in funding to foster innovation, provide new research, and expand the evidence to support and advance equity in the Teen Pregnancy Prevention (TPP) program. The TPP program is a national, competitive program that provides funding to replicate and scale evidence-based programs and develop and evaluate new and innovative approaches to prevent unintentional teen pregnancy and sexually transmitted infections (STIs) among adolescents, promote positive youth development, and advance equity in adolescent health. 'Our TPP program provides new research on innovative…
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NC pharmacists emerge as new prescribers of hormonal contraceptives

"Work is underway to bolster access to contraception at pharmacies in an effort to combat ‘contraceptive deserts’ amid the post-Roe reproductive health care environment. Reimbursement poses barrier to implementation. A 31-year-old Asian American woman hopped into an Uber on a mission — to head to a pharmacy in New Bern to get birth control. Because of her family’s cultural and religious beliefs, she was not allowed to go to doctors’ appointments alone nor to ask for contraception. But pharmacists’ new ability to prescribe hormonal contraception in North Carolina gave her the opportunity to get connected to the pregnancy prevention method…
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