-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Patient Weight/Patch efficacy From: Angela DeTie CNM (Angcnm@aol.com) Fri Jan 9 17:22:45 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: sidual dysplasia" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: sidual dysplasia" In reply to: Ana : "Re: Patient Weight/Patch efficacy" What I vaguely remember (I avoid reps like the plague) was that the failures that occurred during their trials occurred in women over 198#, therefore, they didn't recommend its' use in women at or above this weight. I don't recommend it to this population. It is a great way to gently address the weight issue though (always difficult for me). I have one woman who was willing to take the chance since she was so bad with other methods. She simply adds a vaginal spermicidal suppository. Infomed consent and all, how can I refuse! Angela DeTie APN, CNM Las Vegas, NV At Fri, 9 Jan 2004, Ana wrote: > >Sorry! I mean bioavailability. >Ana > >-- >Ana Ocaņa <aocana58@yahoo.com> wrote: >Also remember that hormonal contraception pharmacokinetics also depends on adipose tissue and skin surfaces. More adipose tissue means less biodisponibility. Less biodisponibility means more chance to breakthrough bleeding and pregnancy rates. > >Ana Ocaņa M.D. > >"Braun, R. Daniel" <rbraun@iupui.edu> wrote: >As it was explained to me, women who weighed more than 180 were excluded from the clinical trials. This means we don't know whether or not it is effective. > >Dan > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of RModugno@aol.com >Sent: Thursday, January 08, 2004 5:19 PM >To: Multiple recipients of list OB-GYN-L >Subject: Patient Weight/Patch efficacy > >I am under the impression that women over 180+lbs have higher 'breakthrough pregnancy rates" when using the birth control patch, and I am loathe to prescribe it to them. Am I correct in doing so? > >Robert Modugno MD MBA FACOG >Marietta, GA >http://www.novaobgyn.yourmd.com > Next message: Joanne Bulley, MD: "Re: sidual dysplasia" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: sidual dysplasia" In reply to: Ana : "Re: Patient Weight/Patch efficacy"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:36:34 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.