Ciriello Domenique, Cieri-Hutcherson Nicole
Kaleida Health/Buffalo General Medical Center, Buffalo, NY 14203, USA.
School of Pharmacy and Pharmaceutical Sciences, University at Buffalo, Buffalo, NY 14260, USA.
Pharmacy (Basel). 2020 May 9;8(2):82. doi: 10.3390/pharmacy8020082.
The choice of contraceptive method should be based on patient specific factors, patient preference, and method-specific properties. In this article, we review opportunities for an inpatient clinical pharmacist to assist in the selection and counseling of contraceptives in hospitalized patients. An inpatient pharmacist has the opportunity to discuss various contraceptive methods with the patient, ensuring an appropriate method is used after discharge, which is especially important after the occurrence of a contraception-related adverse effect or contraindication to certain contraceptive methods. Barriers, such as formulary restrictions, can limit inpatient initiation of contraceptive therapy while hospitalized, but pharmacists can provide education on appropriate alternatives. Inpatient clinical pharmacists can also make recommendations for contraceptive methods in special populations. It is crucial to select an appropriate therapy in patients with an underlying medical condition, such as those with active or history of breast cancer, psychiatric disorder, or thrombophilia, as inappropriate therapy can cause an increased risk of harm. Pharmacists can assist in contraceptive counseling, evaluating for drug-drug and drug-disease interactions, and recommending the most appropriate therapy in special populations. An inpatient pharmacist has the opportunity to interact with the medical team and assist in navigation of teratogenic medication use and Risk Evaluation and Mitigation Strategies.
避孕方法的选择应基于患者的具体因素、患者偏好以及方法的特定属性。在本文中，我们回顾了住院临床药师在协助住院患者选择和咨询避孕方法方面的机会。住院药师有机会与患者讨论各种避孕方法，确保出院后使用合适的方法，这在发生与避孕相关的不良反应或对某些避孕方法有禁忌证后尤为重要。诸如处方集限制等障碍可能会限制住院期间避孕治疗的起始，但药师可以提供关于合适替代方法的教育。住院临床药师还可以针对特殊人群的避孕方法提出建议。在患有基础疾病的患者中选择合适的治疗方法至关重要，例如那些患有乳腺癌、精神疾病或血栓形成倾向的患者，因为不适当的治疗可能会增加伤害风险。药师可以协助进行避孕咨询，评估药物相互作用和药物与疾病的相互作用，并为特殊人群推荐最合适的治疗方法。住院药师有机会与医疗团队互动，并协助处理致畸药物的使用以及风险评估和缓解策略。
