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Emergency contraception timing — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareEmergency contraception timingGPhC CRA

A woman requests emergency contraception 80 hours after unprotected intercourse. She takes no regular medicines and has no symptoms. She wants the most effective option. What is the most appropriate alternative?

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Correct answer: D — Copper intrauterine contraception with urgent referral if acceptable

Copper intrauterine contraception is the most effective emergency contraception and can be used beyond the window for levonorgestrel in suitable patients. Oral ulipristal may also be considered within its licensed time window, depending on circumstances and interactions. The pharmacist should provide timely referral and discuss oral options if an IUD is declined or unavailable.

Reference: FSRH guidance; BNF