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Ulipristal counselling — GPhC CRA MCQ

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HardPatient Counselling and Pharmaceutical CareUlipristal counsellingGPhC CRA

A 47-year-old woman has a prescription for ulipristal acetate emergency contraception after unprotected sex 72 hours ago. She is breastfeeding a 6-month-old and uses a progestogen-only pill. She asks about ongoing contraception. What would you advise the patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Use barrier contraception and follow ulipristal-specific advice before restarting hormonal contraception

Ulipristal can interact pharmacodynamically with progestogens, so restarting hormonal contraception too soon may reduce emergency contraception effectiveness. Barrier contraception is needed until hormonal contraception is effective again, following current guidance. Breastfeeding advice should follow the product and local sexual health guidance.

Reference: FSRH guidance; BNF