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Emergency contraception supply — GPhC CRA MCQ

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HardPharmacy LawEmergency contraception supplyGPhC CRA

A woman requests ulipristal acetate emergency contraception 4 days after unprotected intercourse. She uses a combined oral contraceptive and missed two tablets in week 1. She has no contraindications and is not breastfeeding. What would you advise the patient?

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

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Correct answer: A — Use condoms and delay restarting hormonal contraception for 5 days after ulipristal

Ulipristal can interact pharmacodynamically with progestogens, so hormonal contraception should be delayed for 5 days after taking it. Barrier contraception is then needed until the restarted method becomes effective. Taking levonorgestrel as well is not routine and may reduce ulipristal effectiveness. A pregnancy test is advised if the next period is delayed or abnormal.

Reference: BNF; FSRH guidance