Sign Up Now
Get instant access to over 1 million+ study documents
OR
Already registered? click here to login
By creating your account, you agree to our terms of service, privacy policy and student honor code.
This last disadvantage does seem to decrease with longer use but can be as long as 20 full days of spotting mid cycle with the first cycle. (Paulo Alto Medical Foundation Website "Seasonale" 2003)
Cost of Seasonale, brand medication runs between 160 and 180 dollars per 91 day packet, which works out to be about twice as expensive as typical COCs that are formulated on a 28 day cycle, though one must remember that you are also getting 14 additional therapeutic doses per 91 day cycle. Generic Seasonale has also recently been released on the market the most commonly used brand being Quasense, which costs between 120-130 per cycle, more comparable to 28 day cycle pills but still slightly higher in price. (Online Price Comparison)
Patient teaching about Seasonale must include all the general warnings about any COCs, including common side effects, missed pill complication, rare serious side effects, increased with smoking and the fact that OCs do not protect against STIs as well as detailed descriptions of the cycle difference and bleeding irregularities and what to do if a pill(s) is missed, if one or two is missed and the patient doubles the dosage for one or two days 7 days following restarting the cycle the is risk of unintended pregnancy. If three or more pills...
(DuraMed, 2003, Seasonale Insert)
Side effects of the medication are comparable to those of all COCPs and include nausea, vomiting, abdominal cramping and bleeding, spotting, amenorrhea, infertility temporarily after discontinued use, edema, breast tenderness, weight gain, rash, headache, mood changes, vaginitis, vision changes, contact lens intolerance, decreased folate levels, lupus, porphyria or chorea exacerbation, aggravation of varicose veins, allergic reactions as well as the serious warnings, such as thrombophlebitis, arterial thromboembolism, pulmonary embolism, cerebral thrombosis, hypertension, gallbladder disease, heart attack, stroke and rare liver tumors. (DuraMed, 2003, Seasonale Insert)
References
DuraMed (2003) "Seasonale Patient Insert"
Paulo Alto Medical Foundation Website (2003):Birth Control: Seasonale" at http://www.pamf.org/teen/sex/birthcontrol/seasonale.html#What%20are%20the%20advantages%20to%20women%20using%20Seasonale%C2%AE?
Online Price Comparison at http://www.pharmacywebsearch.com/search.php?aid=3457&sid=2&keyword=Seasonale
CellCept drug for the treatment of kidney complications could be a boon to lupus patients (Chang, 2005). A small study showed that the drug delivered better results than standard chemotherapy, which could cause infertility and other medical problems. A recent experiment compared the effects of CellCept and the older treatment, cyclophosphamide, in patients for 6 months. Those taking CellCept reported fewer side effects. The researchers were led by Dr. Ellen
The most common cause of death is infection due to immunosuppression, a result in turn of medications intended to manage the disease. Chances are worse for men and children than for women. After the age of 60, the disease tends to turn benign. The only marker of prognosis in lupus is the anti-ds DNA antibody test and the most sensitive is the Anti-Smith test (Wikipedia) The standard treatment for lupus
Systemic Lupus Erythematosus Case Study Systemic Lupus Erythematosus Systemic lupus erythematosus (SLE) is a chronic, life-long autoimmune disease that affects multiple tissues and organs in the body (Madhok and Wu, 2009). The primary tissues and organs affected by immune system dysfunction are the joints, kidneys, vessel walls, and skin. SLE is believed to be due to an interaction between genetic factors and environmental triggers. The disease is also more prevalent among women,
Oral Manifestations of Lupus Erythematosus Oral Manifestations of Lupus Oral Manifestations of Lupus Erythematosis Systemic lupus erythematosus (SLE), or lupus for short, is a chronic and generally progressive autoimmune disease affecting many tissues in the body (Lupus Foundation of America, 2015). The U.S. Centers for Disease Control and Prevention (CDC, 2015) discriminates between SLE and lupus affecting the skin only (discoid/cutaneous lupus erythematosis) or that caused by medications (temporary). SLE and cutaneous lupus
Anti-Smith antigen is observed in 25% of patients with SLE overall, with 10-20% whites and 30-40% blacks and Asians and Lupus erythematosus (LE) preparation is found in most patients with active SLE. Treating the active phase of the disease without allowing the treatment itself to cause long-term damage to the patient is the major challenge for doctors. As a result of this physicians are now less hesitant to use immunosuppressive
Another caution that exists for people suffering from lupus is to exercise caution before and after receiving dental treatment. Lupus patients could develop serious heart infections from the streptococci that might be released into their bloodstream during routine dental procedures, even bi-annual teeth cleanings (Blau and Schultz, 174). The infection can travel to the heart when the patient has certain other manifestations of lupus, and, if the patient has developed