[rasheed]

This is frequently touched in USMLE CK questions.

Here's a quick list

• Smoking greater than age 35
• History of CVA or MI or multiple risk factors for coronary artery disease (older, smoker, hypertension, DM)
• Moderate or severe hypertension ( baseline BP > 160/100), should also avoid in patients who have more adequately controlled hypertension as risks usually outweigh benefits
• Diabetes with significant vascular complications
• Complicated valvular heart disease
• Thrombophilia or Thromboembolic disorder (history of DVT/PE)
• Major surgery with prolonged hospitalization
• Known or suspected pregnancy
• Undiagnosed vaginal bleeding
• Known or suspected breast cancer (or history of breast cancer)
• Markedly abnormal liver function, active viral hepatitis, malignant liver tumor
• Avoid in patients with symptomatic gall bladder disease current or treated
• Migraine with focal neurologic symptoms (flashing lights, loss of vision, weakness, slurred speech, dizziness, cranial nerve abnormalities)

 

[dryogi]

really great effort , thnx !

 

[dinosaur108]

include SLE in absolute contraindication...

 

[nakeya52]

Absolute contraindications

• < 6 wks postpartum
• smoker over the age of 35 (>15 cigarettes per day)
• hypertension (systolic > 160mmHg or diastolic > 100mmHg)
• current of past histroy of venous thromboembolism (VTE)
• ischemic heart disease
• history of cerebrovascular accident
• complicated valvular heart disease (pulmonary hypertension, atrial fibrillation, histroy of subacute bacterial endocarditis)
• migraine headache with focal neurological symptoms
• breast cancer (current)
• diabetes with retinopathy/nephropathy/neuropathy
• severe cirrhosis
• liver tumour (adenoma or hepatoma)

Relative contraindications :notsure:

• smoker over the age of 35 (< 15 cigarettes per day)
• adequately controlled hypertension
• hypertension (systolic 140 - 159mmHg or diastolic 90 - 99mmHg)
• migrain headache over the age of 35
• currently symptomatic gallbladder disease
• mild cirrhosis
• history of combined OCP-related cholestasis
• users of medications that may interfere with OCP metabolism

World Health Organization. Improving access to quality care in family planning: medical eligibility criteria for contraceptive use. 2nd ed. Geneva: WHO; 2001. Happy-2

 

[abbas.rz]

Relative CIs are really confusing