results are unavailable at the time offitting an intra-
uterine device for emergency contraception, appropriate
prophylactic antibacterial cover should be given. The
woman should be advised to attendas an emergencyif she
experiences sustained pain during the next 20 days.
An intra-uterine device should not be removed in mid-
cycle unless an additional contraceptive was used for the
previous 7 days. If removal is essential post-coital
contraception should be considered.
lSIDE-EFFECTSDevice complications.epilepsy (on
insertion).haemorrhage (on insertion).hypersensitivity.
menstrual cycle irregularities.pain (on insertion—
alleviated by NSAID such as ibuprofen 30 minutes before
insertion).pelvic infection exacerbated.presyncope (on
insertion).uterine injuries
SIDE-EFFECTS, FURTHER INFORMATIONAdvise the patient
to seek medical attention promptly in case of significant
symptoms—very small risk of uterine perforation, ectopic
pregnancy and pelvic inflammatory disease.
lALLERGY AND CROSS-SENSITIVITYContra-indicated if
patient has a copper allergy.
lPREGNANCYIf an intra-uterine device fails and the woman
wishes to continue to full-term the device should be
removed in thefirst trimester if possible. Remove device; if
pregnancy occurs, increased likelihood that it may be
ectopic.
lBREAST FEEDINGNot known to be harmful.
lMONITORING REQUIREMENTSGynaecological examination
before insertion, 6 – 8 weeks after insertion, then annually.
lDIRECTIONS FOR ADMINISTRATIONThe timing and
technique offitting an intra-uterine device are critical for
its subsequent performance.The healthcare professional
inserting (or removing) the device should be fully trained in
the technique and should provide full counselling backed,
where available, by the patient information leaflet.Devices
should not befitted during the heavy days of the period;
they are bestfitted after the end of menstruation and
before the calculated time of implantation.
lPRESCRIBING AND DISPENSING INFORMATION
TT380®SLIMLINEFor uterine length 6. 5 – 9 cm;
replacement every 10 years.
LOAD® 375 For uterine length over 7 cm; replacement
every 5 years.
NOVAPLUS T 380®AG‘Mini’size for minimum uterine
length 5 cm;‘Normal’size for uterine length 6. 5 – 9 cm;
replacement every 5 years.
MULTILOAD®CU375For uterine length 6 – 9 cm;
replacement every 5 years.
GYNEFIX®Suitable for all uterine sizes; replacement every
5 years.
UT380 STANDARD®For uterine length 6. 5 – 9 cm;
replacement every 5 years.
UT380 SHORT®For uterine length 5 – 7 cm; replacement
every^5 years.
MULTI-SAFE® 375 For uterine length 6 – 9 cm; replacement
every 5 years.
ANCORA®375 CUFor uterine length over 6. 5 cm;
replacement every 5 years.
T-SAFE®380A QLFor uterine length 6. 5 – 9 cm;
replacement every 10 years.
NEO-SAFE®T380For uterine length 6. 5 – 9 cm;
replacement every 5 years.
MINI TT380®SLIMLINEFor minimum uterine length 5 cm;
replacement every 5 years.
COPPER T380 A®For uterine length 6. 5 – 9 cm;
replacement every 10 years.NOVAPLUS T 380®CU‘Mini’size for minimum uterine
length 5 cm;‘Normal’size for uterine length 6. 5 – 9 cm;
replacement every 5 years.
NOVA-T® 380 For uterine length 6. 5 – 9 cm; replacement
every 5 years.
FLEXI-T®+380For uterine length over 6 cm; replacement
every 5 years.
FLEXI-T® 300 For uterine length over 5 cm; replacement
every 5 years.lMEDICINAL FORMS
There can be variation in the licensing of different medicines
containing the same drug.
Intra-uterine contraceptive devices
▶Intra-uterine contraceptive devices(R.F. Medical Supplies Ltd, Farla
Medical Ltd, Durbin Plc, Williams Medical Supplies Ltd, Bayer Plc,
Organon Laboratories Ltd)
Copper T 380 A intra-uterine contraceptive device| 1 device £ 8. 95
Steriload intra-uterine contraceptive device| 1 device £ 9. 65
Load 375 intra-uterine contraceptive device| 1 device £ 8. 52
Novaplus T 380 Ag intra-uterine contraceptive device mini| 1 device
£ 12. 50
T-Safe 380 A QL intra-uterine contraceptive device| 1 device £ 10. 55
UT 380 Standard intra-uterine contraceptive device| 1 device £ 11. 22
Nova-T 380 intra-uterine contraceptive device| 1 device £ 15. 20
Flexi-T+ 380 intra-uterine contraceptive device| 1 device £ 10. 06
Mini TT 380 Slimline intra-uterine contraceptive device| 1 device
£ 12. 46
Flexi-T 300 intra-uterine contraceptive device| 1 device £ 9. 47
Multi-Safe 375 intra-uterine contraceptive device| 1 device £ 8. 96
Multiload Cu 375 intra-uterine contraceptive device| 1 device £ 9. 24
Optima TCu 380 A intra-uterine contraceptive device| 1 device £ 9. 65
Novaplus T 380 Ag intra-uterine contraceptive device normal|
1 device £ 12. 50
GyneFix intra-uterine contraceptive device| 1 device £ 27. 11
Novaplus T 380 Cu intra-uterine contraceptive device mini| 1 device
£ 10. 95
TT 380 Slimline intra-uterine contraceptive device| 1 device £ 12. 46
Ancora 375 Cu intra-uterine contraceptive device| 1 device £ 7. 95
Novaplus T 380 Cu intra-uterine contraceptive device normal|
1 device £ 10. 95
Neo-Safe T 380 intra-uterine contraceptive device| 1 device £ 13. 40
UT 380 Short intra-uterine contraceptive device| 1 device £ 11. 22Silicone contraceptive diaphragms
lSILICONE CONTRACEPTIVE DIAPHRAGMS
Milex arcing spring silicone diaphragm 60mm(Durbin Plc)
1 device.NHS indicative price = £ 10. 21 .Drug Tariff (Part IXa)
Milex arcing spring silicone diaphragm 65mm(Durbin Plc)
1 device.NHS indicative price = £ 10. 21 .Drug Tariff (Part IXa)
Milex arcing spring silicone diaphragm 70mm(Durbin Plc)
1 device.NHS indicative price = £ 10. 21 .Drug Tariff (Part IXa)
Milex arcing spring silicone diaphragm 75mm(Durbin Plc)
1 device.NHS indicative price = £ 10. 21 .Drug Tariff (Part IXa)
Milex arcing spring silicone diaphragm 80mm(Durbin Plc)
1 device.NHS indicative price = £ 10. 21 .Drug Tariff (Part IXa)
Milex arcing spring silicone diaphragm 85mm(Durbin Plc)
1 device.NHS indicative price = £ 10. 21 .Drug Tariff (Part IXa)
Milex arcing spring silicone diaphragm 90mm(Durbin Plc)
1 device.NHS indicative price = £ 10. 21 .Drug Tariff (Part IXa)
Milex omniflex coil spring silicone diaphragm 60mm(Durbin
Plc)
1 device.NHS indicative price = £ 10. 21 .Drug Tariff (Part IXa)
Milex omniflex coil spring silicone diaphragm 65mm(Durbin Plc)
1 device.NHS indicative price = £ 10. 21 .Drug Tariff (Part IXa)
Milex omniflex coil spring silicone diaphragm 70mm(Durbin
Plc)
1 device.NHS indicative price = £ 10. 21 .Drug Tariff (Part IXa)
Milex omniflex coil spring silicone diaphragm 75mm(Durbin Plc)
1 device.NHS indicative price = £ 10. 21 .Drug Tariff (Part IXa)
Milex omniflex coil spring silicone diaphragm 80mm(Durbin
Plc)
1 device.NHS indicative price = £ 10. 21 .Drug Tariff (Part IXa)506 Contraception BNFC 2018 – 2019
Genito-urinary system7