Research Article
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Published Online: 30 April 2008

The Effect of Drug Consultation Center Guidance on Contraceptive Use Among Women Using Isotretinoin: A Randomized, Controlled Study

Publication: Journal of Women's Health
Volume 17, Issue Number 4

ABSTRACT

Background: Women of reproductive age treated with isotretinoin are required to use two forms of contraceptives, yet adherence to the recommendations is limited. Our objective was to determine if an active intervention by a drug consultation center (DCC) will increase contraceptive use among women taking isotretinoin.
Methods: In a randomized, controlled study, women of reproductive age who called the DCC seeking advice regarding isotretinoin were randomly assigned to an intervention group (information by phone during initial interview, by mailed written form, and by text messages sent to their cellular phones) and a control group (information given once). A follow-up call was made to all women 3 months after the first interview.
Results: One hundred eight women (50 in the intervention group and 58 control) were enrolled. Most women do not adhere to the recommended contraceptive use. After 3 months, 50% of the study group and 40% of the control group were using a contraceptive (p = 0.41), and only 2 women in each group used two methods of contraception.
Conclusions: Strategies to increase adherence to contraceptive use among women treated with isotretinoin are needed.

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Published In

cover image Journal of Women's Health
Journal of Women's Health
Volume 17Issue Number 4May 2008
Pages: 579 - 584
PubMed: 18447762

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Published in print: May 2008
Published online: 30 April 2008

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Lilach Tsur
Clinical Pharmacology Unit, Drug Consultation Center, Assaf Harofeh Medical Center, Zerifin 70300, Israel.
Eran Kozer
Clinical Pharmacology Unit, Drug Consultation Center, Assaf Harofeh Medical Center, Zerifin 70300, Israel.
Matitiahu Berkovitch
Clinical Pharmacology Unit, Drug Consultation Center, Assaf Harofeh Medical Center, Zerifin 70300, Israel.

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