General contraindications to the progesterone only contraceptive pill

Criteria for Exclusion of POP:

• Consent not given.
• Individuals under 16 years of age and assessed as not competent using Fraser Guidelines.
• Individuals 16 years of age and over and assessed as lacking capacity to consent.
• Known or suspected pregnancy.
• Known hypersensitivity to the active ingredient or to any constituent of the product - see Summary of Product Characteristics
• Individuals using enzyme-inducing drugs/herbal products or within 4 weeks of stopping them.
• Acute porphyria

Cardiovascular Disease

• Current or past history of ischaemic heart disease, vascular disease, stroke or transient ischaemic first attack only if taking the method when the event occurred.

Cancers

• Current or past history of breast cancer.
• Benign liver tumour (hepatocellular adenoma).
• Malignant liver tumour (hepatocellular carcinoma).

Gastro-intestinal conditions

• Severe decompensated cirrhosis.
• Any bariatric or other surgery resulting in malabsorption.

Interacting medicines (other than enzyme inducers) –-see current British National Formulary (BNF) www.bnf.orgor individual product SPC http://www.medicines.org.uk

Reference:

• Patient Group Direction (PGD) (NHS Specialist Pharmacy Service). Supply of a progestogen only contraceptive pill (POP) . (Accessed 18th March 2021).