nebero Posted May 18, 2012 Share Posted May 18, 2012 How many of you guys write Provera prescription for few days for DUB patients from the ED? I want to see how commonly it is done. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted May 18, 2012 Moderator Share Posted May 18, 2012 I usually write for high dose oral contraceptives, works much faster than provera... Link to comment Share on other sites More sharing options...
primadonna22274 Posted May 18, 2012 Share Posted May 18, 2012 I actually like provera 100 mg qd x 7d. Have done every other combination of OCs as well with varying success. A shot of Depo-provera works just as well if you can get it. Link to comment Share on other sites More sharing options...
YoungH89 Posted May 19, 2012 Share Posted May 19, 2012 Have never written for OC's for DUB from the ED. Usually NSAIDS and GYN f/u. If they are symptomatically anemic w/an impressive pelvic exam/low H/H, GYN will be consulted and then maybe they will Rx them...but usually not. Link to comment Share on other sites More sharing options...
nebero Posted May 19, 2012 Author Share Posted May 19, 2012 I usually write for NSAIDs too. I see that some of my attendings write and some don't. If you write, do you worry about the black box warnings? Link to comment Share on other sites More sharing options...
KMD16 Posted May 19, 2012 Share Posted May 19, 2012 GYN consult is ideal. DUB is a dx of exclusion. All other pelvic/endocrine pathology need to be r/o. Link to comment Share on other sites More sharing options...
primadonna22274 Posted May 19, 2012 Share Posted May 19, 2012 I had a very strong FM & GYN background before going into the ED so I am perhaps more comfortable with DUB management than others. Absolutely must consider malignancy and GYN consult is required, but it's nice to calm down abnormal bleeding if it takes a while to get them in. Link to comment Share on other sites More sharing options...
ajnelson Posted May 19, 2012 Share Posted May 19, 2012 I don't write it for every DUB that I see come through the ED doors. But, if I have a patient that has been bleeding for a while or bleeding heavily, I will treat it. Otherwise, I just give them OB/GYN follow up. Link to comment Share on other sites More sharing options...
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