A patient with severe psoriasis will begin taking acitretin (Soriatane). The nurse obtains a health history and learns that the patient takes a combination oral contraceptive. What will the nurse do?
a. Counsel the patient to use another form of birth control along with the OCP.
b. Tell the patient she may stop using contraception when the medication is withdrawn.
c. Tell the patient that acitretin is safe to take during pregnancy.
d. Tell the patient to report spotting to the provider so that another form of contraceptive may be ordered.
ANS: A
Acitretin is contraindicated during pregnancy and can reduce the effectiveness of progestin-only oral contraceptives. Patients should be counseled to use two reliable forms of birth control when taking this drug. Patients must continue using birth control for at least 3 months after treatment has stopped. Acitretin is teratogenic. Patients may experience spotting with progestin-only contraceptives, which this woman is not taking.
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