This information is to advise people using hormonal contraceptives who have received a drug called Sugammadex whilst under general anaesthesia.
Introduction
As part of a general anaesthetic, we commonly administer drugs to relax your muscles. Then, before you wake up, we administer drugs to reverse this effect.
You have been given a ‘reversal drug’ today called Sugammadex. This drug has a unique interaction with the hormone progesterone. This is why you have been provided with this information leaflet.
Sugammadex
Temporarily increases your likelihood of becoming pregnant after unprotected sexual intercourse in certain situations
This information briefly summarises the advice regarding common forms of contraception and the advice you should follow having received Sugammadex. This depends on which form of contraceptive you are using.
For your contraceptive:
If you are taking an oral hormonal contraceptive tablet (pill):
This includes:
- Progesterone only contraceptive, including Cerazette, Cerelle, amongst others. Taken daily without a pill-free week.
- Combined oral contraceptive, including Microgynon, Rigevidon, Levest, Yasmin, Qlaira, amongst others. Usually taken for 21 days followed a pill-free week, but sometimes continuously.
The effect of Sugammadex means that even if you took your pill this morning, it is the equivalent to one missed pill.
Advice
If you are taking a contraceptive pill, you must follow the missed pill advice in the package leaflet of your pill
If you are using another type of hormonal contraceptive:
This includes:
- Contraceptive Implant
- Hormonal Intra-Uterine System (coil), Mirena, Kyleena, Jaydess
- Depo-provera (injection)
- Vaginal ring
- Skin patch
Advice
If you are using a non-tablet hormonal contraceptive, you must use a barrier method of contraceptive (e.g. condoms) for the next seven days.
If you are using a non-hormonal contraceptive:
This includes:
• Condoms
• Cervical caps
• Diaphragm
• Contraceptive sponge
• Copper IUD
• Spermicide
Sugammadex only reduces the effectiveness of hormonal contraceptives.
Advice
If you are using a non-hormonal contraceptive, no further action is required.
Where can I get more information?
Please ask to speak with your anaesthetist with any queries regarding your anaesthetic.
For further contraceptive advice, please contact your GP or local sexual health and contraceptive services. We would advise you take this leaflet with you, as not all health professionals will be familiar with specific drugs used under anaesthetic.
Leeds Teaching Hospitals NHS Trust cannot accept responsibility for information provided by other organisations.
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