NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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For a patient experiencing nausea with their contraceptive method, which of the following is NOT a recommended solution?

  1. Taking the contraceptive at night

  2. Eating food before taking the contraceptive

  3. Switching to a higher estrogen dose

  4. Considering a switch to a progestin-only pill or non-hormonal method

The correct answer is: Switching to a higher estrogen dose

Switching to a higher estrogen dose is not a recommended solution for a patient experiencing nausea with their contraceptive method because increasing the estrogen dose can actually exacerbate nausea as it is a common side effect associated with estrogen-containing contraceptives. Nausea is often a result of the estrogen component of combined hormonal contraceptives, so increasing the estrogen dose would likely worsen this side effect. Therefore, among the options provided, switching to a higher estrogen dose is not a suitable solution for addressing nausea in this scenario. On the other hand, options A, B, and D are viable solutions to manage nausea with contraceptive use. Taking the contraceptive at night can help minimize the impact of nausea during the day. Having food before taking the contraceptive can also help reduce nausea by ensuring that the medication is not taken on an empty stomach. Additionally, considering a switch to a progestin-only pill or a non-hormonal method can be effective in addressing nausea, especially if the nausea is primarily due to the estrogen component of the current contraceptive.

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