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Getting Allergy After Taking Ritalin And Concerta. Missing Periods. What Is Going On?

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Posted on Fri, 3 Aug 2012
Question: Hi there. I have had my mirena for 3 years. Have had my periods more or less regularly. Started taking ritalin and concerta about 3 months ago. Took Epitec for two weeks, but developed a severy allergy and stopped taking it. My periods seem to be late. Seem to be struggling with thrush/ vaginitis. Had intercourse on first day of my previous period. Had normal period after that. Three weeks later bled for one day after sex. Period seems late. What could be going on?
doctor
Answered by Dr. Sree Gouri SR (2 hours later)
hi,
Thanks for the query.

mirena can cause some side effects like menstrual irregularities that may be reason for inter menstrual bleed after intercourse,
it can also delay periods and some may experience even stoppage of periods for few months,

vaginal infection like thrush can also occur because of rare side effect of mirena,
as you had intercourse during the first day of periods when the local immunity will be less that may also be one reason for the infection.

the drugs you are taken are not directly noted as having drug interaction with mirena but ritalin which contains methylphenidate can induce liver enzymes that can affect the efficacy of mirena. and also as there is around 1% failure rate for mirena though less the possibility of pregnancy cannot be ruled out,

so you better consult gynecologist once and get physical examination to note the type of discharge if needed you can go for culture and sensitivity of the swab from discharge,
take one blood test for pregnancy, if comes negative you can take treatment for vaginal infection,
periods usually come soon, if not you can take tablets for withdrawal if problem repeats think of changing the contraceptive method.


Hope I have answered your query. I will be available to answer your follow up queries. If you are satisfied with all my answer, please rate the answer after closing the discussion.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sree Gouri SR (6 minutes later)
Thank you. If the pregnancy test was positive, could it be from the time we had sex on the first day of my period or would it be from the subsequent time after my period? Logically the asnwer is obvious that it would be from subsequent times, but one hears so many strange things.
doctor
Answered by Dr. Sree Gouri SR (4 hours later)
hi,
as I told the chances of pregnancy are less if at all happens possibly it will be because of intercourse after your period because at that time there is possibility for ovulation,
during period it is highly unlikely, but as you are on hormonal contraception that can cause menstrual irregularities so if your bleeding was post ovulatory bleeding instead of regular period bleeding then there is chance of pregnancy because of that act.

Wish you Good Health, If you are satisfied with my response please rate the answer after closing the discussion.
Take care.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Sree Gouri SR

OBGYN

Practicing since :2006

Answered : 5839 Questions

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Getting Allergy After Taking Ritalin And Concerta. Missing Periods. What Is Going On?

hi,
Thanks for the query.

mirena can cause some side effects like menstrual irregularities that may be reason for inter menstrual bleed after intercourse,
it can also delay periods and some may experience even stoppage of periods for few months,

vaginal infection like thrush can also occur because of rare side effect of mirena,
as you had intercourse during the first day of periods when the local immunity will be less that may also be one reason for the infection.

the drugs you are taken are not directly noted as having drug interaction with mirena but ritalin which contains methylphenidate can induce liver enzymes that can affect the efficacy of mirena. and also as there is around 1% failure rate for mirena though less the possibility of pregnancy cannot be ruled out,

so you better consult gynecologist once and get physical examination to note the type of discharge if needed you can go for culture and sensitivity of the swab from discharge,
take one blood test for pregnancy, if comes negative you can take treatment for vaginal infection,
periods usually come soon, if not you can take tablets for withdrawal if problem repeats think of changing the contraceptive method.


Hope I have answered your query. I will be available to answer your follow up queries. If you are satisfied with all my answer, please rate the answer after closing the discussion.
Take care.