RX help from NP's please

Help...i have a question for my class that i am stumped on. A 22 yr old who has a hx of seizures and thrombosis comes into the clinic for oral contraceptives. write an RX for your answer...i thought that you weren't supposed to give BCP to those who had a hx of thrombosis? am I wrong...??or is there a safe alternative???I know you want one with low estrogen..help...

also someone who was just diagnosed with parkinson's disease(67 yo). ??thanks in advance,

First off, this isn't my area of expertise, so I am just throwing out an idea here. Perhaps this is a case where it is your job to educate a patient as to why the contraceptive she prefers isn't the best option for her.

Secondly, why would a 67 year old patient require contraception?

If estrogen is the problem both with thrombosis and with most seizure controlling medications, her only option would be a POP - progesterone only pill, which has its own limitations, and must include counseling about same time daily dosing, etc. And the previous poster was right - it might be a "counseling" type question - why do you particularly want to use the pill, why not DMPA, an IUD, condoms....

And I know you can find the answer about Parkinson's - its diagnosis is confirmed with a trial of this medication.....

Good luck.