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CPA+EE is contraindicated in women with severe hepatic disease as long as liver function values have not returned to normal.
Insulin-dependent diabetics without vascular disease can use CPA+EEHoweverit should be remembered that all diabetics are at an increased risk of arterial disease and this should be considered when prescribing COCs or CPA+EEDiabetics with existing vascular disease are contraindicated from using CPA+EE.
Assessment of women prior to starting oral contraceptivesand at regular intervals thereaftershould include a personal and family medical history of each womanPhysical examination should be guided by this and by the contraindications and warnings for this productThe frequency and nature of these assessments should be based upon relevant guidelines and should be adapted to the individual womanbut should include measurement of blood pressure andif judged appropriate by the clinicianbreastabdominal and pelvic examination including cervical cytology.
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