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Is the combined oral contraceptive pill (OCP) contraindicated in a woman with hypertriglyceridemia?

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Is the combined oral contraceptive pill (OCP) contraindicated in a woman with hypertriglyceridemia?

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Yes, this is considered a relative contraindication to the combined OCP because such individuals may exhibit a pronounced rise in triglycerides that has been associated with the development of pancreatitis. Routine screening for lipid abnormalities prior to all combined OCP prescriptions is not cost effective, however it may be prudent to screen if there is a family history of premature cardiovascular disease.

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