Contraceptives vaccine

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Research on an hCG vaccine has been conducted over the past 15 years. WHO has conducted a phase I clinical study in AustraUa, using a vaccine based on a synthetic C-terminal peptide (109—141) of P-hCG conjugated to Diptheria Toxoid (CTP-DT), that showed potentially effective contraceptive levels of antibodies were produced in vaccinated women without any adverse side effects. Phase II clinical studies are under consideration to determine if the immune response, raised to its prototype anti-hCG vaccine, is capable of preventing pregnancy in fertile women volunteers (115). While research on the C-terminal peptide from the P-subunit of hCG has been carried out under the auspices of WHO, research supported by the Population Council and the National Institutes of Health has involved two alternative vaccine candidates (109,116,118). 

Several other antigens with good immunocontraceptive potential have been identified and investigated in laboratory animals. In most studies, the rate and duration of the immunocontraceptive effect are less than acceptable. A potential problem in immunological approaches to antifertUity research is the need for a safe, effective adjuvant and suitable animal models for evaluating the efficacy and safety of methods (111). Newer and more effective adjuvants are required for contraceptive vaccines and vaccines in general. 

Lack of efficacy in critical situations may also be reported, such as failure of antibiotics to treat life-threatening infections, or vaccine or contraceptive failures. 

A human contraceptive vaccine based on lactide polymers is currently being developed. The antigen is a 37-amino-acid peptide of B-HCG conjugated to diphtheria toxoid. The antigen is administered wtih microencapsulated muramyl dipeptide as an adjuvant. Studies in rabbits have shown 9-12 months of elevated antibody liter following... 

FIGURE 12 Scanning electron micrograph of contraceptive vaccine microspheres based on lactide/glycolide polymer. 

Medical - artificial joints, blood bags , anaesthetics, disinfectants, anti-cancer dmgs, vaccines, dental fillings, contact lenses, contraceptives. 

Agents that may increase theophylline levels include allopurinol, beta blockers (nonselective), calcium channel blockers, cimetidine, oral contraceptives, corticosteroids, disulfiram, ephedrine, influenza virus vaccine, interferon, macrolides, mexiletine, quinolones, thiabendazole, thyroid hormones, carbamazepine, isoniazid, and loop diuretics. 

Drugs that may be affected by mycophenolate include acyclovir, ganciclovir, live attenuated vaccines, oral contraceptives, phenytoin, and theophylline. 

Theophylline Cimetidine, erythromycin, influenza vaccine, oral contraceptives Potentiation. 

Alexander, N.J., D.L. Fulgham, and E. Goldberg, E. 1992. Contraceptive vaccine development Secretory immune response in mice and monkeys. Vaccine Res 1 331. 

Prevention (prophylaxis). In primary prevention, the person does not have the condition and is to be prevented from getting it. in malaria, vaccinations and contraception the decision to treat healthy people is generally easy. 

Medroxyprogesterone acetate and its metabolites are excreted in breast milk, so women who breastfeed should wait until 6 weeks post partum before starting Depo-Provera, when the infant s enzyme system should be more mature. Norethisterone enantate 200 mg (Noristerat) is shorter acting than Depo-Provera, 8 weeks, and is used to provide contraception after administration of the rubella vaccine, and until a partner s vasectomy has taken effect. It can also be used in the longer-term but only on a named patient basis. 

Aryl mercurials that have been used medicinally include phenylmercuric acetate, phenylmercuric nitrate, nitromersol, thiomersal, merbromin (mercurochrome), and mercurobutol. These compounds are variously used as preservatives in drugs, including vaccines, for skin disinfestation, the treatment of infections of the skin and mucosa, and in contraceptive jellies and hemorrhoidal remedies they have also been used in some cosmetics. The aryl mercurials are better absorbed across the mucous membranes than most inorganic mercury salts. 

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