A 34-year-old with focal seizures is starting lamotrigine. She uses a combined oral contraceptive (COC). What interaction is important?...

Question

A 34-year-old with focal seizures is starting lamotrigine. She uses a combined oral contraceptive (COC). What interaction is important?

Accepted Answer

COC can reduce lamotrigine levels and seizure control

Answer

COC increases lamotrigine levels markedly

Answer

Lamotrigine reduces COC efficacy

Answer

No interaction

Answer

Lamotrigine contraindicated with all hormonal contraception

ukmla MCQ (SBA): Epilepsy Pharmacology