A 35-year-old woman using a combined oral contraceptive containing Ethinylestradiol 30 micrograms and Levonorgestrel 150 micrograms has been started o...

Question

A 35-year-old woman using a combined oral contraceptive containing Ethinylestradiol 30 micrograms and Levonorgestrel 150 micrograms has been started on carbamazepine for epilepsy. She will be taking it long-term. What is the most appropriate contraceptive advice?

Accepted Answer

Switch to a method unaffected by enzyme inducers such as Cu-IUD, LNG-IUS, or depot medroxyprogesterone acetate

Answer

Continue the COC and add condoms

Answer

Switch to a COC containing at least 50 micrograms Ethinylestradiol and use a shortened pill-free interval

Answer

Double the dose of current COC

Answer

Stop all contraception until carbamazepine course is complete

uk-dfsrh MCQ (SBA): CHC and Enzyme-Inducing Drug Interaction

A 35-year-old woman using a combined oral contraceptive containing Ethinylestradiol 30 micrograms and Levonorgestrel 150 micrograms has been started on carbamazepine for epilepsy. She will be taking it long-term. What is the most appropriate contraceptive advice?