A 30-year-old woman using a COC containing 30 microgram Ethinylestradiol/Levonorgestrel takes two enzyme-inducing antiepileptic drugs. She has tried D...

Question

A 30-year-old woman using a COC containing 30 microgram Ethinylestradiol/Levonorgestrel takes two enzyme-inducing antiepileptic drugs. She has tried DMPA and IUC but found both unacceptable. She insists on using the COC. What specific COC regimen does FSRH recommend for long-term enzyme inducer use if the woman declines preferred alternatives?

Accepted Answer

A COC containing at least 50 microgram Ethinylestradiol, used in an extended or tricycling regimen with a shortened 4-day HFI, PLUS condoms

Answer

Standard 21/7 regimen with her current preparation

Answer

A COC containing 20 microgram Ethinylestradiol, standard regimen

Answer

The same preparation with condoms during the HFI only

Answer

Three pills per day of her current preparation

uk-dfsrh MCQ (SBA): COC 50mcg EE Extended Regimen Enzyme Inducers