A woman with well-controlled HIV on tenofovir/emtricitabine/efavirenz requests the desogestrel POP. Efavirenz is an enzyme inducer. What is the advice...

Question

A woman with well-controlled HIV on tenofovir/emtricitabine/efavirenz requests the desogestrel POP. Efavirenz is an enzyme inducer. What is the advice?

Accepted Answer

The POP's efficacy is reduced by efavirenz. She should switch to a method unaffected by enzyme inducers: Cu-IUD, LNG-IUS, or DMPA

Answer

The POP is fully effective with efavirenz

Answer

Efavirenz is not an enzyme inducer

Answer

She should take a double dose of POP

Answer

Only CHC is affected by efavirenz

uk-dfsrh MCQ (SBA): POP Reduced by Efavirenz Switch to Unaffected Method

A woman with well-controlled HIV on tenofovir/emtricitabine/efavirenz requests the desogestrel POP. Efavirenz is an enzyme inducer. What is the advice?