A 24-year-old woman attends the GP requesting the progestogen-only pill. She is currently taking lamotrigine 200 mg daily for bipolar disorder. Which ...

Question

A 24-year-old woman attends the GP requesting the progestogen-only pill. She is currently taking lamotrigine 200 mg daily for bipolar disorder. Which is the single most important consideration?

Accepted Answer

There is no clinically significant interaction between the POP and lamotrigine

Answer

The POP is contraindicated with lamotrigine

Answer

Lamotrigine levels may increase when taking the POP, increasing the risk of toxicity

Answer

Lamotrigine is an enzyme inducer and will reduce POP efficacy

Answer

She should take double the standard POP dose

uk-drcog MCQ (SBA): Lamotrigine and Contraception

A 24-year-old woman attends the GP requesting the progestogen-only pill. She is currently taking lamotrigine 200 mg daily for bipolar disorder. Which is the single most important consideration?