Contraception in High Risk Women

The use of long acting reversible contraception (LARC) such as Cu-IUD, LNG-IUS or IMP, is highly recommended if:

• If the medical disorder increases the risk to a woman’s health from an unintended pregnancy, or
• If medication used have possible teratogenic effects.

Use DMPA, Cu-IUD or LNG-IUS during medication and for FOUR WEEKS AFTER.

Anti-epileptics:
carbamazepine, eslicarbazepine, fosphenytoin, oxcarbazepine, phenobarbital, phenytoin, primidone, rufinamide, topiramate

Anti-bacterials:
rifabutin, rifampicin

Anti-retrovirals:
ritonavir, ritonavir-boosted protease inhibitors, efavirenz, nevirapine             

Others:
St John’s wort, modafinil, bosentan, aprepitant