Courses
Contraception in High Risk Women
In women with medical disorders, the risks of unplanned pregnancies must be considered to decide the most effective and acceptable method.
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.
Women on medication that are
Enzyme-inducing drugs may decrease contraceptive efficacy.
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
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