Contraception in WWE

Question 1

What contraception can be safely offered to women taking AEDs?

Answer 1

• Copper intrauterine devices (IUDs)
• The levonorgestrel-releasing intrauterine system (LNG-IUS)
• Medroxyprogesterone acetate injections
• Women taking enzyme-inducing AEDs (carbamazepine, phenytoin, phenobarbital, primidone,
  oxcarbazepine, topiramate and eslicarbazepine) risk of failure with some hormonal contraceptives.
• All methods of contraception may be offered to women taking non-enzyme-inducing AEDs (e.g. sodium
  valproate, levetiracetam, gabapentin, vigabatrin, tiagabine and pregabalin).
• Women taking lamotrigine monotherapy and oestrogen-containing contraceptives should be informed of the potential increase in seizures due to a fall in the levels of lamotrigine ( even if it is NOT an enzyme inducer)