There are many choices available to women with epilepsy for effective birth control (also called contraceptives). Hormone-based oral contraceptives (called OCs or "the pill") are used most often to prevent pregnancy. These usually contain forms of both estrogen and progesterone, so are called "combination pills". Mar 30, 2016 · Could certain types of hormonal contraceptives cause an increase in seizures in women with epilepsy? A recent study suggests that ethinyl estradiol, .
Mar 01, 2010 · Harden CL, Leppik I. Optimizing therapy of seizures in women who use oral contraceptives. Neurology. 2006; 67 (Suppl. 4):S56–S58. •• Insightful review on the potential interactions between oral contraceptives OCs and antiepileptic drugs Cited by: 92. Mar 26, 2010 · Yes, oral contraceptives do lower the seizure threshold. I have had seizures my whole life, but not diagnosed til I was 20. I have taken phenobarb since .
This could reduce seizure control and lead to seizures happening. Research suggests that lamotrigine can lower the amount of progestogen from the combined oral contraceptive pill in the blood, but not the oestrogen. However, there is currently no conclusive evidence that lamotrigine reduces the effectiveness of . Although 70% had reported the use of some contraception methods only 53% were on reasonably effective methods of contraception. Further, 29% of them were using an enzyme-inducing anti-epileptic drug (EIAED) that may potentially decrease the efficacy of the oral contraceptives. Regrettably, there is little data available from India with regard.
Non-oral methods are discontinued more often than oral methods and progestin-only methods, more so than combined methods; The top 3 reasons for discontinuation among all methods were reliability concerns, menstrual problems and increased seizures. The reasons varied by antiepileptic drug category for hormonal but not for non-hormonal methods. epilepsy and oral contraceptive pill. When a woman or girl starts or stops taking these contraceptives, the dose of lamotrigine may need to be adjusted; A comprehensive guidance regarging oral contraception and the use of enzyme inducing drugs has been produced (2): enzyme inducing drugs that may decrease contraceptive efficacy.