A 29-year-old woman taking the combined oral contraceptive pill presents to the GP after being prescribed rifampicin for 4 months to treat latent tube...

Question

A 29-year-old woman taking the combined oral contraceptive pill presents to the GP after being prescribed rifampicin for 4 months to treat latent tuberculosis. She does not wish to use an IUD. Which is the single most appropriate contraceptive advice?

Accepted Answer

Switch to DMPA injection as it is not affected by enzyme inducers

Answer

Continue the COC - rifampicin does not interact with hormonal contraception

Answer

Continue the COC and use condoms during rifampicin treatment and for 28 days after stopping

Answer

Switch to the desogestrel POP and use condoms

Answer

Use condoms only during the course of rifampicin

uk-drcog MCQ (SBA): Rifampicin and Contraception

A 29-year-old woman taking the combined oral contraceptive pill presents to the GP after being prescribed rifampicin for 4 months to treat latent tuberculosis. She does not wish to use an IUD. Which is the single most appropriate contraceptive advice?