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Carbamazepine contraception — GPhC CRA MCQ

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EasyCNS TherapeuticsCarbamazepine contraceptionGPhC CRA

A woman taking carbamazepine requests emergency contraception after unprotected sex and uses a combined oral contraceptive. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Refer urgently for copper intrauterine device discussion

This scenario assesses Carbamazepine contraception in a UK pharmacy practice context. Carbamazepine is an enzyme inducer and reduces effectiveness of oral emergency and hormonal contraception. The best answer is Refer urgently for copper intrauterine device discussion because it addresses the principal clinical, legal or safety issue before routine supply. The other options are less appropriate because they either miss the key risk, delay necessary review, or would not meet expected BNF, NICE, MEP, MHRA or GPhC practice standards.

Reference: FSRH; BNF