A 19-year-old student taking lamotrigine for epilepsy starts a combined oral contraceptive. She later reports increased seizure frequency during

Question

A 19-year-old student taking lamotrigine for epilepsy starts a combined oral contraceptive. She later reports increased seizure frequency during active pills and dizziness during the pill-free interval. What is the most appropriate action?

Accepted Answer

Refer for specialist review of lamotrigine and contraception

Answer

Use emergency contraception every month

Answer

Increase oestrogen content at the pharmacy

Answer

Stop lamotrigine during the pill-free interval

Answer

Advise taking lamotrigine with grapefruit juice

Lamotrigine and combined contraception — GPhC CRA MCQ

A 19-year-old student taking lamotrigine for epilepsy starts a combined oral contraceptive. She later reports increased seizure frequency during active pills and dizziness during the pill-free interval. What is the most appropriate action?