HomeAnswersObstetrics and GynecologypregnancyDoes Carbamazepine affect implant contraceptive?

Can I get pregnant even on implant contraceptive while taking Carbamazepine?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At May 6, 2020
Reviewed AtDecember 28, 2023

Patient's Query

Hello doctor,

I took Carbamazepine 200 mg for the first (and last) time, at the beginning of this year and stopped right after experiencing some side effects from it. A month later, I discovered that this actually interacts with contraceptive implants, which I have been on for one year. Looking back, I have had unprotected sexual intercourse a day after taking Carbamazepine. I did get a period in January. I also took pregnancy tests in February and they all came back negative. I still feel anxious, though. Is there any chance that I am actually pregnant and I have been just having some bleeding? Also, has the effect of my implant been permanently affected due to Carbamazepine or not?

Answered by Dr. Ateeqa Batool

Hi,

Welcome to icliniq.com.

Why did you take Carbamezepine? Do you have epilepsy?

Patient's Query

Thank you doctor,

No, I did not have epilepsy. I was supposed to take it as a mood stabilizer but I experienced auditory side effects that is why I stopped taking it after one dose.

Answered by Dr. Ateeqa Batool

Hi,

Welcome back to icliniq.com.

Although Implanon are very effective for contraception with failure rate of <1 per 1000, but its efficacy is affected by certain drugs. Carbamazepine is an enzyme inducer that means it affects the Implanon. But the good news is that you had periods following taking it plus pregnancy test are negative and now you are not taking it further.

Note: In the future, if you need to take this medicine, take extra precaution by using condoms as a barrier method. It will prevent accidental pregnancy.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ateeqa Batool
Dr. Ateeqa Batool

Obstetrics and Gynecology

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