What birth control works for me while on epilepsy meds?

Hello,

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Carbamazepine can reduce the effectiveness of estrogen-containing birth control methods, including combination pills, patches, and vaginal rings. Progestin-only pills and the implant may also be less reliable when taken with enzyme-inducing anti-seizure medications like Carbamazepine.

Here are some safer and more effective birth control options for women in your situation:

• Progestin-only injections are often effective despite the interaction, but they must be administered on a strict schedule every 10 to 12 weeks.

• Barrier methods such as diaphragms, cervical caps with spermicide, and condoms can be effective, especially with consistent and correct use.

• Permanent contraception may be considered only if you are certain that you do not wish to have children in the future.

• Changing your anti-seizure medication may be worth discussing with your neurologist about whether you can switch to a seizure medication that does not interfere with hormonal contraception. Medications such as Levetiracetam (Keppra) or Lacosamide (Vimpat) are typically not associated with hormonal interference.

If you choose to continue using any hormonal method, it is strongly recommended to use condoms as a backup form of protection to ensure maximum contraceptive effectiveness.

Let us discuss these options further and also coordinate with your neurologist to explore whether a change in medication would be appropriate for your needs.

I hope this information is helpful.

Regards.