Abstract:
OBJECTIVES:The aim of the study was to evaluate hormonal contraception use in women with epilepsy and to assess the risk of potential interactions between contraceptives and antiepileptic drugs (AEDs). MATERIAL AND METHODS:Data on hormonal contraception were obtained prospectively in women of childbearing age treated in the university epilepsy clinic. RESULTS:We evaluated 334 women with epilepsy (mean age 30.2 years). The majority of patients took one AED (193, 58%); the most commonly prescribed AEDs were: valproate, levetiracetam or lamotrigine. Hormonal contraception was used by 19 (5.7%) of all women of childbearing age. Only 7 patients (37%) of all those using hormonal contraception used prepa- rations that did not interact with AEDs; what is more 145 (46%) patients who did not use hormonal contraception were prescribed AEDs with high teratogenic potential (valproate or/and topiramate). CONCLUSIONS:A very small percentage of women with epilepsy of childbearing potential used hormonal contraception. More than a half of that group simultaneously took AEDs that may interact with oral contraceptives. A large proportion of women taking AEDs with high teratogenic potential were not using hormonal contraception. As interaction between OC and AEDs are common, nonhormonal, highly effective methods, such as IUDs, may be ideal for women with epilepsy. The results of the study indicate the need for closer cooperation between neurologist and gynecologist caring for women with epilepsy.
journal_name
Ginekol Poljournal_title
Ginekologia polskaauthors
Bosak M,Cyranka K,Slowik Adoi
10.5603/GP.2019.0010subject
Has Abstractpub_date
2019-01-01 00:00:00pages
61-65issue
2eissn
0017-0011issn
2543-6767pii
VM/OJS/J/62128journal_volume
90pub_type
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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