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Recommendations for contraceptive use in SLE patients on chronic medications

Recommendations for contraceptive use in SLE patients on chronic medications
Medication classes and specific medications Combined hormonal contraceptive Progesterone-only pill DMPA
Immunosuppressive
Mycophenolate
  • Not recommended
  • May decrease efficacy of combined hormonal contraceptive
  • Unknown
  • Unknown
Cyclosporine
  • Use with careful follow-up
  • May increase cyclosporine level
  • Unknown
  • Unknown
Glucocorticoid
  • Use with careful follow-up
  • May increase glucocorticoid level
  • Unknown
  • Unknown
Anticoagulant
Warfarin
  • Avoid or use with careful follow-up
  • Reduces effect of warfarin
  • Use with careful follow-up
  • Unknown
  • Use with careful follow-up
  • Unknown
Antiseizure medications
Barbiturates
  • Not recommended
  • Decreases efficacy of combined hormonal contraceptive
  • Not recommended
  • No or minimal risk
Carbamazepine
  • Not recommended
  • Decreases efficacy of combined hormonal contraceptive
  • Not recommended
  • No or minimal risk
Oxcarbazepine
  • Not recommended
  • Decreases efficacy of combined hormonal contraceptive
  • Not recommended
  • No or minimal risk
Topiramate
  • Not recommended
  • Decreases efficacy of combined hormonal contraception
  • Not recommended
  • No or minimal risk
Phenytoin
  • Not recommended
  • Increases phenytoin concentration and decreases efficacy of combined hormonal contraceptive
  • Not recommended
  • No or minimal risk
Lamotrigine
  • Not recommended
  • Decreases lamotrigine concentration
  • No or minimal risk
  • No or minimal risk
Other medications
Modafinil
  • Not recommended
  • Decreases efficacy of combined hormonal contraceptive
  • Unknown
  • Unknown
Potassium-sparing diuretics
  • Use with careful follow-up
  • Hyperkalemia risk with drospirenone-containing combined hormonal contraceptive
  • No or minimal risk
  • No or minimal risk
NOTE: Etonogestrel implant not included due to lack of data.
SLE: systemic lupus erythematosus; DMPA: depomedroxyprogesterone acetate.
Adapted from:
  1. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion. U.S. Medical Eligibility Criteria for Contraceptive Use, 2010: World Health Organization Medical Eligibility Criteria for Contraceptive Use, 5th edition. MMWR Morb Mortal Wkly Rep 2016; 65:3.
  2. Sammaritano LR. Contraception in patients with rheumatic disease. Rheum Dis Clin North Am 2017; 43:173.
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