Abstract
OBJECTIVE: in order to establish the most appropiated contraceptive methods for epileptic women, a review of the different alternatives is made. Considerations about interactions between contraceptives and antiepilepctic drugs, safety issues and contraceptive efficacy in this kind of patient are also made.
DEVELOPMENT: different alternatives on contraception in the epileptic women are reviewed, including biodisponibility, metabolism, recommended doses, drug interaction and safety topics. The influence of hormonal contraceptives on epilepsy is also taken into account. Practical recommendations about contraception in this group of patients are made.
CONCLUSIONS: contraceptive counselling for epileptic women is an important challenge for neurologists and gynecologists. A comprehensive knowledge of the several alternatives, their risks and special considerations is necessary in order to offer them a safe and reliable method.
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