Q:

A 24 year old girl comes to the woman sexual clinic and seeks advice for contraception. She is on sodium valproate

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A 24 year old girl comes to the woman sexual clinic and seeks advice for contraception. She is on sodium valproate.


  1. She can’t use COCP
  2. She can use COCP with extra precaution
  3. She can use COCP if anticonvulsant is changed to carbamezapin.
  4. She can use COCP with estrogen 50ug and progesterone higher dose
  5. She can use COCP

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The key is E. She can use COCP. [sodium valproate has no effect on COCP].

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