Q:

A 21 year old woman who is on COCP had to take azithromycin. What should be advised for her contraception?

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A 21 year old woman who is on COCP had to take azithromycin. What should be advised for her contraception?


  1. Using 7d condoms after antibiotics and avoid pill free break
  2. Using 14d condoms after antibiotics and avoid pill free break
  3. Using 7d condoms after antibiotics
  4. No extra precaution
  5. Using 14d condoms after antibiotics

All Answers

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The key is D. No extra precaution. [Before it was thought that antibiotics like azithromycin inhibits

the enzyme and reduce the efficacy of COCP. But later it was established that practically no significant

changes occur and so no need of any extra precaution].

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