A woman using a contraceptive implant begins rifampicin treatment for pulmonary tuberculosis. Which advice is most appropriate?
Correct answer: B. Use a nonhormonal method or another suitable method during treatment
- A. Continue the implant without any additional method
- B. Use a nonhormonal method or another suitable method during treatment
- C. Double the implant dose to overcome the interaction
- D. Remove the implant because it causes tuberculosis treatment failure
Explanation
Rifampicin induces liver enzymes and can reduce the effectiveness of some hormonal implants. A nonhormonal method, or a suitable method not affected by enzyme induction such as depot medroxyprogesterone acetate, should be discussed during treatment.
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Family planning covers fertility awareness, lactational amenorrhoea, condoms, oral pills, injectables, implants, intrauterine devices, emergency contraception, sterilisation and postpartum options. Questions address mechanisms, effectiveness, contraindications, adverse effects, counselling and follow-up, with careful distinction between contraception, emergency contraception and treatment for infertility.
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