Media
Position Statement
Lamotrigine and hormonal contraceptives
Our Helpline has received some calls from women worried about recent research which suggests that the antiepileptic medication lamotrigine can make the contraceptive pill less effective. The research also suggested the contraceptive pill can make lamotrigine less effective. However, we have consulted colleagues at fpa (formerly the Family Planning Association) and they emphasise that as this evidence came from a very small study these results are not conclusive. This means women should carry on taking their medication for epilepsy and for contraception. Epilepsy Scotland and fpa advise the following:
- If you are a woman with epilepsy you should keep taking your epilepsy medication. If you stop taking it this could increase your chance of a seizure. If you are taking oral contraception (the pill) you should keep taking your pills. If you stop the pill and have unprotected sex you will be at risk of becoming pregnant.
- If you are still worried about becoming pregnant when you don't want to, you can also use a barrier method of contraception such as condoms in addition to your pill. If you experience any breakthrough bleeding you should report this to your GP. Any concerns can be discussed with a family planning doctor, epilepsy specialist nurse or by calling fpa on 0141 576 5088.