Anti-epileptic drugs and contraception - a quick guide

Last updated 19 Apr 2011, review date due 05 Aug 2013

Some anti-epileptic drugs (AEDs) do not have any effect on any forms of contraception that contain hormones. This means the contraception can work properly, to prevent pregnancy.

Some AEDs speed up the way your body uses the hormones that are used in some types of contraception. This can make the contraception work less well, which could lead to an unplanned pregnancy

These pages are about contraception in the UK. If you are looking for information about contraception in another country, please contact your local epilepsy organisation.  

If you take clobazam, clonazepam, ethosuximide, gabapentin, lacosamide, levetiracetam, pregabalin, sodium valproate, tiagabine, vigabatrin or zonisamide, go to Table one

If you take carbamazepine, eslicarbazepine acetate, oxcarbazepine, phenobarbital, phenytoin, primidone, rufinamide or topiramate, go to Table two

If you take lamotrigine, go to Table three

Table one

If you take clobazam, clonazepam, ethosuximide, gabapentin, lacosamide, levetiracetam, pregabalin, sodium valproate, tiagabine, vigabatrin or zonisamide 

These types of contraception should work well for you:

  • Combined oral contraceptive pill (the Pill)
  • Contraceptive implants
  • Contraceptive patches
  • Morning after pill (Levonelle) (emergency contraception)
  • EllaOne pill (emergency contraception)
  • Noristerat contraceptive injections
  • Vaginal rings
  • Condoms
  • Diaphragms and caps
  • Femidoms
  • The coil
  • The Mirena coil

The following type of contraception may work for you (but follow the link for further information):

These types of contraception would not work well for you:

  • Natural birth control methods

Table two

If you take carbamazepine, eslicarbazepine acetate, oxcarbazepine, phenobarbital, phenytoin, primidone, rufinamide or topiramate

These types of contraception should work well for you:

  • Condoms
  • Diaphragms and caps
  • Femidoms
  • The coil
  • The Mirena coil

These types of contraception may work for you (but follow the links for further information):

These types of contraception would not work well for you:

  • Contraceptive implants
  • Contraceptive patches
  • EllaOne pill (emergency contraception)
  • Natural birth control methods
  • Noristerat contraceptive injections
  • Progestogen-only pill (the mini pill)
  • Vaginal rings 

Table three

If you take lamotrigine 

These types of contraception should work well for you:

  • Contraceptive implants
  • Morning after pill (Levonelle) (emergency contraception)
  • EllaOne pill (emergency contraception)
  • Noristerat contraceptive injections
  • Condoms
  • Diaphragms and caps
  • Femidoms
  • The coil
  • The Mirena coil

The following type of contraception may work for you (but follow the link for further information):

These types of contraception would not work well for you:

  • Natural birth control methods

 

 

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    We can provide references and information on the source material we use to write our epilepsy advice and information pages. Please contact our Epilepsy Helpline by email at helpline@epilepsy.org.uk.