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Caution should be taken when prescribing which one of the following to a woman on oral contraception?

A. Risperidone
B. Valproic acid
C. Gabapentin
D. Lithium
E. Carbamazepine

1 Answer

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Final answer:

Carbamazepine should be used with caution in women on oral contraceptives as it induces cytochrome P450 enzymes, which could decrease the effectiveness of hormonal birth control.

Step-by-step explanation:

Caution should be taken when prescribing Carbamazepine to a woman on oral contraception. Carbamazepine is known to induce the cytochrome P450 enzymes, which can increase the metabolism of steroids, including the hormones found in oral contraceptives, potentially leading to a decrease in their effectiveness and an increased risk of unintended pregnancy. Other antiepileptic drugs such as Valproic acid, Gabapentin, and even mood stabilizers like Lithium, as well as antipsychotics like Risperidone, do not have this specific enzyme-inducing effect and therefore would not typically necessitate the same level of caution with respect to oral contraceptive efficacy.

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