Anticoncepcional Hormonal e Anticonvulsivantes
Autor: Elizabete Possidente | Publicado: 2016-04-12T16:21:00-03:00

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A escolha do método contraceptivo hormonal em mulheres que usam anticonvulsivantes é de suma importância.
É relevante por dois fatores principais:
1.&nbsp;&nbsp;&nbsp; Existe interação medicamentosa entre o anticonvulsivante e o anticoncepcional hormonal.2.&nbsp;&nbsp;&nbsp; Os anticonvulsivantes são usados de uma forma contínua em mulheres com Transtorno de Humor (ou bipolares), epilepsia e enxaquecas.
Por essa razão, é muito importante ter cautela ao prescrever essa classe medicamentosa em mulheres na idade fértil. É fundamental ter o conhecimento da interação hormonal do método anticoncepcional. Existem diversas combinações progesterona e estrogênio, algumas dessas podem agravar a crise epiléptica. Outras combinações em associação ao uso de determinados anticonvulsivantes podem levar a falha do anticoncepcional oral.
O psiquiatra ou neurologista, com o ginecologista, devem discutir o melhor anticoncepcional hormonal para cada paciente, seja anticoncepcional oral combinado, anel vaginal, pílulas de uso vaginal, implante subdérmico, adesivo e dispositivo intrauterino. Podem também concluir que a melhor indicação pode ser o método não hormonal.
Essa escolha vai depender de diferentes fatores, tais como idade, história familiar de câncer, doença neurológica ou psiquiátrica, comorbidades clínicas, tabagismo ou história de trombose.Portanto, a mulher deve estar segura e amparada numa equipe multidisciplinar para melhor qualidade ao seu tratamento medicamentoso.&nbsp;