WOMENS-HEALTH Messages for April, 1999: Re: BCP and antiboitics

Re: BCP and antiboitics - doctor didn't know

From: William D. McIntosh, MD (anonymous@obgyn.net)
Fri, 2 Apr 1999 17:28:10 -0600 (CST)

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In reply to: Ann: "BCP and antiboitics - doctor didn't know"

At Fri, 2 Apr 1999, Ann wrote: >
>I am on vacation in Colorado. I went to see a doctor yesterday because
>of a bad URI (I have asthma). He prescribed Bactrim for 10 days. I
>asked him what I should do about my BCP (Ortho Novum 1/35). He looked
>it up in the PDR and told me it wouldn't be a problem. The pharmacist
>that filled the prescription said it would be a problem.
>
>I'm not sure what to do. This is the first time I've been on
>antiboitics since starting BCP's 1 1/2 yrs ago. I started the Bactrim
>last night. I also took my last pill in my pack (I skip the placebos
>b/c of migraines). Should I start the new pack tonight, like scheduled?
>Or wait 9 more days until the antibiotics are finished? Regardless, how
>long am I not fully protected against pregnancy?
>
>I appreciate any help. I don't have my OB/GYN's number with me and I
>doubt I would get a return call out of state anyway.
>
>FYI, I posted this yesterday and it never showed up. My apologies if
>this ends up being a double post.
>
>Thank you,
>
>Ann

The concerns about antibiotic/OCP interactions have been grossly overstated in the popular mind, and you are really at very little increase of risk for pregnancy from taking the 2 together. However, you can go ahead and use your pill as you usually do, and use condoms for this cycle as well, if you want to be as safe as you possibly can be.

-- William D. McIntosh, MD Clarksville, TN

This is for educational purposes only. It is not intended to replace consultation and examination by your physician or other health care provider.

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