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Will TOPIRAMATE decrease effectiveness of BIRTH CONTROL MEDICINE?

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I was recently prescribed topiramate for migraines (50mg twice a day) and just found out it may decrease effectiveness of some birth control medicine. I am taking the birth control pill Portia and would like to know if I should be worried about it decreasing the effectiveness of my birth control.

Category: Family Physician-GP

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Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
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 32 Doctors Online

Expert:  Dr. Jaydeep Tripathy
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Hello
Thanks for posting your query at DoctorSpring.com
Topiramate does reduce the efficacy of low dose estrogen pills.
Portia is a low dose estrogen pill.
So you should switch over to a higher dosage of estrogen - containing birth control, or use backup methods till you are on Topiramate.
Alternatively, discuss with your doctor regarding a possible alternative medication to Topiramate.
All the best
Please feel free to discuss further.
Regards

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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