All Subjects Medicine Surgery Pathology Anatomy Pharmacology Social & Preventive Medicine Microbiology Gynaecology & Obstetrics Dental Physiology Biochemistry Pediatrics
Showing 14113 questions
Sort:
7036 Pharmacology

A 30-year-old mother of 2 children weighing 60 kg was taking combined oral contraceptive pill containing levonorgestrel 0.15 mg + ethinylestradiol 30 μg per day cyclically (3 weeks treatment— 1 week gap). She developed fever with cough and was diagnosed as a case of pulmonary tuberculosis after sputum smear examination. She was put on isoniazid (300 mg) + rifampin (600 mg) + pyrazinamide (1.5 g) + ethambutol (1.0 g) daily for 2 months, followed by isoniazid (600 mg) + rifampin (600 mg) thrice weekly. In the 3rd month, she failed to have the usual withdrawal bleeding during the gap period of contraceptive cycle. After 10 days, her urinary pregnancy test was found to be positive.What could be the reason for failure of the oral contraceptive?

ARifampicin is enzyme inducer and induced metabolism of contraceptives
BEthambutol is enzyme inducer and induce metabolism of contraceptives
CBoth
DNone
Pharmacology
View Explanation →