FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 359:2499-2500 December 4, 2008 Number 23 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear Related Article by French, J. A. PubMed Citation

To the Editor: With regard to the article on the initial management of epilepsy, by French and Pedley (July 10 issue),¹ there are about 1 million women of reproductive age who have epilepsy in the United States. Guidelines recommend highly effective contraception, since these women have a higher pregnancy-related risk than their healthy peers.² Contraceptive decision making for women with epilepsy can be complex because of the increased clearance of contraceptive steroids associated with some antiepileptic drugs.

The authors recommend higher-dose oral contraceptives (50 µg of ethinyl estradiol). There are multiple forms of hormonal contraception that may be affected by . . . [Full Text of this Article]

HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  TERMS OF USE  |  HELP  |  beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.