lamotrigine
lamotrigine is lowered by combined OCP
ok with progesterone only
it does not induce enzymes or affect OCP
epival
combined OCP may lower it. not clear. it’s one of the most acceptable.
Epival does not affect OCP
AED and OCP
AED that induce liver enzyes do not affect depot progesterone, nonhormonal methods, and IU levonogetril
they do affect OCP and progesterone implants
AED that induce OCP metabolism
carbamaz, oxcarbaz, phenobar, phentoin, primidone, topamax (less)
Valproate has no effect