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Pneumonia and tuberculosis
A practice question in the style of the MCCQE MCQ exam. Choose your answer to see the explanation.
A 31-year-old woman starting rifampin for TB infection takes a combined oral contraceptive. What advice is most important?
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The answer is D: Use a non-hormonal method while on rifampin.
Rifampin is a potent liver enzyme inducer that lowers levels of hormonal contraceptives, warfarin, many antiretrovirals and other drugs. She should use a copper IUD or barrier method during treatment and for some weeks after. Orange urine and tears are expected and harmless.
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