What are health reasons (contra-indications) that indicate a woman should not take combined pills ?


Combined pills should NOT be used by women who :

  • Are breastfeeding and have given birth within the previous 6 months.
  • Are taking barbiturates, carbamazepine, oxcarbazepine, phenytoin, primidone, topiramate, rifampicin, rifabutin. or ritonavir or ritonavir- boosted protease inhibitors. A backup contraceptive method should  also be used because these medications reduce the effectiveness of combined pill.

 Combined pills should NOT be used by women who have any of the following medical conditions :

  • Breast cancer
  • Diabetes for more than 20 years  and/or with end-organ damage
  • Migraines with auras (auras are changes in sight that occur before migrains for some women)
  • Hypertension
  • Ischemic heart disease
  • Liver disease
  • History of stroke
  • Surgery with prolonged immobilization
  • Systemic lupus erythematosus with positive (or unknown) antiphospho-lipid antibodies
  • Complicated Valvular heart disease
  • Venous thrombosis
  • Women who smoke and are more than 35 years old