4/16/22

  امرأه تستخدم حبوب منع الحمل يحتوي ع  Ethinylestradiol ولسبب ما اضطرت تستخدم 

 metronidazole 

هنا ضروري تاخذ وسيلة منع حمل ثانيه 

 السبب ⁉️

دواء  Ethinylestradiol يحصل له تنشيط عبر بكيتريا "Gute flora "الموجودة في الامعاء ،   بيجي  Metronidazole يقتل هذه البكتيريا  بتالي يقل امتصاص الدواء ويقل تركيزه بتالي مايعطي فعاليه بشكل كافي وممكن يحصل حمل 

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Ampicillin و Doxycycline و fluconazole

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