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Are all combined hormonal contraceptives at risk for reduced effectiveness if a patient is being treated for hepatitis?

April 26, 2017combined contraceptives hepatitis hormonal patient reduced risk treated

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Are all combined hormonal contraceptives at risk for reduced effectiveness if a patient is being treated for hepatitis?

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I had a patient today looking for hormonal contraception. She is currently being treated for latent tuberculosis with Rifampin and INH for 9 months. She and her partner are using condoms sporadically and wanted something more reliable. Are all hormonal contraceptives at risk for reduced effectiveness if a woman is using Rifampin? I have recommended better condom use, a ParaGard or a diaphragm, but was wondering if Mirena would also be acceptable in her case. I’d love more information on contraception for women using Rifampin. Thanks so much for your guidance on this topic.