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    Subjects/Medicine/Tuberculosis Treatment
    Tuberculosis Treatment
    medium
    stethoscope Medicine

    A 28-year-old woman with newly diagnosed pulmonary tuberculosis is started on standard first-line therapy (RIPE regimen). She is also on oral contraceptive pills (OCP) for contraception. After 3 weeks of anti-TB therapy, she reports breakthrough bleeding and is concerned about contraceptive failure. Which anti-TB drug is responsible for this interaction, and what is the most appropriate counselling?

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