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Drug interactions

Atazanavir + Progesterone

Severity: Moderate

Atazanavir and Progesterone: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Atazanavir inhibits CYP3A4 and can increase progesterone concentrations. This may enhance progestogenic adverse effects such as sedation, mood change or bleeding changes.

What this interaction means in plain words

Atazanavir and Progesterone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Atazanavir belongs to Anti Virals; Progesterone belongs to Endocrine.

Evidence level: Moderate

Why it happens

Atazanavir inhibits CYP3A4-mediated progesterone metabolism.

What to do

Monitor for progestogenic adverse effects and adjust progesterone dose if needed. For contraception, consider a non-hormonal or alternative method per HIV guidance.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Atazanavir with Progesterone?

MediHelp rates the interaction as moderate. Atazanavir and Progesterone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Atazanavir inhibits CYP3A4 and can increase progesterone concentrations. This may enhance progestogenic adverse effects such as sedation, mood change or bleeding changes.

How serious is the interaction between Atazanavir and Progesterone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for progestogenic adverse effects and adjust progesterone dose if needed. For contraception, consider a non-hormonal or alternative method per HIV guidance.

What other medicines interact with Progesterone?

MediHelp also lists interactions of Progesterone with, for example, Apalutamide, Carbamazepine, Enzalutamide. The full list is on the Progesterone page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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