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Drug interactions

Bazedoxifene + Rifampicin

Severity: Moderate

Bazedoxifene and Rifampicin: 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

Rifampicin may lower bazedoxifene concentrations and reduce its endometrial protective effect when combined with conjugated estrogens.

What this interaction means in plain words

Bazedoxifene and Rifampicin 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.

Bazedoxifene belongs to Endocrine; Rifampicin belongs to Anti Bacterial.

Evidence level: Moderate

Why it happens

Rifampicin induces UGT enzymes, increasing glucuronidation of bazedoxifene.

What to do

Monitor for loss of efficacy, including abnormal vaginal bleeding. Consider an alternative to rifampicin or alternative therapy.

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 Bazedoxifene with Rifampicin?

MediHelp rates the interaction as moderate. Bazedoxifene and Rifampicin 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. Rifampicin may lower bazedoxifene concentrations and reduce its endometrial protective effect when combined with conjugated estrogens.

How serious is the interaction between Bazedoxifene and Rifampicin?

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 loss of efficacy, including abnormal vaginal bleeding. Consider an alternative to rifampicin or alternative therapy.

What other medicines interact with Bazedoxifene?

MediHelp also lists interactions of Bazedoxifene with, for example, Carbamazepine, Phenobarbitone, Phenytoin. The full list is on the Bazedoxifene page.

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