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Drug interactions

Bazedoxifene / conjugated estrogens + Cefadroxil

Severity: Minor

Bazedoxifene / conjugated estrogens and Cefadroxil: minor 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

Antibiotics have been theorised to lower oral estrogen exposure by disrupting gut bacteria involved in enterohepatic recycling. For non-rifamycin antibiotics such as cefadroxil, pharmacokinetic studies have generally not shown a meaningful drop in estrogen levels. Clinical relevance is considered very low.

What this interaction means in plain words

Bazedoxifene / conjugated estrogens and Cefadroxil have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Proposed reduction of bacterial deconjugation and enterohepatic recycling of estrogens, which is not well supported for cephalosporins.

What to do

No routine change is needed; the patient may continue therapy. Advise reporting of unexpected bleeding or return of menopausal symptoms.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 / conjugated estrogens with Cefadroxil?

MediHelp rates the interaction as minor. Bazedoxifene / conjugated estrogens and Cefadroxil have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Antibiotics have been theorised to lower oral estrogen exposure by disrupting gut bacteria involved in enterohepatic recycling. For non-rifamycin antibiotics such as cefadroxil, pharmacokinetic studies have generally not shown a meaningful drop in estrogen levels. Clinical relevance is considered very low.

How serious is the interaction between Bazedoxifene / conjugated estrogens and Cefadroxil?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine change is needed; the patient may continue therapy. Advise reporting of unexpected bleeding or return of menopausal symptoms.

What other medicines interact with Cefadroxil?

MediHelp also lists interactions of Cefadroxil with, for example, Amikacin, Avelumab, Balstilimab. The full list is on the Cefadroxil page.

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