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Drug interactions

Bazedoxifene-conjugated estrogens + Ospemifene

Severity: Contraindicated

Bazedoxifene-conjugated estrogens and Ospemifene: contraindicated 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

Both are estrogen agonist/antagonist agents with estrogenic effects on the endometrium and venous thromboembolism risk. Combining them adds duplicate therapy and additive risk of thromboembolic events and endometrial effects without benefit.

What this interaction means in plain words

Bazedoxifene-conjugated estrogens and Ospemifene are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Bazedoxifene-conjugated estrogens belongs to Endocrine; Ospemifene belongs to Endocrine.

Evidence level: Moderate

Why it happens

Additive pharmacodynamic estrogen-receptor modulation with duplicated prothrombotic and endometrial effects.

What to do

Do not use together; choose one agent for menopausal symptoms.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Ospemifene?

MediHelp rates the interaction as contraindicated. Bazedoxifene-conjugated estrogens and Ospemifene are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Both are estrogen agonist/antagonist agents with estrogenic effects on the endometrium and venous thromboembolism risk. Combining them adds duplicate therapy and additive risk of thromboembolic events and endometrial effects without benefit.

How serious is the interaction between Bazedoxifene-conjugated estrogens and Ospemifene?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use together; choose one agent for menopausal symptoms.

What other medicines interact with Bazedoxifene-conjugated estrogens?

MediHelp also lists interactions of Bazedoxifene-conjugated estrogens with, for example, Anastrozole, Antithrombin alfa, Antithrombin iii. The full list is on the Bazedoxifene-conjugated estrogens page.

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