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Drug interactions

Bendamustine + Ethinyl estradiol-drospirenone

Severity: Minor

Bendamustine and Ethinyl estradiol-drospirenone: 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

Bendamustine is partly cleared via CYP1A2, and ethinyl estradiol is a weak CYP1A2 inhibitor. Exposure to bendamustine could rise slightly, but the active metabolites are minor and clinical impact is probably small.

What this interaction means in plain words

Bendamustine and Ethinyl estradiol-drospirenone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Bendamustine belongs to Oncology; Ethinyl estradiol-drospirenone belongs to Endocrine.

Evidence level: Low

Why it happens

Weak CYP1A2 inhibition by ethinyl estradiol may reduce bendamustine metabolism.

What to do

No dose adjustment is needed; monitor for bendamustine myelosuppression per routine practice.

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 Bendamustine with Ethinyl estradiol-drospirenone?

MediHelp rates the interaction as minor. Bendamustine and Ethinyl estradiol-drospirenone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Bendamustine is partly cleared via CYP1A2, and ethinyl estradiol is a weak CYP1A2 inhibitor. Exposure to bendamustine could rise slightly, but the active metabolites are minor and clinical impact is probably small.

How serious is the interaction between Bendamustine and Ethinyl estradiol-drospirenone?

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 dose adjustment is needed; monitor for bendamustine myelosuppression per routine practice.

What other medicines interact with Ethinyl estradiol-drospirenone?

MediHelp also lists interactions of Ethinyl estradiol-drospirenone with, for example, Fezolinetant, Ombitasvir / paritaprevir / ritonavir, Ombitasvir / paritaprevir / ritonavir and dasabuvir. The full list is on the Ethinyl estradiol-drospirenone page.

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