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Drug interactions

Bicalutamide + Norgestrel

Severity: Minor

Bicalutamide and Norgestrel: 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

Norgestrel is metabolized in part by CYP3A4, but bicalutamide has weak inhibitory activity, so a meaningful change in progestin exposure is unlikely. The pairing is rarely relevant clinically.

What this interaction means in plain words

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

Bicalutamide belongs to Endocrine; Norgestrel belongs to Endocrine.

Evidence level: Low

Why it happens

Weak CYP3A4 inhibition may slightly slow norgestrel metabolism.

What to do

No action needed beyond routine monitoring for progestogenic adverse effects.

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 Bicalutamide with Norgestrel?

MediHelp rates the interaction as minor. Bicalutamide and Norgestrel have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Norgestrel is metabolized in part by CYP3A4, but bicalutamide has weak inhibitory activity, so a meaningful change in progestin exposure is unlikely. The pairing is rarely relevant clinically.

How serious is the interaction between Bicalutamide and Norgestrel?

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 action needed beyond routine monitoring for progestogenic adverse effects.

What other medicines interact with Bicalutamide?

MediHelp also lists interactions of Bicalutamide with, for example, Lomitapide, Aminolevulinic acid, Eliglustat. The full list is on the Bicalutamide page.

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

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