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Drug interactions

Cefadroxil + Ethinylestradiol

Severity: Minor

Cefadroxil and Ethinylestradiol: 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

Broad-spectrum antibiotics have been suspected of reducing ethinylestradiol exposure by altering gut flora and enterohepatic recycling. Controlled data for non-rifamycin antibiotics do not show consistent reductions, so contraceptive failure is considered unlikely. Isolated case reports account for the lingering caution.

What this interaction means in plain words

Cefadroxil and Ethinylestradiol 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 reduced bacterial hydrolysis of estrogen conjugates in the gut, decreasing reabsorption; not well established for cephalosporins.

What to do

No additional contraception is routinely required, though counselling on missed doses and vomiting or diarrhea is advisable. Use backup contraception if severe gastrointestinal illness occurs.

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 Cefadroxil with Ethinylestradiol?

MediHelp rates the interaction as minor. Cefadroxil and Ethinylestradiol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Broad-spectrum antibiotics have been suspected of reducing ethinylestradiol exposure by altering gut flora and enterohepatic recycling. Controlled data for non-rifamycin antibiotics do not show consistent reductions, so contraceptive failure is considered unlikely. Isolated case reports account for the lingering caution.

How serious is the interaction between Cefadroxil and Ethinylestradiol?

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 additional contraception is routinely required, though counselling on missed doses and vomiting or diarrhea is advisable. Use backup contraception if severe gastrointestinal illness occurs.

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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