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Drug interactions

Ceritinib + Ethinyl estradiol-norgestimate

Severity: Moderate

Ceritinib and Ethinyl estradiol-norgestimate: moderate 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

Ceritinib inhibits CYP3A4 and may raise ethinyl estradiol exposure, though the clinical effect is uncertain. Labeling advises that ceritinib may affect hormonal contraceptive efficacy and recommends effective non-hormonal contraception.

What this interaction means in plain words

Ceritinib and Ethinyl estradiol-norgestimate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Ceritinib belongs to Oncology; Ethinyl estradiol-norgestimate belongs to Endocrine.

Evidence level: Low

Why it happens

Inhibition of CYP3A4-mediated metabolism of ethinyl estradiol by ceritinib.

What to do

Advise a highly effective non-hormonal contraceptive method during ceritinib therapy. Monitor for estrogenic adverse effects if the combination is continued.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Ceritinib with Ethinyl estradiol-norgestimate?

MediHelp rates the interaction as moderate. Ceritinib and Ethinyl estradiol-norgestimate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Ceritinib inhibits CYP3A4 and may raise ethinyl estradiol exposure, though the clinical effect is uncertain. Labeling advises that ceritinib may affect hormonal contraceptive efficacy and recommends effective non-hormonal contraception.

How serious is the interaction between Ceritinib and Ethinyl estradiol-norgestimate?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise a highly effective non-hormonal contraceptive method during ceritinib therapy. Monitor for estrogenic adverse effects if the combination is continued.

What other medicines interact with Ethinyl estradiol-norgestimate?

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

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