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Drug interactions

Danazol + Ethinyl estradiol-levonorgestrel

Severity: Minor

Danazol and Ethinyl estradiol-levonorgestrel: 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

Danazol is a weak CYP3A4 inhibitor and may modestly raise levels of ethinyl estradiol and levonorgestrel. Danazol is also an androgenic agent that opposes the hormonal intent of a contraceptive and is not appropriate in pregnancy. The pharmacokinetic effect is usually small.

What this interaction means in plain words

Danazol and Ethinyl estradiol-levonorgestrel 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

Danazol weakly inhibits CYP3A4-mediated metabolism of the contraceptive steroids.

What to do

Monitor for estrogenic or progestogenic adverse effects such as breast tenderness, nausea or breakthrough bleeding. Ensure reliable contraception during danazol therapy because of its fetal risk.

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 Danazol with Ethinyl estradiol-levonorgestrel?

MediHelp rates the interaction as minor. Danazol and Ethinyl estradiol-levonorgestrel have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Danazol is a weak CYP3A4 inhibitor and may modestly raise levels of ethinyl estradiol and levonorgestrel. Danazol is also an androgenic agent that opposes the hormonal intent of a contraceptive and is not appropriate in pregnancy. The pharmacokinetic effect is usually small.

How serious is the interaction between Danazol and Ethinyl estradiol-levonorgestrel?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for estrogenic or progestogenic adverse effects such as breast tenderness, nausea or breakthrough bleeding. Ensure reliable contraception during danazol therapy because of its fetal risk.

What other medicines interact with Ethinyl estradiol-levonorgestrel?

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

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