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Drug interactions

Danicopan + Ethinyl estradiol-levonorgestrel

Severity: Moderate

Danicopan and Ethinyl estradiol-levonorgestrel: 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

Danicopan inhibits BCRP and may increase exposure to ethinyl estradiol, a BCRP substrate. This may raise the likelihood of estrogen-related adverse effects.

What this interaction means in plain words

Danicopan and Ethinyl estradiol-levonorgestrel 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.

Danicopan belongs to Miscellaneous; Ethinyl estradiol-levonorgestrel belongs to Endocrine.

Evidence level: Low

Why it happens

Danicopan inhibits intestinal BCRP efflux, raising systemic ethinyl estradiol exposure.

What to do

Monitor for estrogenic adverse effects and blood pressure. Consider a lower-dose estrogen or non-estrogen contraceptive if needed.

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 Danicopan with Ethinyl estradiol-levonorgestrel?

MediHelp rates the interaction as moderate. Danicopan and Ethinyl estradiol-levonorgestrel 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. Danicopan inhibits BCRP and may increase exposure to ethinyl estradiol, a BCRP substrate. This may raise the likelihood of estrogen-related adverse effects.

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

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for estrogenic adverse effects and blood pressure. Consider a lower-dose estrogen or non-estrogen contraceptive if needed.

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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