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Drug interactions

Danicopan + Ethinyl estradiol-norgestimate

Severity: Moderate

Danicopan 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

Danicopan inhibits BCRP and may increase exposure to BCRP substrates, which could include ethinyl estradiol. Higher estrogen exposure could increase estrogen-related adverse effects, though the clinical significance is not well defined.

What this interaction means in plain words

Danicopan 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.

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

Evidence level: Low

Why it happens

Danicopan inhibits the BCRP efflux transporter, which may increase the absorption and systemic exposure of ethinyl estradiol.

What to do

Monitor for estrogenic adverse effects such as nausea, breast tenderness and hypertension. Consider a lower-estrogen product if effects emerge.

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-norgestimate?

MediHelp rates the interaction as moderate. Danicopan 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. Danicopan inhibits BCRP and may increase exposure to BCRP substrates, which could include ethinyl estradiol. Higher estrogen exposure could increase estrogen-related adverse effects, though the clinical significance is not well defined.

How serious is the interaction between Danicopan 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: Monitor for estrogenic adverse effects such as nausea, breast tenderness and hypertension. Consider a lower-estrogen product if effects emerge.

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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