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Drug interactions

Desogestrel-ethinyl estradiol + Lesinurad

Severity: Moderate

Desogestrel-ethinyl estradiol and Lesinurad: 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

Lesinurad can reduce exposure to ethinyl estradiol and progestins, so hormonal contraceptives may be less effective. Lesinurad has been discontinued from the market, so this is now of limited practical relevance.

What this interaction means in plain words

Desogestrel-ethinyl estradiol and Lesinurad 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.

Desogestrel-ethinyl estradiol belongs to Endocrine; Lesinurad belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Lesinurad is a weak CYP3A inducer that may lower contraceptive steroid concentrations.

What to do

Recommend an additional non-hormonal contraceptive method if the combination is encountered. Do not rely on hormonal contraception alone.

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 Desogestrel-ethinyl estradiol with Lesinurad?

MediHelp rates the interaction as moderate. Desogestrel-ethinyl estradiol and Lesinurad 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. Lesinurad can reduce exposure to ethinyl estradiol and progestins, so hormonal contraceptives may be less effective. Lesinurad has been discontinued from the market, so this is now of limited practical relevance.

How serious is the interaction between Desogestrel-ethinyl estradiol and Lesinurad?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Recommend an additional non-hormonal contraceptive method if the combination is encountered. Do not rely on hormonal contraception alone.

What other medicines interact with Desogestrel-ethinyl estradiol?

MediHelp also lists interactions of Desogestrel-ethinyl estradiol with, for example, Fezolinetant, Aminocaproic acid, Amobarbital. The full list is on the Desogestrel-ethinyl estradiol page.

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