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Drug interactions

Desogestrel-ethinyl estradiol + Nilotinib

Severity: Moderate

Desogestrel-ethinyl estradiol and Nilotinib: 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

Ethinyl estradiol is a weak CYP3A4 inhibitor and might raise nilotinib exposure slightly. Because nilotinib prolongs the QT interval, any increase in its levels is a theoretical concern.

What this interaction means in plain words

Desogestrel-ethinyl estradiol and Nilotinib 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; Nilotinib belongs to Oncology.

Evidence level: Low

Why it happens

Ethinyl estradiol may weakly inhibit CYP3A4, reducing nilotinib metabolism.

What to do

Obtain an ECG and monitor electrolytes and QT interval as per nilotinib labeling, and review the contraceptive choice if QT prolongation occurs.

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 Nilotinib?

MediHelp rates the interaction as moderate. Desogestrel-ethinyl estradiol and Nilotinib 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. Ethinyl estradiol is a weak CYP3A4 inhibitor and might raise nilotinib exposure slightly. Because nilotinib prolongs the QT interval, any increase in its levels is a theoretical concern.

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

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain an ECG and monitor electrolytes and QT interval as per nilotinib labeling, and review the contraceptive choice if QT prolongation occurs.

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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