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Drug interactions

Desogestrel-ethinyl estradiol + Paromomycin

Severity: Minor

Desogestrel-ethinyl estradiol and Paromomycin: 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

Oral paromomycin may theoretically reduce enterohepatic recycling of ethinyl estradiol by altering gut flora. Contraceptive failure is unlikely.

What this interaction means in plain words

Desogestrel-ethinyl estradiol and Paromomycin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Desogestrel-ethinyl estradiol belongs to Endocrine; Paromomycin belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Altered gut flora may reduce deconjugation and reabsorption of estrogen.

What to do

No routine change is needed. Counsel on breakthrough bleeding and GI upset affecting pill absorption.

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 Desogestrel-ethinyl estradiol with Paromomycin?

MediHelp rates the interaction as minor. Desogestrel-ethinyl estradiol and Paromomycin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Oral paromomycin may theoretically reduce enterohepatic recycling of ethinyl estradiol by altering gut flora. Contraceptive failure is unlikely.

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

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine change is needed. Counsel on breakthrough bleeding and GI upset affecting pill absorption.

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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