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Drug interactions

Dicloxacillin + Ethinyl estradiol-norgestimate

Severity: Minor

Dicloxacillin and Ethinyl estradiol-norgestimate: 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

Non-enzyme-inducing antibiotics have been proposed to reduce contraceptive efficacy, but controlled data show no consistent fall in hormone levels or ovulation suppression. Any true risk is very low.

What this interaction means in plain words

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

Dicloxacillin belongs to Anti Bacterial; Ethinyl estradiol-norgestimate belongs to Endocrine.

Evidence level: Low

Why it happens

Proposed reduction of enterohepatic recirculation of estrogen through gut flora changes; not well established.

What to do

No additional contraception is routinely needed; counsel patients to take the pill consistently and use backup if vomiting or severe diarrhea occurs.

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 Dicloxacillin with Ethinyl estradiol-norgestimate?

MediHelp rates the interaction as minor. Dicloxacillin and Ethinyl estradiol-norgestimate have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Non-enzyme-inducing antibiotics have been proposed to reduce contraceptive efficacy, but controlled data show no consistent fall in hormone levels or ovulation suppression. Any true risk is very low.

How serious is the interaction between Dicloxacillin and Ethinyl estradiol-norgestimate?

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 additional contraception is routinely needed; counsel patients to take the pill consistently and use backup if vomiting or severe diarrhea occurs.

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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