Drug interactions
Eltrombopag + Ethinyl estradiol-drospirenone
Severity: Minor
Eltrombopag and Ethinyl estradiol-drospirenone: 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
The legacy claim of a CYP1A2-mediated rise in eltrombopag exposure is not an established interaction. Ethinyl estradiol is a weak CYP1A2 inhibitor and eltrombopag is cleared by several pathways, so any effect is likely small.
What this interaction means in plain words
Eltrombopag and Ethinyl estradiol-drospirenone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Eltrombopag belongs to Miscellaneous; Ethinyl estradiol-drospirenone belongs to Endocrine.
Why it happens
Possible weak CYP1A2 inhibition by ethinyl estradiol reducing eltrombopag metabolism; clinical relevance is not established.
What to do
No dose change is needed; monitor platelet counts and liver tests as already required for eltrombopag therapy. Remember that estrogen-containing products also add thrombotic risk in patients with thrombopoietic disorders.
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?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Eltrombopag and Ethinyl estradiol-drospirenone, the additional notes, the evidence detail and the whole-prescription interaction checker.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Try Pro+ free for 14 days on the web. No card needed.
Other interactions of Ethinyl estradiol-drospirenone
- Ethinyl estradiol-drospirenone + Fezolinetant Contraindicated
- Ethinyl estradiol-drospirenone + Ombitasvir / paritaprevir / ritonavir Contraindicated
- Ethinyl estradiol-drospirenone + Ombitasvir / paritaprevir / ritonavir and dasabuvir Contraindicated
- Ethinyl estradiol-drospirenone + Tranexamic acid Contraindicated
- Aminocaproic acid + Ethinyl estradiol-drospirenone Major
- Amobarbital + Ethinyl estradiol-drospirenone Major
Other interactions of Eltrombopag
- Alpelisib + Eltrombopag Moderate
- Aluminum hydroxide + Eltrombopag Moderate
- Amobarbital + Eltrombopag Moderate
- Artesunate + Eltrombopag Moderate
- Atazanavir + Eltrombopag Moderate
- Atorvastatin + Eltrombopag Moderate
Frequently asked questions
Can I take Eltrombopag with Ethinyl estradiol-drospirenone?
MediHelp rates the interaction as minor. Eltrombopag and Ethinyl estradiol-drospirenone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. The legacy claim of a CYP1A2-mediated rise in eltrombopag exposure is not an established interaction. Ethinyl estradiol is a weak CYP1A2 inhibitor and eltrombopag is cleared by several pathways, so any effect is likely small.
How serious is the interaction between Eltrombopag and Ethinyl estradiol-drospirenone?
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 dose change is needed; monitor platelet counts and liver tests as already required for eltrombopag therapy. Remember that estrogen-containing products also add thrombotic risk in patients with thrombopoietic disorders.
What other medicines interact with Ethinyl estradiol-drospirenone?
MediHelp also lists interactions of Ethinyl estradiol-drospirenone with, for example, Fezolinetant, Ombitasvir / paritaprevir / ritonavir, Ombitasvir / paritaprevir / ritonavir and dasabuvir. The full list is on the Ethinyl estradiol-drospirenone page.
Full monographs, dosing and an interaction checker in the MediHelp app
Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.
