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Drug interactions

Enzalutamide + Levonorgestrel intrauterine

Severity: Minor

Enzalutamide and Levonorgestrel intrauterine: 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

Enzalutamide may increase levonorgestrel metabolism, but the intrauterine system acts mainly locally with low systemic exposure. Contraceptive and endometrial protection are likely preserved.

What this interaction means in plain words

Enzalutamide and Levonorgestrel intrauterine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

CYP3A4 induction could lower systemic levonorgestrel, with limited effect on local uterine concentrations.

What to do

No change is generally required; advise that effective contraception is still needed during enzalutamide therapy.

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 Enzalutamide with Levonorgestrel intrauterine?

MediHelp rates the interaction as minor. Enzalutamide and Levonorgestrel intrauterine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Enzalutamide may increase levonorgestrel metabolism, but the intrauterine system acts mainly locally with low systemic exposure. Contraceptive and endometrial protection are likely preserved.

How serious is the interaction between Enzalutamide and Levonorgestrel intrauterine?

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 change is generally required; advise that effective contraception is still needed during enzalutamide therapy.

What other medicines interact with Enzalutamide?

MediHelp also lists interactions of Enzalutamide with, for example, Doravirine, Elbasvir / grazoprevir, Ensitrelvir. The full list is on the Enzalutamide page.

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