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Drug interactions

Erythromycin + Estrogens conjugated synthetic

Severity: Minor

Erythromycin and Estrogens conjugated synthetic: 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

Erythromycin may modestly increase estrogen exposure by inhibiting CYP3A4. This could increase estrogenic adverse effects such as breast tenderness, fluid retention or bleeding irregularities.

What this interaction means in plain words

Erythromycin and Estrogens conjugated synthetic 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 inhibition slows estrogen metabolism, increasing exposure.

What to do

No routine dose change is needed. Monitor for estrogen excess symptoms during a short erythromycin course.

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 Erythromycin with Estrogens conjugated synthetic?

MediHelp rates the interaction as minor. Erythromycin and Estrogens conjugated synthetic have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Erythromycin may modestly increase estrogen exposure by inhibiting CYP3A4. This could increase estrogenic adverse effects such as breast tenderness, fluid retention or bleeding irregularities.

How serious is the interaction between Erythromycin and Estrogens conjugated synthetic?

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 dose change is needed. Monitor for estrogen excess symptoms during a short erythromycin course.

What other medicines interact with Erythromycin?

MediHelp also lists interactions of Erythromycin with, for example, Conivaptan, Dihydroergotamine intranasal, Dihydroergotamine. The full list is on the Erythromycin page.

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