Drug interactions

ethinyl estradiol (combined ocp) + rifampin

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.

Overview

Severity: Major · Evidence level: High

↓ contraceptive efficacy → pregnancy risk.

Mechanism of action

CYP3A induction.

Clinical management

Use non-hormonal or higher-dose/alternative contraception.

References

Frequently asked questions

Can I take ethinyl estradiol (combined ocp) with rifampin?

The interaction is rated: Major. ↓ contraceptive efficacy → pregnancy risk.

How serious is the interaction between ethinyl estradiol (combined ocp) and rifampin?

The interaction is rated: Major. Evidence level: High.

How is the interaction between ethinyl estradiol (combined ocp) and rifampin managed?

Use non-hormonal or higher-dose/alternative contraception.

Why do ethinyl estradiol (combined ocp) and rifampin interact?

CYP3A induction.

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