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Drug interactions

Ethinyl estradiol-levonorgestrel + Mineral oil

Severity: Minor

Ethinyl estradiol-levonorgestrel and Mineral oil: 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

Oral mineral oil may reduce absorption of fat-soluble drugs, which could theoretically lower hormone absorption from oral contraceptives. Clinical evidence of contraceptive failure is lacking.

What this interaction means in plain words

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

Ethinyl estradiol-levonorgestrel belongs to Endocrine; Mineral oil belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Mineral oil can dissolve lipophilic drugs in the gut and speed intestinal transit, which may reduce absorption.

What to do

Avoid taking mineral oil within a couple of hours of the contraceptive pill, and prefer another laxative for regular use.

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 Ethinyl estradiol-levonorgestrel with Mineral oil?

MediHelp rates the interaction as minor. Ethinyl estradiol-levonorgestrel and Mineral oil have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Oral mineral oil may reduce absorption of fat-soluble drugs, which could theoretically lower hormone absorption from oral contraceptives. Clinical evidence of contraceptive failure is lacking.

How serious is the interaction between Ethinyl estradiol-levonorgestrel and Mineral oil?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid taking mineral oil within a couple of hours of the contraceptive pill, and prefer another laxative for regular use.

What other medicines interact with Ethinyl estradiol-levonorgestrel?

MediHelp also lists interactions of Ethinyl estradiol-levonorgestrel with, for example, Fezolinetant, Ombitasvir / paritaprevir / ritonavir and dasabuvir, Tranexamic acid. The full list is on the Ethinyl estradiol-levonorgestrel page.

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