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Drug interactions

Ethinyl estradiol-levonorgestrel + Quinidine

Severity: Minor

Ethinyl estradiol-levonorgestrel and Quinidine: 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

Quinidine inhibits P-glycoprotein and could increase ethinyl estradiol exposure in theory. No clinically meaningful consequences are well documented, and the interaction is largely theoretical.

What this interaction means in plain words

Ethinyl estradiol-levonorgestrel and Quinidine 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; Quinidine belongs to Anti Parasitic.

Evidence level: Low

Why it happens

Possible inhibition of P-glycoprotein efflux, increasing absorption of ethinyl estradiol.

What to do

No routine action is required. Monitor for estrogenic adverse effects such as nausea or breast tenderness if symptoms arise.

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 Quinidine?

MediHelp rates the interaction as minor. Ethinyl estradiol-levonorgestrel and Quinidine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Quinidine inhibits P-glycoprotein and could increase ethinyl estradiol exposure in theory. No clinically meaningful consequences are well documented, and the interaction is largely theoretical.

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

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 action is required. Monitor for estrogenic adverse effects such as nausea or breast tenderness if symptoms arise.

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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