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Drug interactions

Ethinyl estradiol-levonorgestrel + Ticarcillin

Severity: Minor

Ethinyl estradiol-levonorgestrel and Ticarcillin: 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

Penicillins have been theorised to reduce contraceptive efficacy by disrupting gut flora involved in estrogen recirculation. Pharmacokinetic and clinical data do not show consistent contraceptive failure.

What this interaction means in plain words

Ethinyl estradiol-levonorgestrel and Ticarcillin 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

Theoretical reduction of enterohepatic recycling of ethinyl estradiol through altered gut flora; not well substantiated.

What to do

No routine change is required. Counsel on missed pills and on vomiting or diarrhea during illness.

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 Ticarcillin?

MediHelp rates the interaction as minor. Ethinyl estradiol-levonorgestrel and Ticarcillin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Penicillins have been theorised to reduce contraceptive efficacy by disrupting gut flora involved in estrogen recirculation. Pharmacokinetic and clinical data do not show consistent contraceptive failure.

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

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 change is required. Counsel on missed pills and on vomiting or diarrhea during illness.

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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