Drug interactions
Ethinyl estradiol-norgestimate + Posaconazole
Severity: Moderate
Ethinyl estradiol-norgestimate and Posaconazole: moderate 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
Posaconazole is a strong CYP3A4 inhibitor and may raise ethinyl estradiol and progestin concentrations. This could increase estrogenic adverse effects such as nausea, breast tenderness and thromboembolic risk.
What this interaction means in plain words
Ethinyl estradiol-norgestimate and Posaconazole can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Ethinyl estradiol-norgestimate belongs to Endocrine; Posaconazole belongs to Anti Fungals.
Why it happens
CYP3A4 inhibition reduces oxidative metabolism of ethinyl estradiol and progestins.
What to do
Monitor for estrogen-related adverse effects, including blood pressure and signs of thrombosis, during prolonged azole therapy.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Other interactions of Ethinyl estradiol-norgestimate
- Ethinyl estradiol-norgestimate + Fezolinetant Contraindicated
- Ethinyl estradiol-norgestimate + Ombitasvir / paritaprevir / ritonavir and dasabuvir Contraindicated
- Ethinyl estradiol-norgestimate + Tranexamic acid Contraindicated
- Aminocaproic acid + Ethinyl estradiol-norgestimate Major
- Amobarbital + Ethinyl estradiol-norgestimate Major
- Anastrozole + Ethinyl estradiol-norgestimate Major
Other interactions of Posaconazole
- Artemether + Posaconazole Contraindicated
- Avanafil + Posaconazole Contraindicated
- Cobimetinib + Posaconazole Contraindicated
- Conivaptan + Posaconazole Contraindicated
- Dihydroergotamine intranasal + Posaconazole Contraindicated
- Dihydroergotamine + Posaconazole Contraindicated
Frequently asked questions
Can I take Ethinyl estradiol-norgestimate with Posaconazole?
MediHelp rates the interaction as moderate. Ethinyl estradiol-norgestimate and Posaconazole can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Posaconazole is a strong CYP3A4 inhibitor and may raise ethinyl estradiol and progestin concentrations. This could increase estrogenic adverse effects such as nausea, breast tenderness and thromboembolic risk.
How serious is the interaction between Ethinyl estradiol-norgestimate and Posaconazole?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for estrogen-related adverse effects, including blood pressure and signs of thrombosis, during prolonged azole therapy.
What other medicines interact with Ethinyl estradiol-norgestimate?
MediHelp also lists interactions of Ethinyl estradiol-norgestimate with, for example, Fezolinetant, Ombitasvir / paritaprevir / ritonavir and dasabuvir, Tranexamic acid. The full list is on the Ethinyl estradiol-norgestimate page.
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