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Drug interactions

Ethinylestradiol + Nilotinib

Severity: Minor

Ethinylestradiol and Nilotinib: 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

Ethinylestradiol is a weak CYP3A4 inhibitor and may slightly raise nilotinib concentrations. Because nilotinib prolongs the QT interval in an exposure-related manner, higher levels are undesirable. The effect is probably small.

What this interaction means in plain words

Ethinylestradiol and Nilotinib 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

Ethinylestradiol weakly inhibits CYP3A4, the main enzyme metabolizing nilotinib.

What to do

Obtain a baseline ECG and monitor the QTc periodically, and keep potassium and magnesium within normal range. No dose change is usually needed.

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 Ethinylestradiol with Nilotinib?

MediHelp rates the interaction as minor. Ethinylestradiol and Nilotinib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Ethinylestradiol is a weak CYP3A4 inhibitor and may slightly raise nilotinib concentrations. Because nilotinib prolongs the QT interval in an exposure-related manner, higher levels are undesirable. The effect is probably small.

How serious is the interaction between Ethinylestradiol and Nilotinib?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and monitor the QTc periodically, and keep potassium and magnesium within normal range. No dose change is usually needed.

What other medicines interact with Nilotinib?

MediHelp also lists interactions of Nilotinib with, for example, Amiodarone, Arsenic trioxide, Disopyramide. The full list is on the Nilotinib page.

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