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Drug interactions

Etonogestrel + Griseofulvin

Severity: Moderate

Etonogestrel and Griseofulvin: 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

Enzyme induction by griseofulvin may lower etonogestrel concentrations and reduce contraceptive efficacy of implants or vaginal rings. This raises the risk of unintended pregnancy.

What this interaction means in plain words

Etonogestrel and Griseofulvin 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.

Etonogestrel belongs to Endocrine; Griseofulvin belongs to Anti Fungals.

Evidence level: Moderate

Why it happens

Griseofulvin induces CYP3A4, increasing the metabolic clearance of etonogestrel.

What to do

Advise a backup barrier contraceptive method during griseofulvin treatment and for about 28 days after stopping. Consider a non-enzyme-affected contraceptive if prolonged therapy is needed.

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?

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 Etonogestrel with Griseofulvin?

MediHelp rates the interaction as moderate. Etonogestrel and Griseofulvin 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. Enzyme induction by griseofulvin may lower etonogestrel concentrations and reduce contraceptive efficacy of implants or vaginal rings. This raises the risk of unintended pregnancy.

How serious is the interaction between Etonogestrel and Griseofulvin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise a backup barrier contraceptive method during griseofulvin treatment and for about 28 days after stopping. Consider a non-enzyme-affected contraceptive if prolonged therapy is needed.

What other medicines interact with Griseofulvin?

MediHelp also lists interactions of Griseofulvin with, for example, Cyclosporin, Desogestrel-ethinyl estradiol, Dienogest / estradiol valerate. The full list is on the Griseofulvin page.

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