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Drug interactions

Etonogestrel + Lesinurad

Severity: Moderate

Etonogestrel and Lesinurad: 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

Lesinurad is a weak CYP3A inducer and may lower exposure to hormonal contraceptives metabolized by CYP3A4. This could reduce contraceptive efficacy and risk unintended pregnancy.

What this interaction means in plain words

Etonogestrel and Lesinurad 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; Lesinurad belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Weak induction of CYP3A4 by lesinurad increases metabolism of the progestin.

What to do

Advise an additional nonhormonal contraceptive method while lesinurad is used. Note that lesinurad has been discontinued in many markets.

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 Lesinurad?

MediHelp rates the interaction as moderate. Etonogestrel and Lesinurad 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. Lesinurad is a weak CYP3A inducer and may lower exposure to hormonal contraceptives metabolized by CYP3A4. This could reduce contraceptive efficacy and risk unintended pregnancy.

How serious is the interaction between Etonogestrel and Lesinurad?

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 an additional nonhormonal contraceptive method while lesinurad is used. Note that lesinurad has been discontinued in many markets.

What other medicines interact with Lesinurad?

MediHelp also lists interactions of Lesinurad with, for example, Norethisterone, Acetylsalicylic acid, Amiodarone. The full list is on the Lesinurad page.

Full monographs, dosing and an interaction checker in the MediHelp app

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