Drug interactions
Lesinurad + Levonorgestrel oral / ethinylestradiol / ferrous bisglycinate
Severity: Moderate
Lesinurad and Levonorgestrel oral / ethinylestradiol / ferrous bisglycinate: 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 the contraceptive hormones. This could reduce contraceptive effectiveness.
What this interaction means in plain words
Lesinurad and Levonorgestrel oral / ethinylestradiol / ferrous bisglycinate 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.
Why it happens
Lesinurad induces CYP3A4, increasing metabolism of levonorgestrel and ethinylestradiol.
What to do
Advise an additional non-hormonal contraceptive method during lesinurad use. Continue backup contraception for a time after stopping lesinurad.
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 Lesinurad
- Lesinurad + Norethisterone Major
- Acetylsalicylic acid + Lesinurad Moderate
- Amiodarone + Lesinurad Moderate
- Apalutamide + Lesinurad Moderate
- Desogestrel-ethinyl estradiol + Lesinurad Moderate
- Dienogest / estradiol valerate + Lesinurad Moderate
Frequently asked questions
Can I take Lesinurad with Levonorgestrel oral / ethinylestradiol / ferrous bisglycinate?
MediHelp rates the interaction as moderate. Lesinurad and Levonorgestrel oral / ethinylestradiol / ferrous bisglycinate 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 the contraceptive hormones. This could reduce contraceptive effectiveness.
How serious is the interaction between Lesinurad and Levonorgestrel oral / ethinylestradiol / ferrous bisglycinate?
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 non-hormonal contraceptive method during lesinurad use. Continue backup contraception for a time after stopping lesinurad.
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.
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