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Drug interactions

Levonorgestrel + Pretomanid

Severity: Minor

Levonorgestrel and Pretomanid: 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

Pretomanid-containing regimens are associated with hepatotoxicity, and other potentially hepatotoxic agents add to the concern. Levonorgestrel has low hepatotoxic potential, so the added risk is small.

What this interaction means in plain words

Levonorgestrel and Pretomanid have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Levonorgestrel belongs to Endocrine; Pretomanid belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Possible additive hepatotoxicity; no specific mechanism is established.

What to do

Monitor liver function during the pretomanid regimen and review any symptoms of hepatic injury.

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 Levonorgestrel with Pretomanid?

MediHelp rates the interaction as minor. Levonorgestrel and Pretomanid have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Pretomanid-containing regimens are associated with hepatotoxicity, and other potentially hepatotoxic agents add to the concern. Levonorgestrel has low hepatotoxic potential, so the added risk is small.

How serious is the interaction between Levonorgestrel and Pretomanid?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor liver function during the pretomanid regimen and review any symptoms of hepatic injury.

What other medicines interact with Levonorgestrel?

MediHelp also lists interactions of Levonorgestrel with, for example, Amobarbital, Apalutamide, Belzutifan. The full list is on the Levonorgestrel page.

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

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