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Drug interactions

Levonorgestrel + Teriflunomide

Severity: Minor

Levonorgestrel and Teriflunomide: 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

Teriflunomide has been shown to raise exposure to ethinylestradiol and levonorgestrel in oral contraceptive studies. Hormonal adverse effects may increase, though contraceptive efficacy is not reduced.

What this interaction means in plain words

Levonorgestrel and Teriflunomide 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; Teriflunomide belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Mechanism is not established; possible inhibition of transporters such as BCRP or effects on metabolism.

What to do

No dose change needed; select the contraceptive with attention to estrogen-related adverse effects and counsel on teriflunomide pregnancy precautions.

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 Teriflunomide?

MediHelp rates the interaction as minor. Levonorgestrel and Teriflunomide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Teriflunomide has been shown to raise exposure to ethinylestradiol and levonorgestrel in oral contraceptive studies. Hormonal adverse effects may increase, though contraceptive efficacy is not reduced.

How serious is the interaction between Levonorgestrel and Teriflunomide?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose change needed; select the contraceptive with attention to estrogen-related adverse effects and counsel on teriflunomide pregnancy precautions.

What other medicines interact with Teriflunomide?

MediHelp also lists interactions of Teriflunomide with, for example, Ifosfamide, Lomustine, Amiodarone. The full list is on the Teriflunomide page.

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

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