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Drug interactions

Levonorgestrel + Voxelotor

Severity: Minor

Levonorgestrel and Voxelotor: 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

Voxelotor can inhibit CYP3A4 and may raise levonorgestrel concentrations modestly. Clinical relevance is low because levonorgestrel has a wide therapeutic margin.

What this interaction means in plain words

Levonorgestrel and Voxelotor 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; Voxelotor belongs to Miscellaneous.

Evidence level: Low

Why it happens

CYP3A4 inhibition reduces levonorgestrel metabolism.

What to do

No dose adjustment is generally needed; monitor for progestogenic adverse effects.

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 Voxelotor?

MediHelp rates the interaction as minor. Levonorgestrel and Voxelotor have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Voxelotor can inhibit CYP3A4 and may raise levonorgestrel concentrations modestly. Clinical relevance is low because levonorgestrel has a wide therapeutic margin.

How serious is the interaction between Levonorgestrel and Voxelotor?

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 adjustment is generally needed; monitor for progestogenic adverse effects.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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