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Drug interactions

Levonorgestrel oral / ethinylestradiol / ferrous bisglycinate + Somatropin

Severity: Moderate

Levonorgestrel oral / ethinylestradiol / ferrous bisglycinate and Somatropin: moderate interaction.

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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

The oral ethinylestradiol component suppresses hepatic IGF-1 production in response to growth hormone, blunting the effect of somatropin. Patients may need a higher somatropin dose to reach the target IGF-1 level.

What this interaction means in plain words

Levonorgestrel oral / ethinylestradiol / ferrous bisglycinate and Somatropin 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.

Evidence level: Moderate

Why it happens

Oral estrogen reduces hepatic growth hormone signaling and IGF-1 generation.

What to do

Monitor IGF-1 and clinical response, and increase the somatropin dose if needed; consider a non-oral contraceptive route.

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 Levonorgestrel oral / ethinylestradiol / ferrous bisglycinate with Somatropin?

MediHelp rates the interaction as moderate. Levonorgestrel oral / ethinylestradiol / ferrous bisglycinate and Somatropin 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. The oral ethinylestradiol component suppresses hepatic IGF-1 production in response to growth hormone, blunting the effect of somatropin. Patients may need a higher somatropin dose to reach the target IGF-1 level.

How serious is the interaction between Levonorgestrel oral / ethinylestradiol / ferrous bisglycinate and Somatropin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor IGF-1 and clinical response, and increase the somatropin dose if needed; consider a non-oral contraceptive route.

What other medicines interact with Somatropin?

MediHelp also lists interactions of Somatropin with, for example, Acarbose, Albiglutide, Alogliptin-metformin. The full list is on the Somatropin page.

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