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Drug interactions

Medroxyprogesterone + Nafcillin

Severity: Moderate

Medroxyprogesterone and Nafcillin: 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

Nafcillin appears to induce CYP3A4 and may lower exposure to hormonal steroids such as medroxyprogesterone. Reduced contraceptive efficacy is possible during and shortly after nafcillin therapy.

What this interaction means in plain words

Medroxyprogesterone and Nafcillin 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: Low

Why it happens

Induction of CYP3A4 by nafcillin, increasing progestin clearance.

What to do

Advise a backup barrier contraceptive method during nafcillin therapy and for a short period after it ends.

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 Medroxyprogesterone with Nafcillin?

MediHelp rates the interaction as moderate. Medroxyprogesterone and Nafcillin 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. Nafcillin appears to induce CYP3A4 and may lower exposure to hormonal steroids such as medroxyprogesterone. Reduced contraceptive efficacy is possible during and shortly after nafcillin therapy.

How serious is the interaction between Medroxyprogesterone and Nafcillin?

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 a backup barrier contraceptive method during nafcillin therapy and for a short period after it ends.

What other medicines interact with Medroxyprogesterone?

MediHelp also lists interactions of Medroxyprogesterone with, for example, Bosentan, Brigatinib, Eslicarbazepine. The full list is on the Medroxyprogesterone page.

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