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Drug interactions

Mifepristone + Norgestimate

Severity: Moderate

Mifepristone and Norgestimate: 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

Mifepristone blocks progesterone receptors and may counteract the progestin effect of norgestimate. Hormonal contraception may therefore be less effective.

What this interaction means in plain words

Mifepristone and Norgestimate 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

Mifepristone antagonizes progesterone receptors, opposing the progestogenic action of norgestimate.

What to do

Use a non-hormonal backup contraceptive method during mifepristone therapy and for a period after stopping.

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 Mifepristone with Norgestimate?

MediHelp rates the interaction as moderate. Mifepristone and Norgestimate 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. Mifepristone blocks progesterone receptors and may counteract the progestin effect of norgestimate. Hormonal contraception may therefore be less effective.

How serious is the interaction between Mifepristone and Norgestimate?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use a non-hormonal backup contraceptive method during mifepristone therapy and for a period after stopping.

What other medicines interact with Mifepristone?

MediHelp also lists interactions of Mifepristone with, for example, Apixaban, Argatroban, Cisapride. The full list is on the Mifepristone page.

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

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