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Drug interactions

Nafcillin + Norethisterone

Severity: Moderate

Nafcillin and Norethisterone: 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 induces CYP3A4 and may lower norethisterone concentrations, which can reduce contraceptive effectiveness and cause breakthrough bleeding.

What this interaction means in plain words

Nafcillin and Norethisterone 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

Nafcillin induces CYP3A4, increasing norethisterone clearance.

What to do

Use a non-hormonal contraceptive method during nafcillin therapy and for a short 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 Nafcillin with Norethisterone?

MediHelp rates the interaction as moderate. Nafcillin and Norethisterone 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 induces CYP3A4 and may lower norethisterone concentrations, which can reduce contraceptive effectiveness and cause breakthrough bleeding.

How serious is the interaction between Nafcillin and Norethisterone?

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 contraceptive method during nafcillin therapy and for a short period after stopping.

What other medicines interact with Norethisterone?

MediHelp also lists interactions of Norethisterone with, for example, Acitretin, Amobarbital, Apalutamide. The full list is on the Norethisterone page.

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

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