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Drug interactions

Norethindrone + Voriconazole

Severity: Minor

Norethindrone and Voriconazole: 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

Voriconazole increases norethindrone exposure, as shown in studies with ethinylestradiol and norethindrone combinations. Hormone-related adverse effects may become more frequent, while contraceptive efficacy is not reduced.

What this interaction means in plain words

Norethindrone and Voriconazole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Moderate

Why it happens

Voriconazole inhibits CYP3A4 metabolism of norethindrone.

What to do

No dose change is generally needed. Monitor for hormonal adverse effects such as nausea, headache and breast tenderness.

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 Norethindrone with Voriconazole?

MediHelp rates the interaction as minor. Norethindrone and Voriconazole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Voriconazole increases norethindrone exposure, as shown in studies with ethinylestradiol and norethindrone combinations. Hormone-related adverse effects may become more frequent, while contraceptive efficacy is not reduced.

How serious is the interaction between Norethindrone and Voriconazole?

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 change is generally needed. Monitor for hormonal adverse effects such as nausea, headache and breast tenderness.

What other medicines interact with Voriconazole?

MediHelp also lists interactions of Voriconazole with, for example, Avanafil, Butabarbital, Carbamazepine. The full list is on the Voriconazole page.

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