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Drug interactions

Norethisterone + Sugammadex

Severity: Moderate

Norethisterone and Sugammadex: 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

Sugammadex may bind progestogens and reduce their available exposure. Labeling treats a bolus dose as equivalent to a missed dose of a hormonal contraceptive.

What this interaction means in plain words

Norethisterone and Sugammadex 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.

Norethisterone belongs to Endocrine; Sugammadex belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Sugammadex encapsulates progestogen molecules, lowering their free concentration.

What to do

Apply missed-pill advice from the norethisterone product information after sugammadex administration. Patients using implants or patches should use an additional nonhormonal method for the following 7 days.

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 Norethisterone with Sugammadex?

MediHelp rates the interaction as moderate. Norethisterone and Sugammadex 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. Sugammadex may bind progestogens and reduce their available exposure. Labeling treats a bolus dose as equivalent to a missed dose of a hormonal contraceptive.

How serious is the interaction between Norethisterone and Sugammadex?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Apply missed-pill advice from the norethisterone product information after sugammadex administration. Patients using implants or patches should use an additional nonhormonal method for the following 7 days.

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.

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