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Drug interactions

Progesterone + Sugammadex

Severity: Moderate

Progesterone 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 can bind progesterone, which may reduce free hormonal levels and cause interference with serum progesterone assays. Hormonal contraceptive effectiveness may also be reduced for a short period after a dose.

What this interaction means in plain words

Progesterone 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.

Progesterone belongs to Endocrine; Sugammadex belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Sugammadex encapsulates progestogens, lowering their free concentrations, similar to its binding of steroidal neuromuscular blockers.

What to do

Interpret serum progesterone results with caution after sugammadex. Counsel patients using hormonal contraception to follow the missed-dose advice for the product or use a non-hormonal backup method for 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 Progesterone with Sugammadex?

MediHelp rates the interaction as moderate. Progesterone 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 can bind progesterone, which may reduce free hormonal levels and cause interference with serum progesterone assays. Hormonal contraceptive effectiveness may also be reduced for a short period after a dose.

How serious is the interaction between Progesterone 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: Interpret serum progesterone results with caution after sugammadex. Counsel patients using hormonal contraception to follow the missed-dose advice for the product or use a non-hormonal backup method for 7 days.

What other medicines interact with Sugammadex?

MediHelp also lists interactions of Sugammadex with, for example, Desogestrel-ethinyl estradiol, Ethinyl estradiol-drospirenone, Ethinyl estradiol-levonorgestrel. The full list is on the Sugammadex page.

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