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Interactions médicamenteuses

Dienogest / estradiol valerate + Griseofulvin

Gravité: Majeure

Dienogest / estradiol valerate and Griseofulvin: major interaction.

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Résumé

Griseofulvin may lower estradiol and dienogest concentrations through enzyme induction, and it has been associated with contraceptive failure and breakthrough bleeding. Reduced hormone exposure may compromise contraceptive reliability.

Ce que signifie cette interaction, en termes simples

Dienogest / estradiol valerate and Griseofulvin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Niveau de preuve: Moderate

Pourquoi elle survient

Induction of CYP3A4 by griseofulvin increases metabolism of estradiol and dienogest.

Conduite à tenir

Advise an additional non-hormonal contraceptive method during griseofulvin treatment and for about 28 days after stopping it.

Questions à poser à votre pharmacien

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Questions fréquentes

Can I take Dienogest / estradiol valerate with Griseofulvin?

MediHelp rates the interaction as major. Dienogest / estradiol valerate and Griseofulvin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Griseofulvin may lower estradiol and dienogest concentrations through enzyme induction, and it has been associated with contraceptive failure and breakthrough bleeding. Reduced hormone exposure may compromise contraceptive reliability.

How serious is the interaction between Dienogest / estradiol valerate and Griseofulvin?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise an additional non-hormonal contraceptive method during griseofulvin treatment and for about 28 days after stopping it.

What other medicines interact with Griseofulvin?

MediHelp also lists interactions of Griseofulvin with, for example, Cyclosporine, Cyclosporin, Desogestrel-ethinyl estradiol. The full list is on the Griseofulvin page.

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Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.

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