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Interactions médicamenteuses

Ethinylestradiol + Griseofulvin

Gravité: Majeure

Ethinylestradiol and Griseofulvin: major interaction.

Dernière mise à jour

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Résumé

Griseofulvin may reduce the effectiveness of combined hormonal contraceptives, with reports of breakthrough bleeding and contraceptive failure. The effect is thought to arise from enzyme induction.

Ce que signifie cette interaction, en termes simples

Ethinylestradiol 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

Griseofulvin induces hepatic CYP3A4, increasing metabolism of ethinylestradiol.

Conduite à tenir

Advise an additional non-hormonal contraceptive method during treatment and for at least one month after stopping griseofulvin. Consider an alternative antifungal where appropriate.

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 Ethinylestradiol with Griseofulvin?

MediHelp rates the interaction as major. Ethinylestradiol 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 reduce the effectiveness of combined hormonal contraceptives, with reports of breakthrough bleeding and contraceptive failure. The effect is thought to arise from enzyme induction.

How serious is the interaction between Ethinylestradiol 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 treatment and for at least one month after stopping griseofulvin. Consider an alternative antifungal where appropriate.

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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