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Interações medicamentosas

Desogestrel-ethinyl estradiol + Exemestane

Gravidade: Grave

Desogestrel-ethinyl estradiol and Exemestane: major interaction.

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Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.

O conteúdo clínico desta página está disponível apenas em inglês.

Resumo

Exemestane lowers estrogen levels as treatment for hormone-receptor-positive breast cancer in postmenopausal women, while an estrogen-containing contraceptive supplies estrogen. The estrogen opposes the therapeutic aim of exemestane and the combination is not appropriate. Exemestane is also not intended for premenopausal women.

O que esta interação significa em palavras simples

Desogestrel-ethinyl estradiol and Exemestane 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.

Desogestrel-ethinyl estradiol belongs to Endocrine; Exemestane belongs to Oncology.

Nível de evidência: Moderate

Por que acontece

Pharmacodynamic antagonism: exogenous estrogen counteracts the estrogen-lowering effect of the aromatase inactivator.

O que fazer

Avoid concurrent use of estrogen-containing products with exemestane. Use a non-hormonal contraceptive if contraception is needed and review the indication for treatment.

O que perguntar ao farmacêutico

  • 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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Perguntas frequentes

Can I take Desogestrel-ethinyl estradiol with Exemestane?

MediHelp rates the interaction as major. Desogestrel-ethinyl estradiol and Exemestane 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. Exemestane lowers estrogen levels as treatment for hormone-receptor-positive breast cancer in postmenopausal women, while an estrogen-containing contraceptive supplies estrogen. The estrogen opposes the therapeutic aim of exemestane and the combination is not appropriate. Exemestane is also not intended for premenopausal women.

How serious is the interaction between Desogestrel-ethinyl estradiol and Exemestane?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use of estrogen-containing products with exemestane. Use a non-hormonal contraceptive if contraception is needed and review the indication for treatment.

What other medicines interact with Desogestrel-ethinyl estradiol?

MediHelp also lists interactions of Desogestrel-ethinyl estradiol with, for example, Fezolinetant, Aminocaproic acid, Amobarbital. The full list is on the Desogestrel-ethinyl estradiol page.

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