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Interações medicamentosas

Ethinyl estradiol-levonorgestrel + Tranexamic acid

Gravidade: Contraindicada

Ethinyl estradiol-levonorgestrel and Tranexamic acid: contraindicated 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.

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Resumo

Combined hormonal contraceptives raise the risk of venous thromboembolism and tranexamic acid is antifibrinolytic, so together the thrombotic risk is increased. Oral tranexamic acid labeling contraindicates its use with combined hormonal contraception.

O que esta interação significa em palavras simples

Ethinyl estradiol-levonorgestrel and Tranexamic acid are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Ethinyl estradiol-levonorgestrel belongs to Endocrine; Tranexamic acid belongs to Cardiovascular.

Nível de evidência: Moderate

Por que acontece

Additive prothrombotic effects from estrogen-induced coagulation changes and antifibrinolysis.

O que fazer

Avoid coadministration; for heavy menstrual bleeding consider a non-hormonal or progestin-only alternative, or an alternative to tranexamic acid.

O que perguntar ao farmacêutico

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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Perguntas frequentes

Can I take Ethinyl estradiol-levonorgestrel with Tranexamic acid?

MediHelp rates the interaction as contraindicated. Ethinyl estradiol-levonorgestrel and Tranexamic acid are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Combined hormonal contraceptives raise the risk of venous thromboembolism and tranexamic acid is antifibrinolytic, so together the thrombotic risk is increased. Oral tranexamic acid labeling contraindicates its use with combined hormonal contraception.

How serious is the interaction between Ethinyl estradiol-levonorgestrel and Tranexamic acid?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid coadministration; for heavy menstrual bleeding consider a non-hormonal or progestin-only alternative, or an alternative to tranexamic acid.

What other medicines interact with Ethinyl estradiol-levonorgestrel?

MediHelp also lists interactions of Ethinyl estradiol-levonorgestrel with, for example, Fezolinetant, Ombitasvir / paritaprevir / ritonavir and dasabuvir, Aminocaproic acid. The full list is on the Ethinyl estradiol-levonorgestrel page.

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