Лекарственные взаимодействия
Elagolix + Ethinyl estradiol-levonorgestrel
Тяжесть: Тяжёлое
Elagolix and Ethinyl estradiol-levonorgestrel: major interaction.
Последнее обновление
Для специалистов здравоохранения — только для справки. Эта страница — краткая сводка, а не медицинская консультация и не замена официальной инструкции или клинического суждения. Всегда проверяйте перед назначением или отпуском.
Клиническое содержание этой страницы доступно только на английском языке.
Кратко
Elagolix suppresses the hypothalamic-pituitary-ovarian axis, and estrogen-containing contraceptives are expected to oppose its effect and reduce its efficacy. Elagolix is also not a reliable contraceptive when combined with hormonal methods, and its own effect on contraceptive efficacy is uncertain.
Что означает это взаимодействие простыми словами
Elagolix and Ethinyl estradiol-levonorgestrel 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.
Elagolix belongs to Musculoskeletal; Ethinyl estradiol-levonorgestrel belongs to Endocrine.
Почему это происходит
Pharmacodynamic antagonism between exogenous estrogen/progestin and GnRH receptor antagonism by elagolix.
Что делать
Avoid combining the two drugs and use non-hormonal contraception during elagolix and for about one week after stopping. Reassess symptom control if hormonal contraception is considered necessary.
О чём спросить фармацевта
- 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?
Для подписчиков Pro+
Откройте страницу целиком
Создайте аккаунт и начните пробный период Pro+, чтобы открыть полные рекомендации по ведению для Elagolix и Ethinyl estradiol-levonorgestrel, дополнительные примечания, подробности о доказательной базе и проверку взаимодействий для всего рецепта.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Pro+ бесплатно 14 дней на сайте. Карта не нужна.
Другие взаимодействия Ethinyl estradiol-levonorgestrel
- Ethinyl estradiol-levonorgestrel + Fezolinetant Противопоказано
- Ethinyl estradiol-levonorgestrel + Ombitasvir / paritaprevir / ritonavir and dasabuvir Противопоказано
- Ethinyl estradiol-levonorgestrel + Tranexamic acid Противопоказано
- Aminocaproic acid + Ethinyl estradiol-levonorgestrel Тяжёлое
- Amobarbital + Ethinyl estradiol-levonorgestrel Тяжёлое
- Anastrozole + Ethinyl estradiol-levonorgestrel Тяжёлое
Другие взаимодействия Elagolix
- Cyclosporin + Elagolix Противопоказано
- Elagolix + Gemfibrozil Противопоказано
- Desogestrel-ethinyl estradiol + Elagolix Тяжёлое
- Elagolix + Erythromycin Тяжёлое
- Elagolix + Ethinyl estradiol-drospirenone Тяжёлое
- Elagolix + Ketoconazole Тяжёлое
Частые вопросы
Can I take Elagolix with Ethinyl estradiol-levonorgestrel?
MediHelp rates the interaction as major. Elagolix and Ethinyl estradiol-levonorgestrel 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. Elagolix suppresses the hypothalamic-pituitary-ovarian axis, and estrogen-containing contraceptives are expected to oppose its effect and reduce its efficacy. Elagolix is also not a reliable contraceptive when combined with hormonal methods, and its own effect on contraceptive efficacy is uncertain.
How serious is the interaction between Elagolix and Ethinyl estradiol-levonorgestrel?
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 combining the two drugs and use non-hormonal contraception during elagolix and for about one week after stopping. Reassess symptom control if hormonal contraception is considered necessary.
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, Tranexamic acid. The full list is on the Ethinyl estradiol-levonorgestrel page.
Полные монографии, дозировки и проверка взаимодействий в приложении MediHelp
Откройте полный справочник, проверяйте взаимодействия нескольких препаратов и пользуйтесь инструментами дозирования в приложении MediHelp.