Skip to content
Med Rx.

Drospirenone + Ethinyl Estradiol + Levomefolate interactions

Checked as Drospirenone + Ethinylestradiol + Levomefolic acid in this data source.

Full monograph for Drospirenone + Ethinyl Estradiol + LevomefolateCheck it against another medicine

Medicines

434 documented

Medicines documented to interact with Drospirenone + Ethinyl Estradiol + Levomefolate, worst severity first.
MedicineSeverityMechanismEffectSources
Bosentan Monohydratevia Drospirenone, EthinylestradiolMajorMetabolismRECOMMENDED: Coadministration with bosentan may decrease the plasma concentrations and efficacy of contraceptive hormones. The mechanism is bosentan induction…2 documented mechanisms83 sources — open the full entry
Brigatinibvia Drospirenone, EthinylestradiolMajorMetabolismRECOMMENDED: Coadministration with brigatinib may decrease the plasma concentrations of contraceptive hormones. Brigatinib has been shown in vitro to induce…2 documented mechanisms37 sources — open the full entry
Capecitabinevia Levomefolic acidMajorSynergyCoadministration with folate therapy may potentiate the pharmacologic effects of 5-fluorouracil (5-FU). The exact mechanism of interaction is unknown. Although…9 sources — open the full entry
Carbamazepinevia Levomefolic acid, Drospirenone, EthinylestradiolMajorAntagonism · MetabolismRECOMMENDED: Coadministration with certain anticonvulsants such as carbamazepine, eslicarbazepine, oxcarbazepine, phenobarbital, phenytoin, and primidone may…3 documented mechanisms91 sources — open the full entry
Carfilzomibvia Drospirenone, EthinylestradiolMajorSynergyVenous thromboembolic events, including deep vein thrombosis (DVT) and pulmonary embolism (PE), have occurred during treatment with carfilzomib, and concurrent…2 documented mechanisms38 sources — open the full entry
Ceritinibvia DrospirenoneMajorMetabolismCoadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of drospirenone which is primarily metabolized by…9 sources — open the full entry
Clarithromycinvia Drospirenone, EthinylestradiolMajorMetabolismCoadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of drospirenone which is primarily metabolized by…2 documented mechanisms25 sources — open the full entry
Dantrolene Sodiumvia EthinylestradiolMajorSynergyThe use of estrogens may potentiate the risk of hepatotoxicity associated with dantrolene therapy. The mechanism of interaction is unknown. Fatal and non-fatal…39 sources — open the full entry
Esomeprazole + Amoxicillin + Clarithromycinvia Drospirenone, EthinylestradiolMajorAntagonism · MetabolismCoadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of drospirenone which is primarily metabolized by…3 documented mechanisms63 sources — open the full entry
Fluorouracilvia Levomefolic acidMajorSynergyCoadministration with folate therapy may potentiate the pharmacologic effects of 5-fluorouracil (5-FU). The exact mechanism of interaction is unknown. Although…9 sources — open the full entry
Fosphenytoin Sodiumvia Levomefolic acid, Drospirenone, EthinylestradiolMajorAntagonism · MetabolismRECOMMENDED: Coadministration with certain anticonvulsants such as carbamazepine, eslicarbazepine, oxcarbazepine, phenobarbital, phenytoin, and primidone may…3 documented mechanisms91 sources — open the full entry
Glecaprevir + Pibrentasvirvia EthinylestradiolMajorMetabolism · SynergyCoadministration of ethinyl estradiol with glecaprevir-pibrentasvir may increase the risk of alanine aminotransferase (ALT) elevations. ALT elevations are also…2 documented mechanisms5 sources — open the full entry
Griseofulvin [Ultra Microsize]via Drospirenone, EthinylestradiolMajorMetabolismRECOMMENDED: Limited clinical data suggest that griseofulvin may reduce the efficacy of contraceptive hormones. The proposed mechanism is accelerated clearance…2 documented mechanisms48 sources — open the full entry
Itraconazolevia Drospirenone, EthinylestradiolMajorMetabolismCoadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of drospirenone which is primarily metabolized by…2 documented mechanisms17 sources — open the full entry
Ketoconazolevia Drospirenone, EthinylestradiolMajorMetabolismCoadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of drospirenone which is primarily metabolized by…2 documented mechanisms17 sources — open the full entry
Ketoconazole + Zinc Pyrithione + Aleoveravia Drospirenone, EthinylestradiolMajorMetabolismCoadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of drospirenone which is primarily metabolized by…2 documented mechanisms17 sources — open the full entry
Lansoprazole + Amoxicillin + Clarithromycinvia Drospirenone, EthinylestradiolMajorAntagonism · MetabolismCoadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of drospirenone which is primarily metabolized by…3 documented mechanisms63 sources — open the full entry
Lenalidomidevia Drospirenone, EthinylestradiolMajorSynergyConcomitant treatment with agents that can cause thrombosis such as estrogens may potentiate the risk of venous thromboembolic events associated with the use…2 documented mechanisms36 sources — open the full entry
Lopinavir + Ritonavirvia Drospirenone, EthinylestradiolMajorMetabolismCoadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of drospirenone which is primarily metabolized by…2 documented mechanisms48 sources — open the full entry
Mavacamtenvia Drospirenone, EthinylestradiolMajorMetabolismCoadministration with mavacamten may decrease the plasma concentrations and efficacy of contraceptive hormones. The proposed mechanism is mavacamten induction…2 documented mechanisms1 sources — open the full entry
Mycophenolate Mofetilvia Drospirenone, EthinylestradiolMajorOthersRECOMMENDED: Coadministration with mycophenolic acid may decrease the plasma concentrations and, theoretically, the efficacy of contraceptive hormones. The…2 documented mechanisms37 sources — open the full entry
Mycophenolic acidvia Drospirenone, EthinylestradiolMajorOthersRECOMMENDED: Coadministration with mycophenolic acid may decrease the plasma concentrations and, theoretically, the efficacy of contraceptive hormones. The…2 documented mechanisms37 sources — open the full entry
Nelfinavirvia Drospirenone, EthinylestradiolMajorMetabolismCoadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of drospirenone which is primarily metabolized by…2 documented mechanisms45 sources — open the full entry
Nirmatrelvir + Ritonavirvia Drospirenone, EthinylestradiolMajorMetabolismCoadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of drospirenone which is primarily metabolized by…3 documented mechanisms57 sources — open the full entry
Oxcarbazepinevia Levomefolic acid, Drospirenone, EthinylestradiolMajorAntagonism · MetabolismRECOMMENDED: Coadministration with certain anticonvulsants such as carbamazepine, eslicarbazepine, oxcarbazepine, phenobarbital, phenytoin, and primidone may…3 documented mechanisms91 sources — open the full entry
Phenobarbitalvia Levomefolic acid, Drospirenone, EthinylestradiolMajorAntagonism · MetabolismRECOMMENDED: Coadministration with certain anticonvulsants such as carbamazepine, eslicarbazepine, oxcarbazepine, phenobarbital, phenytoin, and primidone may…3 documented mechanisms91 sources — open the full entry
Phenytoin Sodiumvia Levomefolic acid, Drospirenone, EthinylestradiolMajorAntagonism · MetabolismRECOMMENDED: Coadministration with certain anticonvulsants such as carbamazepine, eslicarbazepine, oxcarbazepine, phenobarbital, phenytoin, and primidone may…3 documented mechanisms91 sources — open the full entry
Pomalidomidevia Drospirenone, EthinylestradiolMajorSynergyConcomitant treatment with agents that can cause thrombosis such as erythropoiesis-stimulating agents, estrogens, selective estrogen receptor modulators, or C1…2 documented mechanisms4 sources — open the full entry
Posaconazolevia Drospirenone, EthinylestradiolMajorMetabolismCoadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of drospirenone which is primarily metabolized by…2 documented mechanisms17 sources — open the full entry
Primidonevia Levomefolic acid, Drospirenone, EthinylestradiolMajorAntagonism · MetabolismRECOMMENDED: Coadministration with certain anticonvulsants such as carbamazepine, eslicarbazepine, oxcarbazepine, phenobarbital, phenytoin, and primidone may…3 documented mechanisms91 sources — open the full entry
Rabeprazole + Amoxicillin + Clarithromycinvia Drospirenone, EthinylestradiolMajorAntagonism · MetabolismCoadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of drospirenone which is primarily metabolized by…3 documented mechanisms63 sources — open the full entry
Relugolixvia EthinylestradiolMajorAntagonismCoadministration of hormonal contraceptives may decrease the efficacy of the fixed-dose oral formulation of relugolix, estradiol, and norethindrone when used…4 sources — open the full entry
Relugolix + Estradiol + Norethindronevia EthinylestradiolMajorAntagonismCoadministration of hormonal contraceptives may decrease the efficacy of the fixed-dose oral formulation of relugolix, estradiol, and norethindrone when used…4 sources — open the full entry
Rifampicinvia Drospirenone, EthinylestradiolMajorMetabolismRECOMMENDED: Coadministration with rifampin or other rifamycins may reduce the efficacy of contraceptive hormones. There have been numerous case reports of…2 documented mechanisms113 sources — open the full entry
Rifampicin + Isoniazidvia Drospirenone, EthinylestradiolMajorMetabolismRECOMMENDED: Coadministration with rifampin or other rifamycins may reduce the efficacy of contraceptive hormones. There have been numerous case reports of…3 documented mechanisms122 sources — open the full entry
Rifampicin + Isoniazid + Pyrazinamide + Ethambutolvia Drospirenone, EthinylestradiolMajorMetabolismRECOMMENDED: Coadministration with rifampin or other rifamycins may reduce the efficacy of contraceptive hormones. There have been numerous case reports of…3 documented mechanisms122 sources — open the full entry
Thalidomidevia Drospirenone, EthinylestradiolMajorSynergyConcomitant treatment with agents that can cause thrombosis such as estrogens may potentiate the risk of venous thromboembolic events associated with the use…2 documented mechanisms40 sources — open the full entry
Tizanidine Hydrochloridevia Drospirenone, EthinylestradiolMajorMetabolismCoadministration with oral contraceptives may significantly increase the plasma concentrations and pharmacologic effects of tizanidine. The proposed mechanism…2 documented mechanisms41 sources — open the full entry
Topiramatevia Ethinylestradiol, DrospirenoneMajorMetabolismCoadministration with topiramate, particularly at dosages above 200 mg/day, may decrease the plasma concentrations and efficacy of contraceptive hormones. The…2 documented mechanisms56 sources — open the full entry
Tranexamic Acidvia Drospirenone, EthinylestradiolMajorOthersThere are no clinical data on the use of tranexamic acid in combination with hormonal contraceptives. Because tranexamic acid is an antifibrinolytic agent…2 documented mechanisms38 sources — open the full entry
Tucatinibvia Drospirenone, EthinylestradiolMajorMetabolismCoadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of drospirenone which is primarily metabolized by…2 documented mechanisms10 sources — open the full entry
Vonoprazan + Amoxicillin + Clarithromycinvia Drospirenone, EthinylestradiolMajorAntagonism · MetabolismCoadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of drospirenone which is primarily metabolized by…3 documented mechanisms63 sources — open the full entry
Voriconazolevia Drospirenone, EthinylestradiolMajorMetabolismCoadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of drospirenone which is primarily metabolized by…2 documented mechanisms17 sources — open the full entry
Abametapirvia Drospirenone, EthinylestradiolModerateMetabolismBased on in vitro inhibition data, a single topical application of abametapir lotion may increase plasma concentrations of drugs that are substrates of CYP450…2 documented mechanisms1 sources — open the full entry
Acarbosevia Drospirenone, EthinylestradiolModerateAntagonismThe efficacy of insulin and other antidiabetic agents may be diminished by certain drugs, including atypical antipsychotics, corticosteroids, diuretics…2 documented mechanisms95 sources — open the full entry
Acyclovir + Hydrocortisonevia EthinylestradiolModerateSynergyEstrogens may enhance the systemic effects of both endogenous and exogenous corticosteroids. The proposed mechanism is an increase in serum cortisol-binding…9 sources — open the full entry
Adalimumabvia Drospirenone, EthinylestradiolModerateMetabolismPlasma concentrations of drugs that are CYP450 substrates may decrease following the initiation of interleukin (IL) inhibitors, tumor necrosis factor (TNF)…2 documented mechanisms19 sources — open the full entry
Allium cepa + Heparin + Allantoinvia DrospirenoneModerateSynergyThe use of drospirenone may potentiate the risk of hyperkalemia in patients receiving chronic treatment with drugs that can increase serum potassium such as…2 sources — open the full entry
Alogliptin Benzoatevia Drospirenone, EthinylestradiolModerateAntagonismThe efficacy of insulin and other antidiabetic agents may be diminished by certain drugs, including atypical antipsychotics, corticosteroids, diuretics…2 documented mechanisms95 sources — open the full entry
Amikacinvia EthinylestradiolModerateAntagonismRECOMMENDED: The effectiveness of estrogen-containing oral contraceptives may be impaired by concomitant treatment with antimicrobial agents. Most…38 sources — open the full entry

Food & lifestyle

Conditions

Conditions in which Drospirenone + Ethinyl Estradiol + Levomefolate needs care, as documented in this source.

Therapeutic duplication

Drug classes that overlap with Drospirenone + Ethinyl Estradiol + Levomefolate, so taking both doubles up the same effect. This source publishes no per-row citations for duplication.