Acitretin and Estradiol interaction

Acitretin and Estradiol: the Acitretin prescribing label flags this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Acitretin label · effective 2026-08-05

Major

Primary forms of contraception include: tubal ligation, partner’s vasectomy, intrauterine devices, birth control pills, and injectable/implantable/insertable/topical hormonal birth control products.

Boxed warningby drug classView label on DailyMed
Major

It has not been established if there is a pharmacokinetic interaction between acitretin and combined oral contraceptives.

Boxed warningby drug classView label on DailyMed
Major

Prescribers are advised to consult the package insert of any medication administered concomitantly with hormonal contraceptives, since some medications may decrease the effectiveness of these birth control products.

Boxed warningby drug classView label on DailyMed
Major

John’s wort because a possible interaction has been suggested with hormonal contraceptives based on reports of breakthrough bleeding on oral contraceptives shortly after starting St.

Boxed warningby drug classView label on DailyMed
Major

Pregnancies have been reported by users of combined hormonal contraceptives who also used some form of St.

Boxed warningby drug classView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.