Anastrozole and Estradiol interaction

Anastrozole and Estradiol: the Anastrozole prescribing label flag 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 Anastrozole (ARIMIDEX) label · effective 2026-03-02

Major

Estrogen Estrogen-containing therapies should not be used with ARIMIDEX as they may diminish its pharmacological action.

Drug interactionsby drug classView label on DailyMed
Minor

Estrogen-containing products: Combination use may diminish activity of ARIMIDEX.

Drug interactionsby 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.