Etonogestrel and ethinyl estradiol and Levonorgestrel and ethinyl estradiol interaction

Etonogestrel and ethinyl estradiol and Levonorgestrel and ethinyl estradiol: both prescribing labels 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 Etonogestrel and ethinyl estradiol (Etonogestrel/Ethinyl Estradiol) label · effective 2025-02-26

Major

WARNING: CIGARETTE SMOKING AND SERIOUS CARDIOVASCULAR EVENTS Cigarette smoking increases the risk of serious cardiovascular events from combination hormonal contraceptive (CHC) use.

Boxed warningby drug classView label on DailyMed
Major

Cigarette smoking increases the risk of serious cardiovascular events from combination hormonal contraceptive (CHC) use.

Boxed warningby drug classView label on DailyMed
Moderate

Effects of CHCs on Other Drugs CHCs containing ethinyl estradiol may inhibit the metabolism of other compounds (e.g., cyclosporine, prednisolone, theophylline, tizanidine, and voriconazole) and increase their plasma concentrations.

Drug interactionsnames Levonorgestrel and ethinyl estradiolView label on DailyMed
Moderate

Consider an alternate contraceptive method for women with uncontrolled dyslipidemia.

Warnings and precautionsby drug classView label on DailyMed
Moderate

In these studies, which were required or sponsored by regulatory agencies, Etonogestrel/Ethinyl Estradiol Vaginal Ring users had a risk of VTE similar to Combined Oral Contraceptives (COCs) users (see Table 1 for adjusted hazard ratios).

Warnings and precautionsby drug classView label on DailyMed

From the Levonorgestrel and ethinyl estradiol (Tyblume) label · effective 2026-08-27

Major

…symptoms, migraine headaches with aura, or over age 35 with any migraine headaches [see Warnings and Precautions (5.7) ] Current or history of breast cancer or other estrogen- or progestin-sensitive cancer Liver tumors, acute viral hepatitis, or severe (decompensated) cirrhosis [see Warnings and Precautions (5.2) ] Undiagnosed abnormal uterine bleeding [see…

Contraindicationsby drug classView label on DailyMed
Major

Breast cancer or other estrogen- or progestin-sensitive cancer.

Contraindicationsby drug classView label on DailyMed
Minor

Effects of Other Drugs on Combined Hormonal Contraceptives Substances decreasing the Plasma Concentration of CHCs and Potentially Diminishing the Efficacy of CHCs Table 3 Significant Drug Interactions Involving Substances That Affect CHCs a Induction potency of St.

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.

Open in the checker

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.