Levonorgestrel and ethinyl estradiol and Norelgestromin and ethinyl estradiol interaction

Levonorgestrel and ethinyl estradiol and Norelgestromin 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 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

From the Norelgestromin and ethinyl estradiol label · effective 2026-04-16

Major

WARNING: CIGARETTE SMOKING AND SERIOUS CARDIOVASCULAR EVENTS and CONTRAINDICATED IN WOMEN WITH A BMI |GTE 30 kg/m2 • Cigarette Smoking and Serious Cardiovascular Events Cigarette smoking increases the risk of serious cardiovascular events from hormonal contraceptive 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
Major

…Populations ( 8.6 ) and Clinical Pharmacology ( 12.3 )] ● Undiagnosed abnormal uterine bleeding [see Warnings and Precautions ( 5.9 )] ● Pregnancy, because there is no reason to use hormonal contraceptives during pregnancy [see Warnings and Precautions ( 5.10 ) and Use in Specific Populations ( 8.1 )] ● Current diagnosis of, or history of, breast cancer, which…

Contraindicationsby drug classView label on DailyMed
Major

Breast cancer or other estrogen- or progestin-sensitive cancer ( 4 )

Contraindicationsby drug classView label on DailyMed
Moderate

Consider an alternate contraceptive method for women with uncontrolled dyslipidemia.

Warnings and precautionsby 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.