Norelgestromin and ethinyl estradiol and Norethindrone and ethinyl estradiol interaction

Norelgestromin and ethinyl estradiol and Norethindrone 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 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

From the Norethindrone and ethinyl estradiol (Lo Loestrin Fe) label · effective 2025-03-07

Minor

Changes in Contraceptive Effectiveness Associated with Co-Administration of Other Products If a woman on hormonal contraceptives takes a drug or herbal product that induces enzymes, including CYP3A4, that metabolize contraceptive hormones, counsel her to use additional contraception or a different method of contraception.

Drug interactionsby drug classView label on DailyMed

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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.