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Necon 10/11 (28)

Interactions

Hormonal Contraceptive Agents/Efavirenz; Nevirapine

This information is generalized and not intended as specific medical advice. Consult your healthcare professional before taking or discontinuing any drug or commencing any course of treatment.

Medical warning:

Serious. These medicines may interact and cause very harmful effects. Contact your healthcare professional (e.g. doctor or pharmacist) for more information.

How the interaction occurs:

Efavirenz and nevirapine may speed up how quickly your liver processes your hormonal contraceptive agent.

What might happen:

The blood levels of your contraceptive agent may decrease, causing breakthrough bleeding, spotting, or pregnancy.

What you should do about this interaction:

Contact your healthcare professionals (e.g. doctor or pharmacist) as soon as possible about taking these two medicines together. You should use another form of birth control in addition to your hormonal contraceptive agent while you are taking efavirenz or nevirapine. Because efavirenz stays in your body a long time, you should continue to use another form of birth control with your hormonal contraceptive for 12 weeks after you stop taking efavirenz.Your healthcare professionals may be aware of this interaction and may be monitoring you for it. Do not start, stop, or change the dosage of any medicine before checking with them first.

References:

1.Sustiva (efavirenz) US prescribing information. Bristol-Myers Squibb Company August, 2012.

2.Viramune (nevirapine) US prescribing information. Boehringer Ingelheim Pharmaceuticals, Inc. January, 2014.

3.Mildvan D, Yarrish R, Marshak A, Hutman HW, McDonough M, Lamson M, Robinson P. Pharmacokinetic interaction between nevirapine and ethinyl estradiol/norethindrone when administered concurrently to HIV-infected women. J Acquir Immune Defic Syndr 2002 Apr 15;29(5):471-7.

Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, expect as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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