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Acitretin Capsules and Levlen

Determining the interaction of Acitretin Capsules and Levlen and the possibility of their joint administration.

Check result:
Acitretin Capsules <> Levlen
Relevance: 16.11.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Using acitretin and levonorgestrel is not recommended. Acitretin can cause severe, life-threatening birth defects if the mother takes the medication during pregnancy. Never use acitretin if you are pregnant. Both a primary and a secondary form of birth control must be used together and for at least 3 years after stopping therapy. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Taking these drugs can interfere with the contraceptive effect of levonorgestrel. Because use of acitretin is associated with major birth defects, microdosed 'minipill' progestin preparations are not recommended for women of childbearing potential treated with acitretin. The use of at least two methods of effective contraception is mandatory during acitretin therapy and for at least 3 years after stopping therapy. It is important that you tell your healthcare provider about all other medications that you are using including vitamins and herbs. Do not stop using your medications without talking to your doctor first.

Professional:

CONTRAINDICATED: Acitretin interferes with the contraceptive effect of microdosed progestin preparations. The mechanism of interaction has not been described, and it is not known whether the effectiveness of implantable or injectable products are affected.

MANAGEMENT: Because use of acitretin is associated with major birth defects, microdosed 'minipill' progestin preparations are not recommended for women of childbearing potential treated with acitretin. It is not known whether other progestational contraceptives such as implants and injectables offer adequate contraception during acitretin therapy. Simultaneous use of at least two methods of effective contraception is mandatory during acitretin therapy and for at least 3 years after discontinuing therapy. Input from a gynecologist or similar expert on adequate contraception should be sought as needed.

References
  • Berbis P, Bun H, Geiger JM, Rognin C, Durand a, Serradimigni A, Hartmann D, Privat Y "Acitretin (RO10-1670) and oral contraceptives: interaction study." Arch Dermatol Res 280 (1988): 388-9
  • "Product Information. Soriatane (acitretin)." Roche Laboratories, Nutley, NJ.
Acitretin Capsules

Generic Name: acitretin

Brand name: Soriatane, Soriatane CK

Synonyms: Acitretin

Levlen

Generic Name: ethinyl estradiol / levonorgestrel

Brand name: Amethyst, Aviane, Balcoltra, Falmina, Levlen, Lillow, Orsythia, Vienva, Afirmelle, Altavera, Amethia, Amethia Lo, Ashlyna, Aubra, Aubra EQ, Ayuna, Camrese, Camrese Lo, Chateal, Chateal EQ, Daysee, Delyla, Enpresse-28, FaLessa, Fayosim, Introvale, Jolessa, Kurvelo, Larissia, Lessina, Levonest, Levora 015/30, LoSeasonique, Lutera, Marlissa, Myzilra, Portia-28, Quartette, Quasense, Rivelsa, Seasonique, Setlakin, Simpesse, Sronyx, Trivora, Alesse, Enpresse, Levora, Lybrel, Nordette, Portia, Tri-Levlen, Triphasil-21, Triphasil-28, Trivora-28, Seasonale, Preven EC, Triphasil

Synonyms: n.a.

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

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