Before Using
Drug information provided by: Merative, Micromedex®
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:
Allergies
Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Pediatric
Appropriate studies on the relationship of age to the effects of norethindrone, ethinyl estradiol, and ferrous fumarate combination have not been performed in the pediatric population. However, pediatric-specific problems that would limit the usefulness of this medicine in teenagers are not expected. This medicine may be used for birth control in teenage females but should not be used before the start of menstruation.
Geriatric
Appropriate studies on the relationship of age to the effects of norethindrone, ethinyl estradiol, and ferrous fumarate combination have not been performed in the geriatric population. This medicine is not indicated for use in elderly women.
Breastfeeding
Ethinyl Estradiol
Studies suggest that this medication may alter milk production or composition. If an alternative to this medication is not prescribed, you should monitor the infant for side effects and adequate milk intake.
Ethinyl Estradiol
Norethindrone Acetate
Ferrous Fumarate
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Drug Interactions
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
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Dasabuvir
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Fezolinetant
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Ombitasvir
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Paritaprevir
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Ritonavir
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Tranexamic Acid
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
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Amifampridine
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Amobarbital
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Amoxicillin
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Ampicillin
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Amprenavir
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Anagrelide
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Apalutamide
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Aprepitant
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Armodafinil
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Artemether
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Bacampicillin
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Baloxavir Marboxil
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Belzutifan
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Betamethasone
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Bexarotene
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Bictegravir
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Boceprevir
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Bosentan
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Bupropion
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Butabarbital
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Butalbital
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Carbamazepine
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Carbenicillin
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Cefaclor
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Cefadroxil
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Cefdinir
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Cefditoren
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Cefixime
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Cefpodoxime
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Cefprozil
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Ceftazidime
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Ceftibuten
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Cefuroxime
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Cenobamate
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Ceritinib
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Clobazam
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Cloxacillin
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Cobicistat
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Colesevelam
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Cosyntropin
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Cyclacillin
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Cyclosporine
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Dabrafenib
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Darunavir
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Dexamethasone
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Dicloxacillin
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Dimercaprol
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Dipyrone
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Dolutegravir
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Donepezil
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Doxycycline
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Efavirenz
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Elafibranor
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Elagolix
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Eltrombopag
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Elvitegravir
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Enasidenib
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Encorafenib
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Enzalutamide
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Erdafitinib
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Eslicarbazepine Acetate
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Ethinyl Estradiol
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Etravirine
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Felbamate
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Fluconazole
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Fosamprenavir
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Fosaprepitant
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Fosphenytoin
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Fostemsavir
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Glecaprevir
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Grazoprevir
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Griseofulvin
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Guar Gum
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Indinavir
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Iron
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Isotretinoin
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Itraconazole
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Ivosidenib
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Ketoconazole
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Lesinurad
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Lixisenatide
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Lopinavir
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Lorlatinib
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Lumacaftor
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Magnesium Sulfate
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Mavacamten
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Mephobarbital
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Meropenem
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Methohexital
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Methylprednisolone
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Minocycline
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Mitapivat
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Mitotane
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Mobocertinib
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Modafinil
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Mycophenolate Mofetil
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Mycophenolic Acid
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Nafcillin
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Nelfinavir
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Nevirapine
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Nirmatrelvir
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Octreotide
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Omaveloxolone
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Oxacillin
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Oxcarbazepine
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Oxytetracycline
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Paclitaxel
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Paclitaxel Protein-Bound
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Penicillin G
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Penicillin G Procaine
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Penicillin V
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Pentobarbital
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Pexidartinib
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Phenobarbital
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Phenylbutazone
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Phenytoin
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Pibrentasvir
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Piperaquine
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Pitolisant
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Prednisolone
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Prednisone
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Primidone
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Raltegravir
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Red Clover
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Repotrectinib
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Rifabutin
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Rifampin
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Rifapentine
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Rilpivirine
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Ritonavir
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Rufinamide
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Saquinavir
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Secobarbital
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Simeprevir
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Somatrogon-ghla
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Sotagliflozin
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Sotorasib
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St John's Wort
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Sugammadex
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Sultamicillin
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Tacrolimus
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Tazemetostat
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Telaprevir
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Telotristat Ethyl
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Tetracycline
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Theophylline
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Thiopental
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Thioridazine
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Ticarcillin
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Tigecycline
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Tipranavir
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Tirzepatide
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Tizanidine
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Topiramate
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Tovorafenib
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Troglitazone
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Ulipristal
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Vadadustat
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Valproic Acid
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Vemurafenib
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Voxilaprevir
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Zanubrutinib
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
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Amitriptyline
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Atazanavir
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Atorvastatin
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Carbidopa
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Cefdinir
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Ciprofloxacin
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Clomipramine
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Delafloxacin
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Demeclocycline
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Diazepam
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Doxepin
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Doxycycline
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Etoricoxib
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Gatifloxacin
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Ginseng
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Grepafloxacin
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Imipramine
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Lamotrigine
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Levodopa
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Levofloxacin
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Levothyroxine
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Licorice
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Liothyronine
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Lomefloxacin
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Lorazepam
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Methyldopa
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Minocycline
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Moxifloxacin
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Mycophenolate Mofetil
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Mycophenolic Acid
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Norfloxacin
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Ofloxacin
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Omadacycline
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Omeprazole
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Parecoxib
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Penicillamine
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Roflumilast
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Selegiline
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Temafloxacin
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Temazepam
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Tetracycline
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Tipranavir
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Triazolam
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Troleandomycin
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Trovafloxacin Mesylate
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Valdecoxib
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Voriconazole
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Warfarin
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Zinc
Other Interactions
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.
Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.
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Caffeine
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Dairy Food
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Phytic Acid Containing Food
Other Medical Problems
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:
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Abnormal or unusual vaginal bleeding or
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Blood clots (eg, deep vein thrombosis, pulmonary embolism), or history of or
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Breast cancer, active or history of or
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Cholestasis (bile problem) during pregnancy or previous pill use, history of or
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Diabetes with kidney, eye, nerve, or blood vessel damage or
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Heart attack, history of or
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Heart or blood vessel disease (eg, coronary artery disease, heart valve problems) or
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Heart rhythm problems (atrial fibrillation) or
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Hypertension (high blood pressure), uncontrolled or
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Liver disease, including tumors or cancer or
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Migraine headache, new or worse or a new kind of headache or
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Problems with circulation or blood clots, now or in the past or
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Stroke, history of—Should not be used in patients with these conditions.
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Angioedema (swelling of the face, tongue, or throat), inherited or
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Cervical cancer or intraepithelial neoplasia or
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Chloasma gravidarum (skin disorder during pregnancy), history of or
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Depression, history of or
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Diabetes or
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Dyslipidemia (high cholesterol or fats in the blood), uncontrolled or
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Gallbladder disease or
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Hypertension (high blood pressure)—Use with caution. May make these conditions worse.
Portions of this document last updated: Aug. 01, 2024
Copyright: © Merative US L.P. 1973, 2024. All rights reserved. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.