Do Emergency Contraceptive Pills Interact with Cold Medications? - Pharmacology

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Is there any interaction between emergency contraceptive pills and cold medications?


Hello, Doctor: I took cold medicine yesterday at 12:50 PM, which contained the following ingredients: (1) B.B CAPSULE 300MG (B.B.
Capsule), (2) DEGITON F.C.
TABLETS 400MG (Rode's Pain Relief Film-Coated Tablets), (3) SUCOUGH TABLET 20MG (Yuan Chou Sough Relief Film-Coated Tablets), (4) KOWELL TABLETS 2MG (Everest Kang Wei Tablets 2mg), and (5) GENOLIN TABLETS 10MG (DOMPERIDONE) (Ying Yuan Anti-Nausea Tablets 10mg).
Later that afternoon, around 5:20 PM, I took the "Ren Zhi" contraceptive pill.
Will there be any interactions? Also, after taking the medicine, I felt a sensation of something stuck in my throat.
I'm unsure if I swallowed it or if it was absorbed.
Should I take another one?

Nìmíng zhě, 20~29 year old female. Ask Date: 2017/02/08

Dr. Liao Huiling reply Pharmacology


1.
The medication you are using does not interact with the contraceptive pill.
2.
It is advisable to take the medication with a large amount of water to facilitate drug absorption.

Reply Date: 2017/02/08

More Info


Emergency contraceptive pills (ECPs) are designed to prevent pregnancy after unprotected intercourse or contraceptive failure. When considering their interaction with cold medications, it is essential to understand the specific components of the medications you are taking and how they may affect the efficacy of ECPs.

In your case, you mentioned taking several medications for cold symptoms, including B.B Capsule (likely containing an antibiotic), Degiton F.C. Tablets (which may contain a pain reliever), Sucoff Tablet (a cough suppressant), Kowell Tablets (for gastrointestinal relief), and Genolin Tablets (Domperidone, an anti-nausea medication).
1. Interactions with ECPs: Generally, most cold medications do not significantly interact with emergency contraceptive pills. The primary concern with ECPs is their interaction with certain medications that induce liver enzymes, such as some anticonvulsants, rifampicin, and St. John's Wort. These can reduce the effectiveness of ECPs. However, the medications you listed do not fall into these categories. Therefore, it is unlikely that they would interfere with the effectiveness of the emergency contraceptive pill you took later in the day.

2. Absorption Concerns: You mentioned feeling a sensation of something stuck in your throat after taking your medications. This could be due to several factors, including the size of the tablets or capsules, the presence of mucus in your throat, or even anxiety about swallowing. If you are concerned that you may not have fully swallowed the ECP, it is important to monitor for any signs of pregnancy in the following weeks. If you have any doubts about whether the ECP was absorbed, you may consider consulting with a healthcare provider for further advice.
3. Dosage and Timing: ECPs are most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but they can be effective up to 5 days after. If you have taken the ECP within this timeframe, you have maximized your chances of preventing pregnancy. If you are still concerned about the effectiveness due to the swallowing issue, it is advisable to consult your healthcare provider. They may recommend taking another dose, depending on the specific ECP you used and the timing of your unprotected intercourse.

4. General Advice: If you frequently experience difficulty swallowing pills, consider discussing alternative forms of medication with your healthcare provider. There are often liquid formulations or dissolvable tablets available that may be easier to take. Additionally, if you experience persistent symptoms like a sore throat or difficulty swallowing, it may be worth investigating further with a healthcare professional.

In summary, the cold medications you took are unlikely to interfere with the effectiveness of the emergency contraceptive pill. However, if you have concerns about whether you swallowed the ECP properly, or if you experience any unusual symptoms, it is best to consult with a healthcare professional for personalized advice.

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