Interactions Between Provera and Antibiotics: What You Need to Know - Pharmacology

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Provera (medroxyprogesterone acetate) and antibiotics may have interactions that can affect the efficacy of hormonal contraceptives. While most antibiotics do not significantly impact the effectiveness of Provera, certain antibiotics, such as rifampin and rifabutin, can reduce the effectiveness of hormonal medications


Hello, pharmacist.
Last week I was taking antibiotics for a urinary tract infection, and I need to continue taking them until this Thursday (the 19th).
However, I need to start taking Provera on Wednesday (the 18th) to delay my period this month.
I would like to know if these two medications can be taken together.
Will the antibiotics reduce the effectiveness of Provera? Is it possible that my period will still come, or could it be harmful to my body to take them together? Thank you, pharmacist.

dra, 20~29 year old female. Ask Date: 2017/10/16

Dr. Liao Huiling reply Pharmacology


There are many types of antibiotics, some of which may affect the efficacy of Provera or cause adverse reactions.
However, we need the specific names of the antibiotic ingredients to further confirm whether there is an interaction between the two.

Reply Date: 2017/10/16

More Info


When considering the interaction between Provera (medroxyprogesterone acetate) and antibiotics, it's essential to understand how these medications work and their potential effects on each other. Provera is a synthetic form of the hormone progesterone, commonly used for various indications, including regulating menstrual cycles, treating endometriosis, and managing abnormal uterine bleeding. Antibiotics, on the other hand, are used to treat bacterial infections, such as your bladder infection.

Generally, most antibiotics do not significantly affect the efficacy of hormonal contraceptives, including Provera. However, there are a few exceptions, particularly with certain antibiotics like rifampin, which can induce liver enzymes that metabolize hormones, potentially reducing their effectiveness. Fortunately, the majority of commonly prescribed antibiotics, such as amoxicillin, ciprofloxacin, or doxycycline, do not have this effect.

In your case, if you are taking a standard antibiotic for your bladder infection, it is unlikely to interfere with the effectiveness of Provera. Therefore, you should be able to take both medications concurrently without concern for reduced efficacy of the Provera or adverse effects on your menstrual cycle. However, it is always prudent to monitor your body’s response to any medication changes.

It's also important to note that while antibiotics can disrupt the normal flora of the gut and potentially lead to gastrointestinal side effects, they do not directly influence the hormonal pathways that Provera operates within. Therefore, taking both medications should not lead to an unexpected onset of menstruation, provided that Provera is taken as directed.

To ensure your safety and the effectiveness of your treatment, here are a few recommendations:
1. Consult Your Healthcare Provider: Always discuss any new medications with your healthcare provider or pharmacist, especially when combining treatments. They can provide personalized advice based on your medical history and the specific antibiotics you are taking.

2. Monitor for Side Effects: While taking both medications, be aware of any unusual symptoms or side effects. If you experience unexpected bleeding or other concerning symptoms, contact your healthcare provider.

3. Adhere to Dosage Instructions: Follow the prescribed dosages for both the antibiotic and Provera. Consistency is key in ensuring that both medications work effectively.

4. Consider Timing: If you have concerns about taking both medications at the same time, you might consider spacing them out. However, this is generally not necessary with most antibiotics.

5. Stay Informed: Keep yourself updated on any new information regarding drug interactions, as guidelines and recommendations can evolve.

In conclusion, you should be able to take Provera while on antibiotics without significant concern for interaction or reduced effectiveness. However, always prioritize communication with your healthcare provider to ensure the best outcomes for your health.

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