Can I Take Urethritis Medication with My Birth Control Pills? - Obstetrics and Gynecology

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Can medication for urethritis be taken together with emergency contraception?


Hello doctor, I would like to ask, I started taking the contraceptive pill "Yuezi" for the first time on August 24.
On September 12, I visited a doctor for urethritis, and he prescribed the following medications for seven days: "Urofex" capsules every 6 hours, "Debarilin" tablets after each meal, and "Rovalaxin" after each meal.
Can I take these medications together with the contraceptive pill? How long should I wait between taking them?

Niming, 20~29 year old female. Ask Date: 2018/09/12

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it's fine to eat together, it won't have any negative effects.
Wishing you good health.

Reply Date: 2018/09/12

More Info


When it comes to taking medications for urethritis while on birth control pills, it’s essential to understand how these medications interact and their potential effects on your contraceptive efficacy. The medications you mentioned—"優復捷黴素膠囊" (likely a form of antibiotic), "得百利寧錠" (which may be an anti-inflammatory or pain relief medication), and "柔瓦拉欣" (possibly another antibiotic or supportive treatment)—can have varying interactions with hormonal contraceptives.


Interaction of Antibiotics with Birth Control Pills
1. Antibiotics and Birth Control: Most antibiotics do not significantly affect the efficacy of birth control pills. However, there are exceptions. For instance, rifampin and rifabutin, used primarily for tuberculosis, can reduce the effectiveness of hormonal contraceptives. The antibiotic you mentioned, "優復捷黴素," is not typically known to interfere with birth control pills. However, it is always wise to consult with your healthcare provider regarding specific medications.

2. Timing and Administration: When taking multiple medications, it’s generally a good practice to space them out to minimize any potential interactions and to ensure optimal absorption. A common recommendation is to take your birth control pill at the same time each day, and if you need to take antibiotics or other medications, you can do so at least 2 hours apart from your birth control pill. This helps to ensure that the absorption of the contraceptive is not impaired.

3. Monitoring for Side Effects: While taking both your antibiotics and birth control pills, monitor for any unusual side effects. Some women may experience changes in their menstrual cycle or spotting when taking antibiotics, which can be confusing. If you notice any significant changes or have concerns, it’s best to reach out to your healthcare provider.


Recommendations
- Consult Your Doctor: Since you are on a specific regimen for urethritis, it’s crucial to discuss with your prescribing physician or pharmacist about the specific antibiotics you are taking and their interactions with your birth control pills. They can provide tailored advice based on your health history and the specific medications involved.

- Continue Taking Your Birth Control: Unless your doctor advises otherwise, continue taking your birth control pills as prescribed. If you have any doubts about the effectiveness of your birth control during this time, consider using a backup method (like condoms) until you can confirm with your healthcare provider.

- Follow Up: After completing your course of antibiotics, follow up with your healthcare provider to ensure that the urethritis has resolved and to discuss any ongoing concerns regarding your birth control.


Conclusion
In summary, while most antibiotics do not interfere with the effectiveness of birth control pills, it’s essential to be cautious and informed. Always consult with your healthcare provider regarding any new medications you are prescribed, especially when you are on hormonal contraceptives. By doing so, you can ensure that you are taking the necessary steps to maintain both your reproductive health and the effectiveness of your birth control.

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