Does Cold Medicine Affect Birth Control Pills and Menstrual Cycle? - Obstetrics and Gynecology

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Emergency contraceptive pill


Hello Dr.
Huang, I have been taking oral contraceptives for almost six months.
At the beginning of this month, I took cold medication prescribed by my family doctor due to gastritis, while continuing to take the contraceptive pills.
I finished the 28 pills a few days ago, but my period has not arrived yet.
I would like to ask if the cold medication could be affecting the delay in my menstruation? Does taking cold medication impact the effectiveness of the contraceptive pills? Thank you.

yuris, 20~29 year old female. Ask Date: 2018/09/13

Dr. Huang Jianzhong reply Obstetrics and Gynecology


I have been taking oral contraceptives for almost six months.
At the beginning of this month, I took cold medication prescribed by my family doctor due to gastritis while continuing to take the contraceptive pills.
I finished the 28 pills a few days ago, but my period has not arrived yet.
I would like to know if the cold medication could be affecting the delay in my menstruation.

Answer: It is possible that the cold medication is affecting the delay in your period.

Question: Could taking cold medication affect the effectiveness of the oral contraceptives?
Answer: No, it will not.

Reply Date: 2018/09/13

More Info


When it comes to the interaction between cold medications and birth control pills, it’s essential to understand how various medications can affect hormonal contraceptives and the menstrual cycle. Generally, most over-the-counter cold medications do not significantly impact the effectiveness of birth control pills. However, there are some nuances to consider.

Firstly, the primary concern with cold medications is whether they contain ingredients that could potentially interfere with the metabolism of birth control hormones. Most common cold medications, such as antihistamines (like diphenhydramine) and decongestants (like pseudoephedrine), do not have a known effect on the efficacy of hormonal contraceptives. However, certain prescription medications, particularly some antibiotics and anti-seizure medications, can reduce the effectiveness of birth control pills. It’s crucial to check with your healthcare provider about any specific medications you are taking.

Regarding your delayed menstrual cycle, several factors could contribute to this situation. Stress, illness, changes in routine, and even the body’s response to medications can all influence your menstrual cycle. Since you mentioned experiencing gastritis, the stress and discomfort associated with that condition could also play a role in delaying your period. Additionally, hormonal fluctuations caused by taking birth control pills can lead to irregularities in your cycle, especially in the initial months of use.

If you have been consistently taking your birth control pills as prescribed and have not missed any doses, it is less likely that the cold medication you took is the cause of your delayed period. However, if you are concerned about the possibility of pregnancy, it would be wise to take a home pregnancy test for reassurance. If the test is negative and your period does not arrive soon, it would be advisable to consult your healthcare provider for further evaluation.

In summary, while most cold medications do not affect the efficacy of birth control pills, individual responses can vary. If you have any concerns about your medications or menstrual cycle, it’s always best to discuss them with your healthcare provider. They can provide personalized advice based on your medical history and current situation. Remember, maintaining open communication with your healthcare provider is key to managing your health effectively.

Similar Q&A

Can Cold Medicine Affect Your Menstrual Cycle?

Taking cold medication during menstruation generally does not have a significant impact. However, some cold medications may contain ingredients that can affect menstrual symptoms, such as pain relievers that can help alleviate cramps. It is always advisable to consult with a heal...


Dr. Wang Hanzhou reply Obstetrics and Gynecology
Taking cold medicine does not affect menstruation; however, being ill can lead to irregularities in the menstrual cycle due to emotional factors.

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Currently, I am taking cold medications, specifically Cephradine, Broen-c, Ascopine, and Dl-methylephedrine. Will these affect the effectiveness of my oral contraceptives? If so, which medications are involved? Thank you!


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it generally does not have an impact. Wishing you good health.

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Can I take cold medicine and menstrual regulation medication at the same time? When is the best time to take menstrual regulation medication for it to be effective?


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the common cold itself can alter the secretion levels of certain hormones in the body, which may affect menstruation. However, medication has a minimal impact on hormone levels. Thank you! Wishing you peace and health, Dr. Chang.

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Do Cold Medications Affect Birth Control Pills? What You Need to Know

Doctor, does cold medicine affect birth control pills? Should I inform the doctor that I am taking birth control pills when I go to see them for a cold?


Dr. Lü Lizheng reply Obstetrics and Gynecology
The impact is minimal. Sincerely, Dr. Lyu Lizheng, Taoyuan Hospital.

[Read More] Do Cold Medications Affect Birth Control Pills? What You Need to Know


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