Impact of Dietary Supplements on Birth Control Pills: What You Need to Know - Obstetrics and Gynecology

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The effects of emergency contraceptive pills and nutritional supplements?


Dear Doctor, I usually take weight loss pills (which I purchased in Japan as a food product).
Here is the ingredient list translated by Google: lactose (manufactured in the United States), Kidachiaroe powder (which I found to be aloe vera), Salacia Reticulata extract powder (also known as five-leaf chaste tree), galacto-oligosaccharides, citrus peel extract (Citrus allium), powdered black vinegar, cocoa powder, ginseng extract powder, creatine gum extract powder, citric anhydride, sucrose, eggshell calcium (from chicken eggs), vitamin E, crystalline cellulose, vitamin B1, vitamin B2, vitamin B6, vitamin D, and folic acid.
Could you please help me check if there are any ingredients that may be incompatible with oral contraceptives?

Nina, 20~29 year old female. Ask Date: 2019/05/18

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello,
The medications that may interact with oral contraceptives include:
1.
Antibiotics (Penicillin, Cephalosporins, Erythromycin, Sulfonamides, Bactrim, Chloramphenicol) - These may reduce the gut flora that aids in absorption, thereby decreasing the effectiveness of contraceptives.

2.
Sedatives (Barbiturates) - These can increase the metabolism of contraceptives, reducing their effectiveness.

3.
Antiepileptic drugs (Primidone, Phenytoin, Carbamazepine) - These also increase the metabolism of contraceptives, leading to decreased effectiveness.

4.
Tuberculosis medications (Rifampicin, Isoniazid).

5.
Antidiabetic medications (Rosiglitazone).

6.
Acetaminophen and Ascorbic acid (Vitamin C) - These may inhibit the metabolism of estrogen, potentially increasing its concentration in the body and leading to a higher incidence of side effects.

7.
Oral contraceptives can affect the action of anticoagulants.

8.
Smoking - This can increase the metabolism of contraceptives, reducing their effectiveness.

The food components you mentioned do not include the above medications, but there is also no relevant research data available, so their impact on contraceptive effectiveness is currently unknown.

Thank you! Wishing you safety and health.

Dr.
Zhang

Reply Date: 2019/05/18

More Info


When considering the impact of dietary supplements on birth control pills, it is essential to understand how certain ingredients can interact with hormonal contraceptives. Birth control pills work primarily by delivering hormones that prevent ovulation, and any substance that alters hormone levels or affects liver metabolism can potentially interfere with their effectiveness.

From the ingredients you've listed in your weight loss supplement, let's break down some key components:
1. Aloe Vera (Kidachiaroe Powder): Generally regarded as safe, aloe vera is often used for its digestive benefits. However, high doses can have laxative effects, which might indirectly affect nutrient absorption.

2. Salacia Reticulata Extract: This herb is sometimes used for its potential anti-diabetic properties. There is limited research on its interaction with birth control pills, but it is not widely known to affect hormonal levels.

3. Citrus Peel Extract: Some citrus extracts can influence the metabolism of certain medications due to their effects on liver enzymes. However, the specific impact on birth control pills is not well-documented.

4. Ginseng: This herb is known for its adaptogenic properties and may influence hormonal balance. While it is generally safe, it can interact with various medications, including hormonal contraceptives, although significant interactions are not commonly reported.

5. Vitamins and Minerals (Vitamin E, B1, B2, B6, D, Folic Acid, Eggshell Calcium): These nutrients are essential for overall health and are not known to negatively interact with birth control pills. In fact, folic acid is particularly important for women of childbearing age, as it helps prevent neural tube defects in case of unintended pregnancy.

6. Crystalline Cellulose and Other Fillers: These are generally inert and do not affect the efficacy of birth control pills.

7. Creatine: Typically used for muscle energy, creatine is not known to interact with hormonal contraceptives.

8. Sugar and Flavoring Agents: These are generally harmless and do not affect the efficacy of birth control pills.

In summary, while most of the ingredients in your supplement do not have well-documented interactions with birth control pills, it is always prudent to consult with a healthcare provider before combining supplements with any medication. This is particularly important if you are taking other medications or have underlying health conditions.

Moreover, it is essential to consider the overall context of your health and dietary choices. Supplements should not replace a balanced diet, and relying solely on them for weight loss can lead to nutritional deficiencies or other health issues. A holistic approach that includes a balanced diet, regular physical activity, and consultation with healthcare professionals is the best strategy for managing weight and ensuring reproductive health.

If you have concerns about the effectiveness of your birth control while taking this supplement, or if you experience any unusual symptoms, it is advisable to speak with your healthcare provider. They can provide personalized advice based on your health history and current medications.

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