Do Cold Medications Affect the Efficacy of Birth Control Pills? - Pharmacology

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Interactions of Emergency Contraceptive Pills


I apologize for the inconvenience, but I would like to ask the pharmacist to take a moment to respond to my question.
Thank you! I would like to inquire whether the following cold medications (for three days) will affect the efficacy of my oral contraceptive pills:
1.
Fexofenadine
2.
Cataflam 25 mg
3.
Iwell
4.
Norcol tablets 20 mg
5.
Broen-C
6.
Bislan 12 mg
I have read that taking them 1-2 hours apart should be sufficient, but I would still like to confirm with the pharmacist whether these medications will impact the effectiveness of my contraceptive pills.

Lin Feng, 20~29 year old female. Ask Date: 2020/01/21

Dr. Hou Fangmin reply Pharmacology


Hello Lin Feng: 1.
Cold medications that cause nasal discharge and pain relief, anti-inflammatory, anti-edema, and expectorant medications may affect the efficacy of contraceptive pills.
It’s best to avoid those medications I mentioned to you before.
Wishing you a Happy New Year, filled with peace and joy!

Reply Date: 2020/01/21

More Info


When it comes to the interaction between cold medications and birth control pills, it's essential to understand how different drugs can affect the efficacy of hormonal contraceptives. The medications you've listed include Fexofenadine, Cataflam (Diclofenac), Iwell, Norcol, Broen-C, and Bislan. Let's break down each of these medications and their potential interactions with birth control pills.

1. Fexofenadine: This is an antihistamine used to relieve allergy symptoms. Research indicates that Fexofenadine does not significantly affect the efficacy of birth control pills. It is generally considered safe to use alongside hormonal contraceptives.

2. Cataflam (Diclofenac): This is a non-steroidal anti-inflammatory drug (NSAID) used for pain relief. There is no evidence to suggest that Diclofenac affects the effectiveness of birth control pills. It is safe to use in conjunction with hormonal contraceptives.

3. Iwell: This medication is often used for various conditions, including as a dietary supplement. The specific ingredients in Iwell can vary, so it's essential to check its components. However, most dietary supplements do not interfere with hormonal contraceptives.

4. Norcol: This medication is typically used for pain relief and may contain various active ingredients. Without knowing the specific components, it's challenging to determine its interaction with birth control pills. However, most pain relievers do not affect hormonal contraceptives.

5. Broen-C: This medication is often used for cold and allergy symptoms. Similar to Fexofenadine, it is unlikely to interfere with the effectiveness of birth control pills.

6. Bislan: This medication is primarily used for treating anxiety and may contain benzodiazepines. While some medications in this class can have interactions with hormonal contraceptives, Bislan itself is not known to significantly affect birth control efficacy.

In general, most cold medications, including antihistamines and NSAIDs, do not interfere with the effectiveness of birth control pills. However, it is always a good practice to take medications at least 1-2 hours apart when possible to minimize any potential interactions.
It's also important to note that certain antibiotics, particularly rifampin and rifabutin, can reduce the effectiveness of hormonal contraceptives. However, the medications you listed do not fall into this category.

If you have any concerns about specific ingredients in the medications or if you are taking other medications, it is advisable to consult with a healthcare professional or pharmacist. They can provide personalized advice based on your medical history and current medications.

In conclusion, based on the medications you've listed, there is no significant evidence to suggest that they will affect the efficacy of your birth control pills. Always ensure to follow the prescribed guidelines for taking your medications and consult with your healthcare provider if you have any further questions or concerns.

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