Does Resveratrol Affect the Effectiveness of Oral Contraceptives? - Obstetrics and Gynecology

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Taking dietary supplements and oral contraceptives?


Do you know about a dietary supplement called resveratrol? Resveratrol is a type of polyphenolic antioxidant primarily found in fruits such as grapes, berries, and peanuts.
It is a plant-derived compound that acts as an antiviral agent, helping to combat external stressors such as injuries, bacteria, infections, and ultraviolet radiation, making it a protective agent for plants.
I have been taking oral medication for over a year, and just an hour after taking my medication, I consumed two packets of resveratrol.
I'm unsure if this will affect the effectiveness of my contraceptive method.

Niming, 10~19 year old female. Ask Date: 2020/04/09

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the following medications may interact with oral contraceptives: 1.
Antibiotics (Penicillin, Cephalosporins, Erythromycin, Sulfonamides, Bactrim, Chloramphenicol) - may reduce the gut flora that aids in absorption, thereby decreasing the effectiveness of contraceptives.
2.
Sedatives (Barbiturates) - increase the metabolism of contraceptives, reducing their effectiveness.
3.
Antiepileptic drugs (Primidone, Phenytoin, Carbamazepine) - increase the metabolism of contraceptives, reducing their effectiveness.
4.
Tuberculosis medications (Rifampicin, Isoniazid).
5.
Antidiabetic medications (Rosiglitazone).
6.
Acetaminophen and Ascorbic acid (Vitamin C) - may inhibit the metabolism of estrogen, leading to increased concentrations in the body and a higher incidence of side effects.
7.
Oral contraceptives can affect the action of anticoagulants.
8.
Smoking - increases the metabolism of contraceptives, reducing their effectiveness.
Other areas currently have no related research.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2020/04/09

More Info


Resveratrol is a polyphenolic compound found in various plants, particularly in the skin of grapes, berries, and peanuts. It is well-known for its antioxidant properties and potential health benefits, including anti-inflammatory effects and cardiovascular protection. However, when it comes to its interaction with oral contraceptives, the evidence is limited and not well-established.

Currently, there is no substantial scientific research that directly links resveratrol to a decrease in the effectiveness of oral contraceptives. Most studies on resveratrol focus on its health benefits rather than its pharmacological interactions with medications, including hormonal contraceptives. The primary concern with any supplement, including resveratrol, is that it could potentially affect liver enzymes responsible for metabolizing various drugs. Oral contraceptives are primarily metabolized by the liver, and any substance that alters liver enzyme activity could theoretically impact the effectiveness of these contraceptives.

However, the specific interactions between resveratrol and the enzymes involved in the metabolism of oral contraceptives have not been thoroughly studied. Therefore, while it is prudent to be cautious about combining supplements with prescription medications, there is currently no strong evidence to suggest that taking resveratrol will significantly reduce the effectiveness of oral contraceptives.

If you are concerned about the potential interactions between resveratrol and your oral contraceptive, it is advisable to consult with your healthcare provider. They can provide personalized advice based on your medical history and current medications. Additionally, they may recommend monitoring for any unusual side effects or changes in your menstrual cycle, which could indicate a change in the effectiveness of your contraceptive method.

In general, when taking any supplements alongside prescription medications, it is essential to consider the following:
1. Consultation: Always discuss with your healthcare provider before starting any new supplement, especially if you are on medications like oral contraceptives.

2. Monitoring: Pay attention to any changes in your body or menstrual cycle after starting a new supplement. If you notice any irregularities, report them to your healthcare provider.

3. Research: Stay informed about the latest research regarding supplements and their interactions with medications. The field of pharmacology is continually evolving, and new findings can emerge.

4. Lifestyle Factors: Maintain a healthy lifestyle, including a balanced diet and regular exercise, which can also contribute to the effectiveness of your contraceptive method.

In conclusion, while there is no direct evidence to suggest that resveratrol affects the effectiveness of oral contraceptives, it is always best to err on the side of caution. Consulting with your healthcare provider will ensure that you are making informed decisions regarding your health and contraceptive choices.

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