Do Antacids and Other Medications Affect Birth Control Pill Efficacy? - Pharmacology

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Will the contraceptive pill interact with medications that improve bloating?


Recently, I have been experiencing stomach pain and visited a doctor who diagnosed me with gastric bloating.
The doctor prescribed five medications: famotidine (20 mg/tab), KASCOAL (40 mg/tab), Sennapur (Sennoside A+B) (12.5 mg/tab), Nidolium (10 mg/tab), and Strocain (tab/tab).
I would like to know if taking these medications will affect the contraceptive effectiveness of my birth control pills.
Thank you.

jessica, 20~29 year old female. Ask Date: 2020/08/04

Dr. Zheng Shuwen reply Pharmacology


Hello, regarding your question, here is the response: According to literature, taking oral contraceptives does not interfere with medications for improving bloating.
If you are concerned, you can take the two medications with a 2-hour interval.
If you experience any discomfort, please bring the medications you are taking for a follow-up discussion with your physician.
If you have any other questions, feel free to call during office hours.
Thank you.
Consultation phone number: 03-3698553.
Office hours: Monday to Tuesday: 08:30 AM - 09:30 PM; Wednesday to Friday: 08:30 AM - 05:30 PM; Saturday: 08:30 AM - 01:30 PM.

Reply Date: 2020/08/04

More Info


When it comes to the interaction between medications and birth control pills, it's essential to understand how certain drugs can potentially affect the efficacy of contraceptives. In your case, you are taking a combination of medications, including famotidine, KASCOAL, Sennapur, Nidolium, and Strocain, and you are concerned about whether these will impact the effectiveness of your birth control pill, which is likely a combination oral contraceptive.

First, let's clarify the role of each medication you mentioned:
1. Famotidine: This is an H2 receptor antagonist used to reduce stomach acid. It is commonly prescribed for conditions like gastroesophageal reflux disease (GERD) and peptic ulcers. Research indicates that famotidine does not significantly affect the efficacy of hormonal contraceptives.

2. KASCOAL: This medication is typically an antacid that helps neutralize stomach acid. Antacids generally do not interfere with the absorption of birth control pills, especially if taken at different times of the day.

3. Sennapur (Sennoside A+B): This is a laxative used to treat constipation. While laxatives can potentially affect the absorption of oral contraceptives, this is usually a concern only if they cause diarrhea or are taken in excessive amounts. If you are using Sennapur as directed and not experiencing diarrhea, it should not impact your birth control.

4. Nidolium: This medication is often used for gastrointestinal discomfort. Depending on its specific formulation, it may or may not affect the absorption of contraceptives. However, most gastrointestinal medications do not have a significant impact on hormonal birth control.

5. Strocain: This medication is typically used for pain relief and may contain ingredients that can affect the gastrointestinal tract. However, like the others, it is unlikely to interfere with the effectiveness of birth control pills.

In summary, based on current medical knowledge, the medications you are taking—famotidine, KASCOAL, Sennapur, Nidolium, and Strocain—are not known to significantly affect the efficacy of birth control pills. The primary concern with oral contraceptives is typically with antibiotics (like rifampin) and certain medications that induce liver enzymes, which can lower hormone levels in the blood.

However, it is always prudent to consult with your healthcare provider regarding any concerns about drug interactions, especially when starting new medications. They can provide personalized advice based on your medical history and the specific formulations of the medications you are taking.

Additionally, if you experience any gastrointestinal issues, such as vomiting or diarrhea, it is essential to discuss this with your doctor, as these can affect the absorption of your birth control pill. If you have any doubts or experience any unusual symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.
In conclusion, while the medications you mentioned are generally considered safe in conjunction with birth control pills, maintaining open communication with your healthcare provider is key to ensuring your contraceptive method remains effective.

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