Does Semi-Nax Affect the Metabolism of Birth Control Pills? - Pharmacology

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Is there any evidence that Suemianos (Suvorexant) increases the metabolic rate of Yuezhi (Zyban)?


Hello, pharmacist: Due to poor sleep quality recently, I have been taking Semi-Nax 10mg (Suvorexant).
I would like to ask if Suvorexant increases the metabolic rate of Yaz (drospirenone and ethinyl estradiol), thereby affecting its contraceptive effectiveness? I came across this claim while researching and would like to confirm.
Thank you.

Amber., 20~29 year old female. Ask Date: 2020/11/01

Dr. Zheng Shuwen reply Pharmacology


Hello, regarding your question, here is the response: According to our database inquiry, Sominex and Yuezhi tablets do not interact with each other and can be taken simultaneously.
Please remember that during your medication period, in addition to carefully reading the drug label instructions, you should also pay attention to your body's reactions.
If you experience any discomfort or have further questions, you may consult your physician or pharmacist.
Wishing you all the best.
Taoyuan Rehabilitation Hospital Care Consultation Phone: 03-3698553.
Working hours: Monday to Tuesday: 08:30 AM - 09:30 PM, Wednesday to Friday: 08:30 AM, Saturday: 08:30 AM - 01:30 PM.

Reply Date: 2020/11/01

More Info


The question regarding whether Semi-Nax (Zolpidem) affects the metabolism of birth control pills is an important one, especially for individuals relying on hormonal contraceptives for effective pregnancy prevention. Based on the information provided and current medical understanding, it can be concluded that Semi-Nax does not significantly impact the effectiveness of birth control pills.

Zolpidem, the active ingredient in Semi-Nax, is primarily a sedative-hypnotic medication used to treat insomnia. It works by enhancing the effects of a neurotransmitter called gamma-aminobutyric acid (GABA) in the brain, which promotes sleep. The metabolism of Zolpidem occurs mainly in the liver through the cytochrome P450 enzyme system, specifically CYP3A4. However, it is important to note that Zolpidem does not induce or inhibit the enzymes responsible for metabolizing hormonal contraceptives, such as ethinyl estradiol and progestin components found in many birth control pills.

In contrast, certain medications, particularly some antibiotics and anticonvulsants, can affect the metabolism of birth control pills by either inducing or inhibiting liver enzymes, which can lead to decreased effectiveness of the contraceptive method. However, Zolpidem does not fall into this category. Therefore, taking Semi-Nax should not lead to an increased metabolism of birth control pills or compromise their effectiveness.

It is also worth mentioning that the interaction between medications can vary based on individual health conditions, other medications being taken, and personal metabolic differences. Therefore, while the general consensus is that Zolpidem does not affect birth control pills, it is always prudent to consult with a healthcare provider or pharmacist regarding any concerns about medication interactions.

In addition to the pharmacological aspects, it is essential to consider the overall health and well-being of individuals taking these medications. If someone is experiencing sleep disturbances, it may be beneficial to explore underlying causes, such as stress, anxiety, or other medical conditions, and to discuss these with a healthcare professional. They may suggest alternative therapies or lifestyle changes that could improve sleep quality without the need for long-term sedative use.

In summary, based on current medical knowledge, Semi-Nax (Zolpidem) does not affect the metabolism of birth control pills, and individuals can take both medications concurrently without concern for reduced contraceptive effectiveness. However, it is always advisable to maintain open communication with healthcare providers regarding any medications being taken, especially when managing multiple prescriptions.

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