Can You Take Birth Control Pills and Effervescent Tablets Together?

Can emergency contraceptive pills and effervescent tablets be taken together?

Hello doctor, I have recently started taking the contraceptive pill "Yueji" for a month.
After finishing the pill, I feel a bit nauseous and uncomfortable, so I take a fizzy tablet containing B vitamins and apple enzyme shortly after taking the medication.
I would like to know if this will affect the effectiveness of the contraceptive pill.
Additionally, how long should I wait before taking the fizzy tablet? Thank you!

Niming, 20~29 year old female. Ask Date: 2021/08/09

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.
Antituberculosis 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.
If supplements do not contain any of the above ingredients, they generally do not have a significant impact.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2021/08/09

More Info

When it comes to the interaction between birth control pills and effervescent tablets, it's essential to understand how these medications work and their potential effects on each other. Birth control pills, such as the one you mentioned (悦己), are designed to prevent ovulation and regulate menstrual cycles. They contain hormones that can be affected by various factors, including other medications and supplements.

Based on the information provided, effervescent tablets that contain B vitamins and apple enzyme are generally considered safe to take with birth control pills. Most effervescent tablets do not contain ingredients that would interfere with the hormonal mechanisms of birth control pills. Therefore, taking them together is unlikely to diminish the effectiveness of your contraceptive method.

However, it is important to consider the timing of when you take these medications. If you experience nausea after taking your birth control pill, it might be beneficial to wait a little while before consuming the effervescent tablet. This waiting period can help ensure that your body has absorbed the birth control pill effectively before introducing another substance. A good rule of thumb is to wait at least 1-2 hours after taking your birth control pill before consuming any additional supplements or medications. This timing can help minimize any potential gastrointestinal discomfort and ensure optimal absorption of the contraceptive.

It's also worth noting that while B vitamins are generally safe and beneficial for overall health, excessive intake of certain vitamins can lead to side effects. For example, high doses of vitamin B6 can sometimes cause nerve damage, and excessive vitamin B3 can lead to flushing and liver issues. Therefore, it's essential to follow the recommended dosages on the effervescent tablet packaging or as advised by your healthcare provider.

In summary, taking birth control pills and effervescent tablets together should not affect the effectiveness of your contraceptive method. However, to maximize absorption and minimize discomfort, consider waiting 1-2 hours after taking your birth control pill before consuming the effervescent tablet. If you continue to experience nausea or any other side effects, it would be wise to consult with your healthcare provider for further evaluation and advice tailored to your specific situation.

Lastly, if you have any concerns about the interactions between your medications or supplements, or if you are considering making any changes to your regimen, it is always best to consult with your healthcare provider. They can provide personalized guidance based on your health history and current medications, ensuring that you maintain both effective contraception and overall health.

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