Does Taking Other Medications Affect Birth Control Pill Effectiveness? - Obstetrics and Gynecology

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Can taking other medications affect the effectiveness of birth control pills?


Due to otitis media, I am taking the following medications: 1.
"Hua Hsing" Ibuprofen 20 mg 2.
Yong Sheng Yi Wei Tablets 3.
Norfloxacin Coated Tablets 1000 mg.
I read online that antibiotics can affect the efficacy of birth control pills.
Unfortunately, I needed to take emergency contraception yesterday, and after taking it, I waited four hours before taking cold medicine, but I did not take Norfloxacin first.
How long should I wait after taking emergency contraception before I can continue taking Norfloxacin? Thank you!

A-Dai, 20~29 year old female. Ask Date: 2022/11/30

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it generally does not have an impact.
Wishing you good health.

Reply Date: 2022/11/30

More Info


When it comes to the effectiveness of birth control pills, various factors can influence their efficacy, including the interaction with other medications. In your case, you mentioned taking several medications due to an ear infection, including "華興"益普朗錠 (a type of medication that may contain an antihistamine), 永勝宜胃錠 (which is likely a stomach medication), and 諾快寧膜衣錠 (which is a type of antibiotic).
It is well-documented that certain antibiotics can potentially reduce the effectiveness of hormonal contraceptives, such as birth control pills. However, the majority of antibiotics do not have this effect. The most notable exception is rifampin, which is used to treat tuberculosis and can significantly lower the effectiveness of hormonal contraceptives. Other antibiotics, including those commonly prescribed for infections, typically do not interfere with birth control pills.
In your situation, since you took a post-coital contraceptive (often referred to as the "morning-after pill"), it is important to understand how it interacts with other medications. The post-coital contraceptive works primarily by delaying ovulation and preventing fertilization. The effectiveness of this emergency contraceptive is not significantly impacted by most medications, including many antibiotics. However, it is always wise to consult with a healthcare provider regarding specific medications and their interactions.

Regarding your question about the timing of taking 諾快寧 after consuming the emergency contraceptive, there is no specific waiting period required. You can generally take your other medications as prescribed unless your healthcare provider advises otherwise. However, it is crucial to monitor how you feel and report any unusual symptoms to your doctor.

Additionally, it is advisable to use a backup method of contraception for the remainder of your cycle after taking emergency contraception, as its effectiveness can vary based on when you ovulate in your cycle. If you have any concerns about the interactions between your medications and the effectiveness of your birth control, or if you experience any side effects, please consult your healthcare provider for personalized advice.

In summary, while some medications can affect the effectiveness of birth control pills, many do not, including most antibiotics. You can take your other medications as prescribed after taking the emergency contraceptive without a specific waiting period. Always consult with your healthcare provider for the most accurate and personalized information regarding your medications and contraceptive methods.

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