Managing Antibiotic Use While Starting Birth Control Pills: A Guide - Obstetrics and Gynecology

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Management of starting oral contraceptives while simultaneously taking antibiotics?


This week I will get my period and I plan to start using the contraceptive pill for the first time.
However, I also have a urinary tract infection and I am taking the following medications: 1.
BLADDERON (UROL(200)HS) oral FLAVOXATE HCL 2.
(Uropyridium) UROGEN (JC) oral PHENAZOPYRIDINE HCL 3.
UCEFA (CEFADROXIL 500) SW oral CEFADROXIL (MONOHYDRATE) 4.
MAGNESIUM OXIDE (VPP) 25 oral MAGNESIUM OXIDE.

I would like to know if any of these medications are antibiotics and if they will interact with the contraceptive pill.
If there is an interaction, how should I manage it? Today is the first day of my period, and I took one contraceptive pill in the evening.
I also took the medications mentioned above at noon.
According to the information I found, the contraceptive effect will begin after taking the pill for 7 days, and the effect of antibiotics will also return after 7 days.

So, if I stop taking the medications tomorrow, will the contraceptive pill still be effective after 7 days, or should I wait a few more days for it to be effective? Thank you for your help, doctor!

Qiao Qiao, 10~19 year old female. Ask Date: 2023/08/22

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it does not affect the effectiveness of contraception.
Wishing you good health.

Reply Date: 2023/08/22

More Info


When considering the use of antibiotics while starting birth control pills, it is essential to understand the potential interactions and implications for both contraceptive efficacy and overall health.
Firstly, let's clarify the medications you mentioned. Among the listed medications, Cefadroxil (UCEFA) is an antibiotic, while Flavoxate HCl (BLADDERON) and Phenazopyridine HCl (UROGEN) are not antibiotics; they are used to relieve urinary tract discomfort. Magnesium oxide is a supplement that can help with various conditions but does not have antibiotic properties.
The primary concern with antibiotics and birth control pills is that certain antibiotics can reduce the effectiveness of hormonal contraceptives. However, most antibiotics, including Cefadroxil, do not significantly affect the efficacy of birth control pills. The most notable exception is Rifampin, which is used to treat tuberculosis and can decrease the effectiveness of hormonal contraceptives. Therefore, in your case, taking Cefadroxil should not interfere with the effectiveness of your birth control pills.

Regarding the timing of starting the birth control pills, it is generally advised that if you start taking the pill during your menstrual period, you are protected from pregnancy after seven consecutive days of taking the pill. Since you mentioned that you are starting the pill on the first day of your period, you should be protected after seven days of consistent use, assuming you do not miss any doses.

If you stop taking the antibiotic (Cefadroxil) after a few days, it does not affect the birth control pill's effectiveness. The contraceptive effect will still be valid after the seven-day period, provided you have taken the pill correctly. There is no need to wait longer than seven days after starting the pill to ensure its effectiveness, as long as you have been taking it consistently.

In terms of managing your health while on these medications, it is crucial to monitor for any side effects or interactions. If you experience any unusual symptoms or have concerns about how the medications are affecting you, it is advisable to consult with your healthcare provider. They can provide personalized guidance based on your health history and current medications.

In summary, starting birth control pills while on Cefadroxil should not pose a significant risk to the effectiveness of the contraceptive. You will be protected from pregnancy after seven days of consistent pill use. If you have any further questions or concerns, especially regarding your specific health situation, do not hesitate to reach out to your healthcare provider for tailored advice.

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