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Drug Interactions With Pirmella

More Detail on Drug Interactions With Pirmella

The following sections explain in detail the potentially negative reactions that can occur when Pirmella is combined with any of the drugs listed above. 
 
Aminoglutethimide
Taking Pirmella with aminoglutethimide may increase your risk of unintentional pregnancy. Talk with your healthcare provider before using these medications together. You may need to use a backup method of contraception, such as condoms.
 
Antibiotics
There have been reports of accidental pregnancy occurring in women taking birth control pills together with certain antibiotics. There is disagreement as to how significant and severe these interactions may be. Some antibiotics are more likely to cause problems than others (see Antibiotics and Birth Control Pills). Ask your healthcare provider if you need to use a backup method of contraception any time you take an antibiotic.
 
Aprepitant
Aprepitant can make Pirmella less effective, perhaps increasing your chance of pregnancy. Talk with your healthcare provider before using these medications together. You may need to use a backup method of contraception.
 
Barbiturates
Barbiturates may cause your body to metabolize the hormones in Pirmella too quickly, possibly increasing your risk of pregnancy. Ask your healthcare provider if you should use a different method of contraception while taking a barbiturate.
 
Cyclosporine
Pirmella may increase the level of cyclosporine in your blood, possibly increasing the chance of side effects of cyclosporine. Talk with your healthcare provider before taking these medications together. You may need a lower cyclosporine dose, or you may need to switch to a different method of contraception.
 
Dexamethasone
Combining dexamethasone with Pirmella may increase your risk of pregnancy. Check with your healthcare provider before taking these medications together, as you may need to use a backup method of birth control.
 
Modafinil or Armodafinil
Modafinil or armodafinil can make Pirmella less effective, possibly increasing your risk of pregnancy. Talk with your healthcare provider, as you may need to use a backup method of contraception.
 
Numerous Seizure Medications
Some seizure medications may cause your body to metabolize the hormones in Pirmella too quickly, potentially increasing your risk of pregnancy. Ask your healthcare provider if you should use a different method of contraception while taking a seizure medication.
 
Protease Inhibitors
Using Pirmella with a protease inhibitor may increase your risk of pregnancy and can make the protease inhibitor less effective. Talk with your healthcare provider before combining these medications.
 
Selegiline  
The hormones in Pirmella may increase the level of selegiline in your blood, possibly increasing your risk of side effects. Your healthcare provider may need to lower your selegiline dosage or may recommend an alternate form of contraception.
 
St. John's Wort
St. John's wort (a commonly used herbal supplement) can decrease the effectiveness of Pirmella, perhaps increasing the chance of pregnancy. In general, you should not take St. John's wort while using Pirmella.
 
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