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Interaction Check

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Selected Drugs Clear All

  • remove Mounjaro
    tirzepatide
  • remove Simpesse
    levonorgestrel/ ethinyl estradiol

multicheck MultiCheck Results - 2 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Mounjaro (tirzepatide) + Simpesse (levonorgestrel/ ethinyl estradiol)

Avoid/Use Alternative


tirzepatide + ethinyl estradiol (contraceptive)

monitor glucose if type 2 diabetes mellitus use; use alternative non-oral hormonal contraceptive or additional non-hormonal contraceptive x4wk after tirzepatide tx start and x4wk after each dose incr.: combo may decr. ethinyl estradiol levels, contraceptive efficacy; may decr. antidiabetic agent efficacy (absorption delayed, possibly decreased; antagonistic effects)

tirzepatide + levonorgestrel (contraceptive)

monitor glucose if type 2 diabetes mellitus use; use alternative non-oral hormonal contraceptive or additional non-hormonal contraceptive x4wk after tirzepatide tx start and x4wk after each dose incr.: combo may decr. peak levonorgestrel levels, contraceptive efficacy; may decr. antidiabetic agent efficacy (absorption delayed, possibly decreased; antagonistic effects)

Additional Considerations

Smiley face Smiley face tirzepatide in Mounjaro

caution advised with oral drugs, especially narrow therapeutic index; tirzepatide delays gastric emptying, may alter absorption of concomitant oral drugs

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