epocrates logo
epocrates logo
epocrates logo
  • 0

Interaction Check

epocrates logo

Sign in to access our clinical decision support tools

Sign in Create Account

Selected Drugs Clear All

  • remove Simpesse
    levonorgestrel/ ethinyl estradiol
  • remove tazarotene topical
    generic
  • remove Vevye
    cyclosporine ophthalmic
  • remove Zanaflex
    tizanidine

multicheck MultiCheck Results - 1 Interaction

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Simpesse (levonorgestrel/ ethinyl estradiol) + Zanaflex (tizanidine)

Avoid/Use Alternative


ethinyl estradiol (contraceptive) + tizanidine

use alternative or monitor BP, HR: combo may incr. tizanidine levels, risk of hypotension (including orthostasis, syncope), bradycardia, CNS depression, psychomotor impairment, other adverse effects (hepatic metabolism inhibited)

Help
FDA Reporting Form
 
Download Epocrates from the App Store Download Epocrates from the Play Store
About Us Features Business Solutions Help & Feedback
© 2026 epocrates, Inc.    Terms of Use Privacy Policy Editorial Policy Do Not Sell or Share My Information