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Interaction Check

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Selected Drugs Clear All

  • remove Descovy
    emtricitabine/ tenofovir alafenamide
  • remove Jentadueto XR
    linagliptin/ metformin
  • remove Myzilra
    levonorgestrel/ ethinyl estradiol
  • remove Syeda
    drospirenone/ ethinyl estradiol

multicheck MultiCheck Results - 10 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Myzilra (levonorgestrel/ ethinyl estradiol) + Syeda (drospirenone/ ethinyl estradiol)

Avoid/Use Alternative


ethinyl estradiol (contraceptive) + ethinyl estradiol (contraceptive)

avoid combo: combo may incr. risk of HTN, thromboembolism, endometrial hyperplasia, other adverse effects (additive effects, duplicate therapy)

levonorgestrel (contraceptive) + drospirenone (contraceptive)

avoid combo: combo may incr. risk of thromboembolism, other adverse effects (additive effects, duplicate therapy)

Monitor/Modify Tx

Smiley face Smiley face Jentadueto XR (linagliptin/ metformin) + Myzilra (levonorgestrel/ ethinyl estradiol)

Monitor/Modify Tx


linagliptin + ethinyl estradiol (contraceptive)

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

linagliptin + levonorgestrel (contraceptive)

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

metformin + ethinyl estradiol (contraceptive)

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

metformin + levonorgestrel (contraceptive)

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

Smiley face Smiley face Jentadueto XR (linagliptin/ metformin) + Syeda (drospirenone/ ethinyl estradiol)

Monitor/Modify Tx


linagliptin + drospirenone (contraceptive)

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

linagliptin + ethinyl estradiol (contraceptive)

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

metformin + drospirenone (contraceptive)

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

metformin + ethinyl estradiol (contraceptive)

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

Additional Considerations

Smiley face Smiley face tenofovir alafenamide in Descovy

tenofovir alafenamide (prodrug) converted to tenofovir

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