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 Ajovy (fremanezumab-vfrm)
    fremanezumab
  • remove Aviane
    levonorgestrel/ ethinyl estradiol
  • remove Lessina
    levonorgestrel/ ethinyl estradiol
  • remove Ziac
    bisoprolol/ hydrochlorothiazide

multicheck MultiCheck Results - 10 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Aviane (levonorgestrel/ ethinyl estradiol) + Lessina (levonorgestrel/ 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) + levonorgestrel (contraceptive)

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

Monitor/Modify Tx

Smiley face Smiley face Ajovy (fremanezumab-vfrm) (fremanezumab) + Aviane (levonorgestrel/ ethinyl estradiol)

Monitor/Modify Tx


fremanezumab + ethinyl estradiol (contraceptive)

monitor BP: combo may incr. risk of HTN (additive effects)

Smiley face Smiley face Ajovy (fremanezumab-vfrm) (fremanezumab) + Lessina (levonorgestrel/ ethinyl estradiol)

Monitor/Modify Tx


fremanezumab + ethinyl estradiol (contraceptive)

monitor BP: combo may incr. risk of HTN (additive effects)

Smiley face Smiley face Ajovy (fremanezumab-vfrm) (fremanezumab) + Ziac (bisoprolol/ hydrochlorothiazide)

Monitor/Modify Tx


fremanezumab + bisoprolol

monitor BP: combo may decr. antihypertensive agent efficacy (antagonistic effects)

fremanezumab + hydrochlorothiazide

monitor BP: combo may decr. antihypertensive agent efficacy (antagonistic effects)

Smiley face Smiley face Aviane (levonorgestrel/ ethinyl estradiol) + Ziac (bisoprolol/ hydrochlorothiazide)

Monitor/Modify Tx


ethinyl estradiol (contraceptive) + bisoprolol

monitor BP: combo may decr. antihypertensive agent efficacy (antagonistic effects)

ethinyl estradiol (contraceptive) + hydrochlorothiazide

monitor BP: combo may decr. antihypertensive agent efficacy (antagonistic effects)

Smiley face Smiley face Lessina (levonorgestrel/ ethinyl estradiol) + Ziac (bisoprolol/ hydrochlorothiazide)

Monitor/Modify Tx


ethinyl estradiol (contraceptive) + bisoprolol

monitor BP: combo may decr. antihypertensive agent efficacy (antagonistic effects)

ethinyl estradiol (contraceptive) + hydrochlorothiazide

monitor BP: combo may decr. antihypertensive agent efficacy (antagonistic effects)

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