Aleena Drospirenone St. John's Wort
ModerateSt. John's Wort can make drospirenone-containing birth control pills work less well. Some medicines and herbal products, St. John's Wort among them, switch on certain enzymes in the body, including one called cytochrome P450 3A4 (CYP3A4). These enzymes break down the hormones in hormonal contraceptives (HCs) faster, so less of the hormone stays in your blood. This can lower how well the contraceptive protects you and may cause bleeding between periods (breakthrough bleeding). The leaflet lists efavirenz as another medicine that can reduce how well HCs work.
These medicines are often taken together with some care. Your doctor may change a dose, space them apart or check on you more often. Make sure your doctor and pharmacist know you take both.