A-Rox Roxithromycin Dienogest
ModerateRoxithromycin is a macrolide antibiotic, and it is known to block CYP3A4, an enzyme the body uses to break down progestogens like Dienogest. When this enzyme is slowed down, more Dienogest stays in your blood than usual. This can lead to more side effects from Dienogest. If you need both medicines, talk to your doctor or pharmacist first.
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.