Nevirapine Estradiol + Dydrogesterone
ModerateNevirapine can make Estradiol + Dydrogesterone work less well. Nevirapine speeds up the liver enzymes that break down medicines, specifically the P450 enzymes 2B6, 3A4, 3A5 and 3A7. When these enzymes work faster, the body clears the oestrogen and progestogen hormones more quickly, so they may not do their job as well. Other medicines that act in the same way include the anticonvulsants phenobarbital, phenytoin and carbamazepine, and the anti-infectives rifampicin, rifabutin and efavirenz.
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.