PlainMeds provides educational information only. This is not medical advice. Always consult your doctor or pharmacist.

abiraterone vs norethindrone

Side-by-side comparison of abiraterone and norethindrone Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

Drug Class
abiraterone CYP17 Inhibitor
norethindrone Progestin-Only Oral Contraceptive
Type
abiraterone Prescription
norethindrone Prescription
Summary
abiraterone

Abiraterone (Zytiga) is a medicine used with prednisone to treat prostate cancer that has spread. It works by lowering the amount of androgen your body makes.

norethindrone

Camila and Errin are progestin-only birth control pills. They help prevent pregnancy.

What It Treats
abiraterone

Abiraterone is used to treat prostate cancer that has spread to other parts of the body. It is for cancers that are castration-resistant, meaning they no longer respond to hormone therapy alone. It is also used for high-risk castration-sensitive prostate cancer. You will take this medicine with prednisone.

norethindrone

These pills are used to prevent pregnancy. They are a type of oral contraceptive, also known as birth control pills. When taken correctly, birth control pills are very effective at preventing pregnancy.

How It Works
abiraterone

Abiraterone blocks an enzyme called CYP17, which your body needs to make androgens. Androgens can help prostate cancer grow. By blocking this enzyme, abiraterone lowers androgen levels and slows cancer growth.

norethindrone

Camila and Errin contain a progestin hormone. This hormone prevents pregnancy by stopping ovulation (the release of an egg from the ovary). It also thickens cervical mucus, making it harder for sperm to reach the egg.

Common Side Effects
abiraterone
  • Feeling tired
  • Joint pain
  • High blood pressure
  • Feeling sick to your stomach
  • Swelling
norethindrone
  • Nausea
  • Vomiting
  • Gastrointestinal symptoms (like cramps and bloating)
  • Breakthrough bleeding or spotting
  • Changes in menstrual flow
FAERS Reports
abiraterone
  • Death 1,390
  • Feeling tired 1,022
  • Hot flash 678
  • Weakness 562
  • Worsening of disease 561
norethindrone
  • Feeling sick to your stomach 449
  • Pain in your head 424
  • Sudden feeling of warmth 370
  • Feeling tired 322
  • The medicine is not working 320
Serious Warnings
abiraterone

Abiraterone can cause problems with mineralocorticoid excess, like high blood pressure, low potassium, and fluid retention. If you have heart problems, your doctor will monitor you closely. This medicine can also cause liver problems, which can be severe. Your doctor will check your liver function regularly. Do not take abiraterone with radium Ra 223 dichloride. Abiraterone can harm an unborn baby, so men should use effective birth control if their partner can get pregnant.

norethindrone

Cigarette smoking increases your risk of serious heart problems from birth control pills. This risk is higher if you are over 35 and smoke. You should not take this medication if you are over 35 and smoke.

Pregnancy
abiraterone

Abiraterone can cause harm to an unborn baby. Men who are taking abiraterone should use effective birth control during treatment and for 3 weeks after the last dose if their partner is able to get pregnant. It is not known if abiraterone passes into breast milk.

norethindrone

These pills should not be taken if you are pregnant or think you might be pregnant. Talk to your doctor about other birth control options if you are breastfeeding.

How to Read This abiraterone vs norethindrone Comparison

abiraterone is classified in the CYP17 Inhibitor drug class, while norethindrone sits within the Progestin-Only Oral Contraceptive class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, abiraterone has 4,213 submissions while norethindrone has 1,885. Those figures reflect cumulative reporting volume — not per-patient risk — so older, widely dispensed drugs typically look worse on count alone. No direct interaction between these two drugs is listed in our FDA-derived dataset, though co-prescription still warrants pharmacist review. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between abiraterone and norethindrone — always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.