ethinyl estradiol/norgestimate vs glecaprevir/pibrentasvir

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

moderate Known Drug Interaction

Co-administration of Iclevia and glecaprevir/pibrentasvir is not recommended due to potential for ALT elevations.

Drug Class
ethinyl estradiol/norgestimate Combined Oral Contraceptive
glecaprevir/pibrentasvir NS3/4A/NS5A Inhibitor (HCV)
Type
ethinyl estradiol/norgestimate Prescription
glecaprevir/pibrentasvir Prescription
Summary
ethinyl estradiol/norgestimate

Iclevia is a birth control pill. It contains two hormones, levonorgestrel and ethinyl estradiol, to prevent pregnancy.

glecaprevir/pibrentasvir

Mavyret is a medicine used to treat hepatitis C (HCV) in adults and children 3 years and older. It contains two drugs, glecaprevir and pibrentasvir, that work together to stop the virus from multiplying.

What It Treats
ethinyl estradiol/norgestimate

Iclevia is used by women who can get pregnant to prevent pregnancy. It contains two hormones, a progestin and an estrogen. These hormones work together to prevent ovulation and change the lining of the uterus.

glecaprevir/pibrentasvir

Mavyret treats hepatitis C virus (HCV) genotypes 1, 2, 3, 4, 5, or 6. It can be used in people without cirrhosis or with compensated cirrhosis. Mavyret can also treat genotype 1 in people who have already been treated with certain other HCV medicines.

How It Works
ethinyl estradiol/norgestimate

Iclevia contains two hormones: levonorgestrel and ethinyl estradiol. These hormones prevent ovulation (the release of an egg from the ovary). They also change the lining of the uterus, making it harder for a fertilized egg to implant.

glecaprevir/pibrentasvir

Mavyret contains glecaprevir and pibrentasvir. Glecaprevir blocks a protein called NS3/4A protease that the virus needs to multiply. Pibrentasvir blocks a protein called NS5A, also needed for the virus to multiply. By blocking these proteins, Mavyret stops the hepatitis C virus from spreading in your body.

Common Side Effects
ethinyl estradiol/norgestimate
  • Headache
  • Heavier menstrual bleeding
  • Nausea
  • Painful periods
  • Acne
glecaprevir/pibrentasvir
  • Headache
  • Feeling tired
  • Nausea
FAERS Reports
ethinyl estradiol/norgestimate

No adverse event reports.

glecaprevir/pibrentasvir
  • Feeling tired 2,561
  • Headache 2,203
  • Nausea 1,125
  • Itching 653
  • Diarrhea 477
Serious Warnings
ethinyl estradiol/norgestimate

Cigarette smoking increases your risk of serious heart problems from birth control pills. This risk is higher if you are over 35 and smoke more cigarettes. If you are over 35 and smoke, you should not take Iclevia.

glecaprevir/pibrentasvir

Mavyret can cause hepatitis B to become active again if you have had it in the past. This can cause serious liver problems, including liver failure and death. Your doctor will test you for hepatitis B before you start Mavyret. They will also monitor you during and after treatment.

Pregnancy
ethinyl estradiol/norgestimate

Do not use Iclevia if you are pregnant. Iclevia can reduce milk production while breastfeeding, so another form of birth control is recommended. Talk to your doctor about the best option for you.

glecaprevir/pibrentasvir

It is not known if Mavyret will harm your unborn baby. Talk to your doctor if you are pregnant or plan to become pregnant. It is also not known if Mavyret passes into breast milk. Talk to your doctor about the best way to feed your baby if you are taking Mavyret.

Also Compare, Nearby Drugs

How to Read This ethinyl estradiol/norgestimate vs glecaprevir/pibrentasvir Comparison

ethinyl estradiol/norgestimate is classified in the Combined Oral Contraceptive drug class, while glecaprevir/pibrentasvir sits within the NS3/4A/NS5A Inhibitor (HCV) 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, ethinyl estradiol/norgestimate has 0 submissions while glecaprevir/pibrentasvir has 7,019. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known moderate interaction flagged in FDA labeling, attributed to combining these drugs can lead to an increase in liver enzymes, which may indicate liver damage. because of this risk, the two drugs should not be used together.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for ethinyl estradiol/norgestimate or glecaprevir/pibrentasvir.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.