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What the FDA labels say about taking them together

Acetaminophen and ethinyl estradiol/ferrous fumarate/levonorgestrel

Ethinyl estradiol/ferrous fumarate/levonorgestrel's FDA label of October 18, 2024 names acetaminophen in its drug interactions section; the acetaminophen labels PlainMeds reads (4) do not name ethinyl estradiol/ferrous fumarate/levonorgestrel. The ethinyl estradiol/ferrous fumarate/levonorgestrel label: “Ascorbic acid and acetaminophen may increase plasma EE concentrations, possibly by inhibition of conjugation.”

Check it at the source: the acetaminophen FDA label on DailyMed (effective November 13, 2024, Kenvue Brands LLC); the ethinyl estradiol/ferrous fumarate/levonorgestrel FDA label on DailyMed (effective October 18, 2024, Xiromed, LLC).

What does the acetaminophen label say about ethinyl estradiol/ferrous fumarate/levonorgestrel?

Acetaminophen's label (effective November 13, 2024) and its 3 other brand-application labels do not name ethinyl estradiol/ferrous fumarate/levonorgestrel in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Tylenol 8 HR Arthritis Pain), Kenvue Brands LLC, effective November 13, 2024 (SPL set 3af22fc8-e4e0-4863-8696-6bc1257047cb), via openFDA; the full label on DailyMed

What does the ethinyl estradiol/ferrous fumarate/levonorgestrel label say about acetaminophen?

Ethinyl estradiol/ferrous fumarate/levonorgestrel label, drug interactions

Ascorbic acid and acetaminophen may increase plasma EE concentrations, possibly by inhibition of conjugation.

Source: FDA drug label (Joyeaux), Xiromed, LLC, effective October 18, 2024 (SPL set 655b2c93-cfae-d44f-c128-c816bbd88e45), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

89Acetaminophen generic labelers
1Ethinyl estradiol/ferrous fumarate/levonorgestrel generic labelers
AcetaminophenEthinyl estradiol/ferrous fumarate/levonorgestrel
Labeled forFever, Cough and cold, PainBirth control
Boxed warningYesYes
Pharmacy cost (NADAC)$0.0339 per unit 500 mg caplet$3.45 per tablet 28 tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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