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What the FDA labels say about taking them together

Ascorbic acid and ethinyl estradiol/ferrous fumarate/levonorgestrel

Ethinyl estradiol/ferrous fumarate/levonorgestrel's FDA label of October 18, 2024 names ascorbic acid in its drug interactions section; the ascorbic acid label PlainMeds reads does 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 ascorbic acid FDA label on DailyMed (effective May 29, 2026, McGuff Pharmaceuticals, Inc.); the ethinyl estradiol/ferrous fumarate/levonorgestrel FDA label on DailyMed (effective October 18, 2024, Xiromed, LLC).

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

Ascorbic acid's label (effective May 29, 2026) does 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 (Ascor), McGuff Pharmaceuticals, Inc., effective May 29, 2026 (SPL set 388aad52-fc01-4784-9791-1dbc80c69306), via openFDA; the full label on DailyMed

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

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

4Ascorbic acid generic labelers
1Ethinyl estradiol/ferrous fumarate/levonorgestrel generic labelers
Ascorbic acidEthinyl estradiol/ferrous fumarate/levonorgestrel
Labeled forn/aBirth control
Boxed warningNoYes
Pharmacy cost (NADAC)n/a$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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