Skip to main content

What the FDA labels say about taking them together

Drospirenone/ethinyl estradiol and voriconazole

Drospirenone/ethinyl estradiol's FDA label of May 29, 2025 names voriconazole in its drug interactions section; the voriconazole labels PlainMeds reads (3) do not name drospirenone/ethinyl estradiol. The drospirenone/ethinyl estradiol label: “Concomitant administration of moderate or strong CYP3A4 inhibitors such as azole antifungals, verapamil, macrolides, diltiazem, and grapefruit juice can increase the plasma concentrations of the estrogen or the …”

Check it at the source: the drospirenone/ethinyl estradiol FDA label on DailyMed (effective May 29, 2025, Bayer HealthCare Pharmaceuticals Inc.); the voriconazole FDA label on DailyMed (effective February 26, 2026, Roerig).

What does the drospirenone/ethinyl estradiol label say about voriconazole?

Drospirenone/ethinyl estradiol label, drug interactions

Concomitant administration of moderate or strong CYP3A4 inhibitors such as azole antifungals (e.g., ketoconazole, itraconazole, voriconazole, fluconazole), verapamil, macrolides (e.g., clarithromycin, erythromycin), diltiazem, and grapefruit juice can increase the plasma concentrations of the estrogen or the progestin or both.

Drospirenone/ethinyl estradiol label, warnings and precautions

Strong CYP3A4 inhibitors include azole antifungals (e.g. ketoconazole, itraconazole, voriconazole), HIV/HCV protease inhibitors (e.g., indinavir, boceprevir), and clarithromycin [see Clinical Pharmacology ( 12.3 )].

Source: FDA drug label (Yaz), Bayer HealthCare Pharmaceuticals Inc., effective May 29, 2025 (SPL set 065f33e4-b587-4e66-b896-ca9ab7b7c876), via openFDA; the full label on DailyMed

What does the voriconazole label say about drospirenone/ethinyl estradiol?

Voriconazole's label (effective February 26, 2026) and its 2 other brand-application labels do not name drospirenone/ethinyl estradiol in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (VFEND), NDA021630 (Pf Prism Cv), as published by Roerig, effective February 26, 2026 (SPL set ce3ef5cf-3087-4d92-9d94-9eb8287228db), 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

15Drospirenone/ethinyl estradiol generic labelers
31Voriconazole generic labelers
Drospirenone/ethinyl estradiolVoriconazole
Labeled forAcne, Birth controlFungal infections
Boxed warningYesNo
Pharmacy cost (NADAC)$0.151 per tablet 3-0.03 mg tablet$1.88 per tablet 200 mg tablet
Shortage nowNo current entryA presentation being discontinued

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

What next?