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What the FDA labels say about taking them together

Ethinyl estradiol/ferrous bisglycinate/levonorgestrel and tizanidine

Ethinyl estradiol/ferrous bisglycinate/levonorgestrel's FDA label of January 9, 2025 names tizanidine in its drug interactions section; the tizanidine labels PlainMeds reads (3) do not name ethinyl estradiol/ferrous bisglycinate/levonorgestrel. The ethinyl estradiol/ferrous bisglycinate/levonorgestrel label: “Contraceptives on Other Drugs Combined oral contraceptives containing EE may inhibit the metabolism of other compounds and increase their plasma concentrations.”

Check it at the source: the ethinyl estradiol/ferrous bisglycinate/levonorgestrel FDA label on DailyMed (effective January 9, 2025, Lupin Pharmaceuticals, Inc.); the tizanidine FDA label on DailyMed (effective January 2, 2026, Legacy Pharma USA, Inc.).

What does the ethinyl estradiol/ferrous bisglycinate/levonorgestrel label say about tizanidine?

Ethinyl estradiol/ferrous bisglycinate/levonorgestrel label, drug interactions

Contraceptives on Other Drugs Combined oral contraceptives containing EE may inhibit the metabolism of other compounds (e.g., cyclosporine, prednisolone, theophylline, tizanidine, and voriconazole) and increase their plasma concentrations.

Source: FDA drug label (MINZOYA), Lupin Pharmaceuticals, Inc., effective January 9, 2025 (SPL set d5ebd7fa-c388-4619-8dcb-e862e4ce5285), via openFDA; the full label on DailyMed

What does the tizanidine label say about ethinyl estradiol/ferrous bisglycinate/levonorgestrel?

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

Source: FDA drug label (Zanaflex), Legacy Pharma USA, Inc., effective January 2, 2026 (SPL set 60c27d35-7349-4fc6-86ad-70fffdbe3e08), 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

1Ethinyl estradiol/ferrous bisglycinate/levonorgestrel generic labelers
49Tizanidine generic labelers
Ethinyl estradiol/ferrous bisglycinate/levonorgestrelTizanidine
Labeled forBirth controlMuscle spasms and spasticity
Boxed warningYesNo
Pharmacy cost (NADAC)$3.45 per tablet 28 tablet$0.0331 per tablet 4 mg 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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