Skip to main content

What the FDA labels say about taking them together

Ethinyl estradiol/ferrous fumarate/levonorgestrel and itraconazole

Ethinyl estradiol/ferrous fumarate/levonorgestrel's FDA label of October 18, 2024 names itraconazole in its drug interactions section; the itraconazole labels PlainMeds reads (2) do not name ethinyl estradiol/ferrous fumarate/levonorgestrel. The ethinyl estradiol/ferrous fumarate/levonorgestrel label: “CYP3A4 inhibitors, such as itraconazole, voriconazole, fluconazole, grapefruit juice, or ketoconazole may increase plasma hormone concentrations.”

Check it at the source: the ethinyl estradiol/ferrous fumarate/levonorgestrel FDA label on DailyMed (effective October 18, 2024, Xiromed, LLC); the itraconazole FDA label on DailyMed (effective July 13, 2026, Janssen Pharmaceuticals, Inc.).

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

Ethinyl estradiol/ferrous fumarate/levonorgestrel label, drug interactions

CYP3A4 inhibitors, such as itraconazole, voriconazole, fluconazole, grapefruit juice, or ketoconazole may increase plasma hormone concentrations.

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

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

Itraconazole's label (effective July 13, 2026) and its 1 other brand-application label 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 (SPORANOX), Janssen Pharmaceuticals, Inc., effective July 13, 2026 (SPL set a4d555fa-787c-40fb-bb7d-b0d4f7318fd0), 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 fumarate/levonorgestrel generic labelers
11Itraconazole generic labelers
Ethinyl estradiol/ferrous fumarate/levonorgestrelItraconazole
Labeled forBirth controlFungal infections
Boxed warningYesYes
Pharmacy cost (NADAC)$3.45 per tablet 28 tablet$0.910 per capsule 100 mg capsule
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?