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What the FDA labels say about taking them together

Ethinyl estradiol/ferrous fumarate/levonorgestrel and oxcarbazepine

Ethinyl estradiol/ferrous fumarate/levonorgestrel's FDA label of October 18, 2024 names oxcarbazepine in its drug interactions section; the oxcarbazepine labels PlainMeds reads (2) do not name ethinyl estradiol/ferrous fumarate/levonorgestrel. The ethinyl estradiol/ferrous fumarate/levonorgestrel label: “… phenytoin, barbiturates, carbamazepine, bosentan, felbamate, griseofulvin, oxcarbazepine, rifampicin, topiramate, rifabutin, rufinamide, aprepitant, and products containing St. John’s wort.”

Check it at the source: the ethinyl estradiol/ferrous fumarate/levonorgestrel FDA label on DailyMed (effective October 18, 2024, Xiromed, LLC); the oxcarbazepine FDA label on DailyMed (effective December 16, 2025, Novartis Pharmaceuticals Corporation).

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

Ethinyl estradiol/ferrous fumarate/levonorgestrel label, drug interactions

Some drugs or herbal products that may decrease the effectiveness of hormonal contraceptives include phenytoin, barbiturates, carbamazepine, bosentan, felbamate, griseofulvin, oxcarbazepine, rifampicin, topiramate, rifabutin, rufinamide, aprepitant, and products containing St. John’s wort.

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 oxcarbazepine label say about ethinyl estradiol/ferrous fumarate/levonorgestrel?

Oxcarbazepine's label (effective December 16, 2025) 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 (Trileptal), Novartis Pharmaceuticals Corporation, effective December 16, 2025 (SPL set 4c5c86c8-ab7f-4fcf-bc1b-5a0b1fd0691b), 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
43Oxcarbazepine generic labelers
Ethinyl estradiol/ferrous fumarate/levonorgestrelOxcarbazepine
Labeled forBirth controlSeizures and epilepsy
Boxed warningYesNo
Pharmacy cost (NADAC)$3.45 per tablet 28 tablet$0.167 per tablet 300 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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