Ethinyl Estradiol and Glecaprevir/Pibrentasvir Interaction

Drug interaction information between Ethinyl Estradiol and Glecaprevir/Pibrentasvir.

Ethinyl Estradiol and Glecaprevir/Pibrentasvir have a documented moderate interaction in FDA labeling.

FDA drug labeling documents a moderate-severity interaction between Ethinyl Estradiol and Glecaprevir/Pibrentasvir. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Ethinyl Estradiol

Combined Oral Contraceptive

Drug B

Glecaprevir/Pibrentasvir

NS3/4A/NS5A Inhibitor (HCV)

How They Interact

Combining these drugs can lead to an increase in liver enzymes, which may indicate liver damage. Because of this risk, the two drugs should not be used together.

FDA Label Information

Co-administration of Iclevia and glecaprevir/pibrentasvir is not recommended due to potential for ALT elevations.

Frequently Asked Questions

What SPL severity band is on file for Ethinyl Estradiol/Norgestimate + Glecaprevir/Pibrentasvir?

Compiled FDA labeling labels this pair moderate. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Glecaprevir/Pibrentasvir has 38 labeled pairs on file vs Ethinyl Estradiol's 30. In the moderate band specifically: Ethinyl Estradiol has 1; Glecaprevir/Pibrentasvir has 9 (also Cyclosporine, Darunavir, Estradiol, Ethinyl Estradiol).

What mechanism field is on file for Ethinyl Estradiol/Norgestimate and Glecaprevir/Pibrentasvir?

Combining these drugs can lead to an increase in liver enzymes, which may indicate liver damage. Because of this risk, the two drugs should not be used together.

Glecaprevir/Pibrentasvir carries more major-labeled pairs than Ethinyl Estradiol

SPL source-record counts only. This page's band is moderate · classes on file: Ethinyl Estradiol (Combined Oral Contraceptive); Glecaprevir/Pibrentasvir (NS3/4A/NS5A Inhibitor (HCV)).

Glecaprevir/Pibrentasvir has 3 major-labeled pairs vs Ethinyl Estradiol's 0. This page itself is in the moderate band, not the major band.

Ethinyl Estradiol

0 major · 1 moderate · 29 minor · 30 total

Ethinyl Estradiol has no other moderate-band peer in this dataset besides Glecaprevir/Pibrentasvir.

Glecaprevir/Pibrentasvir

3 major · 9 moderate · 26 minor · 38 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.