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What the FDA labels say about taking them together

Ethinyl estradiol/norgestrel and ritonavir

Ethinyl estradiol/norgestrel's FDA label of December 5, 2025 names ritonavir in its contraindications section; the ritonavir label PlainMeds reads does not name ethinyl estradiol/norgestrel. The ethinyl estradiol/norgestrel label: “… receiving Hepatitis C drug combinations containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, due to the potential for ALT elevations.”

Check it at the source: the ethinyl estradiol/norgestrel FDA label on DailyMed (effective December 5, 2025, Lupin Pharmaceuticals, Inc.); the ritonavir FDA label on DailyMed (effective July 23, 2026, AbbVie Inc.).

What does the ethinyl estradiol/norgestrel label say about ritonavir?

Ethinyl estradiol/norgestrel label, contraindications

… during pregnancy Current diagnosis or history of breast cancer, which may be hormone sensitive Hypersensitivity to any of the components of Turqoz Women who are receiving Hepatitis C drug combinations containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, due to the potential for ALT elevations (see Warnings, Risk of liver enzyme elevations with concomitant hepatitis c treatment).

Ethinyl estradiol/norgestrel label, warnings

Risk of Liver Enzyme Elevations with Concomitant Hepatitis C Treatment During clinical trials with the Hepatitis C combination drug regimen that contains ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, ALT elevations greater than 5 times the upper limit of normal (ULN), including some cases greater than 20 times the ULN, were significantly more frequent in women using ethinyl estradiol-containing medications such as COCs.

Source: FDA drug label (Turqoz), Lupin Pharmaceuticals, Inc., effective December 5, 2025 (SPL set 5eecfd2c-4bda-4349-b634-199a354fa996), via openFDA; the full label on DailyMed

What does the ritonavir label say about ethinyl estradiol/norgestrel?

Ritonavir's label (effective July 23, 2026) does not name ethinyl estradiol/norgestrel in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Norvir), AbbVie Inc., effective July 23, 2026 (SPL set 2849298e-de6e-47bb-8194-56e075b33fc3), 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

7Ethinyl estradiol/norgestrel generic labelers
7Ritonavir generic labelers
Ethinyl estradiol/norgestrelRitonavir
Labeled forBirth controlHIV
Boxed warningYesYes
Pharmacy cost (NADAC)$0.302 per tablet 28 tablet$0.607 per tablet 100 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?