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What the FDA labels say about taking them together

Aprepitant and etonogestrel

Etonogestrel's FDA label of May 28, 2026 names aprepitant in its drug interactions section; the aprepitant labels PlainMeds reads (3) do not name etonogestrel. The etonogestrel label: “… griseofulvin, oxcarbazepine, rifampicin, topiramate, rifabutin, rufinamide, aprepitant, and products containing St. John's wort.”

Check it at the source: the aprepitant FDA label on DailyMed (effective July 5, 2024, Merck Sharp & Dohme LLC); the etonogestrel FDA label on DailyMed (effective May 28, 2026, Organon LLC).

What does the aprepitant label say about etonogestrel?

Aprepitant's label (effective July 5, 2024) and its 2 other brand-application labels do not name etonogestrel in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (EMEND), NDA021549 (Msd), as published by Merck Sharp & Dohme LLC, effective July 5, 2024 (SPL set 696f9e80-9cae-403b-de9e-078343ce4713), via openFDA; the full label on DailyMed

What does the etonogestrel label say about aprepitant?

Etonogestrel label, drug interactions

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

Source: FDA drug label (Nexplanon), Organon LLC, effective May 28, 2026 (SPL set 487f8a62-e142-457c-97cc-2e398fde7594), 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

5Aprepitant generic labelers
0Etonogestrel generic labelers
AprepitantEtonogestrel
Labeled forNausea and vomitingBirth control
Boxed warningNoYes
Pharmacy cost (NADAC)$46.42 per capsule 40 mg capsulen/a
Shortage nowA presentation being discontinuedNo 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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