Skip to main content

What the FDA labels say about taking them together

Levonorgestrel and octreotide

Octreotide's FDA label (Mycapssa) of July 24, 2025 names levonorgestrel in its drug interactions section; the levonorgestrel labels PlainMeds reads (4) do not name octreotide. The octreotide label: “Concomitant administration of MYCAPSSA with levonorgestrel decreases levonorgestrel bioavailability.”

Check it at the source: the levonorgestrel FDA label on DailyMed (effective January 31, 2023, Foundation Consumer Healthcare LLC); the octreotide FDA label on DailyMed (effective July 22, 2026, Novartis Pharmaceuticals Corporation).

What does the levonorgestrel label say about octreotide?

Levonorgestrel's label (effective January 31, 2023) and its 3 other brand-application labels do not name octreotide in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Plan B One-Step), Foundation Consumer Healthcare LLC, effective January 31, 2023 (SPL set 6ce6b40e-14ac-47bd-a648-ddf9e452e559), via openFDA; the full label on DailyMed

What does the octreotide label say about levonorgestrel?

Mycapssa label (Chiesi USA, Inc., July 24, 2025), drug interactions

Levonorgestrel Clinical Impact: Concomitant administration of MYCAPSSA with levonorgestrel decreases levonorgestrel bioavailability. Intervention: Decreased bioavailability may potentially diminish the effectiveness of combined oral contraceptives (COCs) or increase breakthrough bleeding. Counsel women to use an alternative non-hormonal method of contraception or a back-up method when MYCAPSSA is used with COCs.

Source: FDA drug label (Mycapssa, NDA208232), Chiesi USA, Inc., effective July 24, 2025 (SPL set 58d80bc6-bdfb-4908-93e7-aace447c8d1a), via openFDA

Source: FDA drug label (Sandostatin), Novartis Pharmaceuticals Corporation, effective July 22, 2026 (SPL set 4e2c9856-1836-49f0-9472-4dbeeb408f39), 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

31Levonorgestrel generic labelers
9Octreotide generic labelers
LevonorgestrelOctreotide
Labeled forBirth controlDiarrhea
Boxed warningNoNo
Pharmacy cost (NADAC)$6.33 per tablet 1.5 mg tablet$2.53 per mL 100 mcg/mL vial
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)

What next?