Drug General Information (ID: DDIK03U18H)
Drug Name			Netilmicin		Drug Info		Ethinylestradiol		Drug Info
Drug Type		Small molecule				Small molecule
Therapeutic Class		Antibiotics				Estrogens
Structure

Mechanism of Netilmicin-Ethinylestradiol Interaction (Severity Level: Moderate)
Attenuated pharmacological effects (Unspecific) Click to Show/Hide Mechanism Graph
Drug Name		Netilmicin				Ethinylestradiol
Mechanism		Reduce the therapeutic efficacy of estrogen-containing oral contraceptives				Hormonal contraceptives
Key Mechanism Factor 1
		Factor Name		Pharmacodynamics
		Factor Description		Reduced pharmacological effects leading to insufficient efficacy and/or treatment failure.
Mechanism Description		Attenuated pharmacological effects of  Netilmicin when combined with Ethinylestradiol

Recommended Action
Management		Until further data are available, women using oral contraceptives should be advised of the risk of breakthrough bleeding and unintended pregnancy during concomitant antimicrobial therapy. alternative or additional methods of birth control should be considered during and for at least one week beyond the last dose of short-term antimicrobial therapy, and for at least the initial weeks of long-term antimicrobial therapy when risk may be the greatest.

References
1	Back DJ, Breckenridge AM, Crawford FE, MacIver M, Orne ML, Rowe PH "Interindividual variation and drug interactions with hormonal steroid contraceptives." Drugs 21 (1981): 46-61. [PMID: 7009137]
2	Barnett ML "Inhibition of oral contraceptive effectiveness by concurrent antibiotic administration." J Periodontol 56 (1985): 18-20. [PMID: 3882930]
3	King VJ "OC failure rates and oral antibiotics." J Fam Pract 45 (1997): 104-5. [PMID: 9267366]