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Does Suboxone interfere with birth control?

Suboxone could possibly interfere with birth control, but this is not considered clinically significant. 

What is birth control? 

Birth control is a group of medications (a.k.a. contraception) that is used to prevent pregnancy. Some forms of birth control, such as male latex condoms, may also help protect against sexually transmitted infections (STIs) and HIV. 

There are various methods of birth control that may be considered by an individual depending on their health and need, such as barrier, emergency, hormonal, intrauterine, sterilization. 

Therefore, it is important to consider the effectiveness of each method, the individual health of the person, and the desire for future children when selecting a contraception method. 

Are there any interactions between Suboxone and birth control? 

There is a possible drug-drug interaction between Suboxone and oral contraceptives due to the Cytochrome P-450 drug metabolism pathway. However, the interaction is not considered to be clinically significant. 

Nevertheless, birthing people in Medication for Addiction Treatment (MAT) programs are at high risk of unintended pregnancy. Therefore, having access to highly effective long-acting reversible contraceptives (LARCs) is important and strongly recommended. 

There are two LARC methods, intrauterine devices (IUDs) and implants, and both are 20 times more effective than oral tablets, vaginal rings, or patches. 

In addition, LARCs are considered “error-free” once they are inserted by a licensed professional. Depending on the type, they work for 3 to 10 years without any additional requirements from the birthing person, such as remembering to take an oral tablet daily. 

Although LARCs are highly effective in preventing pregnancy, they do not protect against HIV or STIs. Therefore, it is strongly recommended to use an additional barrier method like male latex condoms in addition to a LARC. 

Brittany Hoffmann-Eubanks, PharmD, MBA

Brittany Hoffmann-Eubanks, PharmD, MBA, received her Doctor of Pharmacy and Master of Business Administration degrees from Drake University College of Pharmacy and Health Sciences and completed her community pharmacy residency with Midwestern University and a local community pharmacy.

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Brittany Hoffmann-Eubanks, PharmD, MBA

Brittany Hoffmann-Eubanks, PharmD, MBA, received her Doctor of Pharmacy and Master of Business Administration degrees from Drake University College of Pharmacy and Health Sciences and completed her community pharmacy residency with Midwestern University and a local community pharmacy.

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