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Nexplanon and anti fungal antibiotics

7 replies

mommatoacake · 23/03/2024 12:09

Hi all, I'm new here Easter Wink
I had my baby boy 10 months ago and had the Nexplanon implant fitted the day after birth.
Iv had one period in ten months and absolutely no symptoms of ovulation!
However Thursday just been I was prescribed an anti fungal antibiotic for thrush and told it won't interact with my implant.
Today (Saturday) iv got severe left sided pain . Just like ovulation, so I took a opk! Which to my surprise is nearly positive.
My partner really does not want another baby so I'm kind of worried that I'm not protected. Has this ever happened to anyone before?? am I at risk?
Pregnancy test was negative

OP posts:
dementedpixie · 23/03/2024 12:56

It can't be an antibiotic for a fungal infection. What exactly have you been given for thrush?

mommatoacake · 23/03/2024 12:58

I was given three courses of pessarys and two tubes of cream. It didn't clear so they prescribed the antibiotic fluconazole

OP posts:
2u2years · 23/03/2024 12:59

Fluconazole is antifungal not antibiotic

mommatoacake · 23/03/2024 13:02

Haha oh I didn't realise. I was just told I had been prescribed antibiotics

OP posts:
dementedpixie · 23/03/2024 13:05

It's an antifungal not an antibiotic
The only thing I found was that taking flucanazole can worsen nexplanon side effects. It doesn't say it makes it less effective

mommatoacake · 23/03/2024 13:06

That's good to hear! I was slightly concerned by the ovulation pains

OP posts:
dementedpixie · 23/03/2024 13:08

Interactions with certain antifungals

Nexplanon interacts with certain antifungals, which are drugs used to treat fungal infections.
Examples of antifungals include:

What could happen

Taking certain antifungals while you have the Nexplanon implant could increase your risk of side effects from Nexplanon.

Certain antifungals may keep your body from breaking down etonogestrel properly. (Etonogestrel is the active drug in Nexplanon.) This can lead to high levels of etonogestrel in your system, which can raise your risk of side effects from the implant.

What you can do

If you develop a fungal infection while you have Nexplanon, be sure the doctor treating the infection knows you have the Nexplanon implant. They may avoid prescribing certain antifungals with Nexplanon. Your doctor can recommend an antifungal that won’t affect Nexplanon.

In some cases, your doctor may still prescribe an antifungal that interacts with Nexplanon. For example, they may do so if the antifungal is the best option for treating your specific infection.

If you take an antifungal that interacts with Nexplanon, watch for side effects of Nexplanon.

Examples include acne, breast pain, and headache.

Fluconazole: Side effects, uses, dosage, and more

Fluconazole oral tablet is used for candidiasis and meningitis. It's available as the brand-name drug Diflucan. Learn about side effects, dosage, and more.

https://www.medicalnewstoday.com/articles/fluconazole-oral-tablet

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