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allylestrenol

Synthetic progestin (19-nortestosterone derivative) · Progestin

Synthetic progestin (19-nortestosterone derivative)Progestin
CDSCO approved
EXCRETION
not curated
INTERACTIONS
1 major
SEVERE in our sources
PREGNANCY
X
FDA category + note
Top interactionssee all 10
  • RifampicinSevereDatabase

Mechanism

Indications

Threatened/habitual abortion

Dosing

Adult
10–40 mg/day

Pregnancy & lactation

Pregnancy

X

Drug interactions

Rifampicin
Severe
Database

Significantly decreased plasma concentrations and efficacy of allylestrenol, leading to treatment failure and potential for breakthrough bleeding.

Avoid concomitant use. If rifampicin is essential, consider an alternative progestin not metabolized by CYP3A4 or use a non-hormonal method. If allylestrenol must be used, significantly increase the dose and monitor closely, but efficacy may still be compromised.

Barbiturates (e.g., Phenobarbital)
Moderate
Database

Reduced plasma levels and efficacy of allylestrenol, increasing risk of breakthrough bleeding or treatment failure.

Consider alternative progestin or increase allylestrenol dose. Monitor for signs of reduced allylestrenol efficacy.

Bosentan
Moderate
Database

Decreased plasma concentrations and efficacy of allylestrenol, potentially leading to breakthrough bleeding or treatment failure.

Consider alternative progestin or increase allylestrenol dose with careful monitoring. Monitor for signs of reduced allylestrenol efficacy.

Carbamazepine
Moderate
Database

Decreased plasma concentrations and efficacy of allylestrenol, potentially leading to breakthrough bleeding or treatment failure.

Consider alternative progestin or increase allylestrenol dose with careful monitoring. Monitor for signs of reduced allylestrenol efficacy.

Griseofulvin
Moderate
Database

Decreased plasma concentrations and efficacy of allylestrenol, potentially leading to breakthrough bleeding or treatment failure.

Consider alternative progestin or increase allylestrenol dose with careful monitoring. Monitor for signs of reduced allylestrenol efficacy.

Modafinil
Moderate
Database

Reduced plasma levels and efficacy of allylestrenol, increasing risk of breakthrough bleeding or treatment failure.

Consider alternative progestin or increase allylestrenol dose. Monitor for signs of reduced allylestrenol efficacy.

Phenytoin
Moderate
Database

Reduced plasma levels and efficacy of allylestrenol, increasing risk of breakthrough bleeding or treatment failure.

Consider alternative progestin or increase allylestrenol dose. Monitor for signs of reduced allylestrenol efficacy.

Ritonavir
Moderate
Database

Variable effects on allylestrenol levels, potentially leading to decreased efficacy or increased side effects. Primarily, induction is a concern with chronic use.

Monitor closely for changes in allylestrenol efficacy or side effects. Dose adjustment of allylestrenol may be necessary. Consider alternative progestin if possible.

St. John's Wort
Moderate
Database

Decreased plasma concentrations and efficacy of allylestrenol, potentially leading to breakthrough bleeding or treatment failure.

Avoid concomitant use. If St. John's Wort is essential, consider an alternative progestin or use a non-hormonal method. If allylestrenol must be used, significantly increase the dose and monitor closely, but efficacy may still be compromised.

Grapefruit Juice
Mild
Database

Potentially increased plasma concentrations of allylestrenol, leading to increased risk of progestin-related side effects (e.g., nausea, breast tenderness).

Advise patients to avoid consuming large amounts of grapefruit juice while on allylestrenol. Monitor for increased side effects.

Related guidelines

Other Synthetic progestin (19-nortestosterone derivative) drugs

Ask House about allylestrenol

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Sources: KD Tripathi 7e·Verified: 2026-05-10 · House clinical team