The doctor must be advised which medicines or herbal products the patient is already using. Also advise any other doctor or dentist who prescribes another medicine (or the pharmacist from whom the medicine was acquired) that Qlaira is being taken. They can advise if additional contraceptive precautions are needed (for example condoms) and if so, for how long.
Some medicines can have an influence on the blood levels of Qlaira, can make it less effective in preventing pregnancy, or can cause unexpected bleeding.
These include: medicines used for the treatment of: epilepsy (e.g. primidone, phenytoin, barbiturates, carbamazepine, oxcarbazepine, topiramate, felbamate); tuberculosis (e.g. rifampicin); HIV and Hepatitis C Virus infections (so-called protease inhibitors and non-nucleoside reverse transcriptase inhibitors such as ritonavir, nevirapine, efavirenz); fungal infections (e.g. griseofulvin, ketoconazole). The herbal remedy St. John's wort.
Qlaira may influence the effect of other medicines, e.g. medicines containing cyclosporine; the anti-epileptic lamotrigine (this could lead to an increased frequency of seizures).
Ask the doctor or pharmacist for advice before taking any medicine. The doctor or pharmacist may advise on extra protective measures while taking other medication together with Qlaira.
Qlaira with food and drink: Qlaira may be taken with or without food, if necessary with a small amount of water.