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Levonorgestrel vs Fluconazole: side-by-side comparison

Levonorgestrel (Synthetic progestin (emergency contraception)) and Fluconazole (Triazole antifungal) belong to different therapeutic classes and are rarely substitutes for each other. The comparison is useful when a single patient is weighing both options for adjacent or overlapping needs.

Property Levonorgestrel Fluconazole
Therapeutic class Synthetic progestin (emergency contraception) Triazole antifungal
CAS 797-63-7 86386-73-4
ATC G03AC03 J02AC01
Molecular weight 312.5 g/mol 306.27 g/mol
Brands with this active ingredient 1 1

What they share

Levonorgestrel and Fluconazole share the common regulatory framework for prescription active ingredients, bioequivalence standards for generics, and pharmacist oversight. Beyond that, points in common are limited.

Key differences

Levonorgestrel acts by a different mechanism than Fluconazole, with indications that barely overlap. Comparing the two is useful when a clinician has mentioned both in the same context or the patient wants to understand why one was prescribed instead of the other.

Mechanisms compared

Levonorgestrel: En contraception d'urgence, le lévonorgestrel agit principalement en retardant ou en inhibant l'ovulation lorsqu'il est pris avant le pic de LH. Fluconazole: Le fluconazole est un antifongique triazolé qui inhibe la lanostérol 14-alpha-déméthylase, enzyme dépendante du cytochrome P450, bloquant la synthèse de l'ergostérol à partir du lanostérol.

Indications compared

Levonorgestrel: Le lévonorgestrel est autorisé en contraception d'urgence (dose unique de 1,5 mg), en contraception orale régulière (associé à l'éthinylestradiol ou en progestatif seul), et comme principe actif des dispositifs intra-uté… Fluconazole: Le fluconazole est autorisé chez l'adulte et l'enfant dans le traitement de la candidose vulvovaginale, des candidoses oropharyngée et œsophagienne, des candidoses urinaires, des péritonites et autres candidoses invasive…

Safety profile

Levonorgestrel: Les effets indésirables fréquents de la contraception d'urgence comprennent nausées, céphalées, fatigue, vertiges, tension mammaire et modifications du cycle menstruel. Fluconazole: Les effets indésirables fréquents comprennent céphalées, nausées et douleurs abdominales.

Questions fréquentes

Is Levonorgestrel better than Fluconazole?

Levonorgestrel and Fluconazole are not "better or worse" — they treat different things. The sensible question is which fits your specific need.

Can Levonorgestrel and Fluconazole be combined?

Whether they can be combined depends on the indications and the interaction profile of each. If both are in a single prescription, the prescriber has weighed it; in self-medication they should never be combined.

Do they have the same side-effect profile?

No — they belong to different classes and have distinct side-effect profiles. Each has its own prescribing information.

Products with Levonorgestrel

Products with Fluconazole

Les informations publiées sur ce site sont fournies à titre documentaire et pédagogique. Elles ne remplacent pas l'avis d'un professionnel de santé qualifié.