Drug & supplement interaction

Deer Velvet + Ethinyl Estradiol, Norgestimate

Ethinyl Estradiol, Norgestimate brand names: Ortho Tri-Cyclen 28, Ortho Tri-Cyclen Lo, Ortho-Cyclen, Mononessa, Previfem, and others.

Minor Interaction
The bottom line Minor

Ethinyl Estradiol, Norgestimate falls into 2 drug categories that Deer Velvet can interact with; the most serious is rated minor. Theoretically, deer velvet might interfere with the effectiveness of contraceptive drugs.

Read the full interaction report
SeverityMinor
LikelihoodUnlikely
Interactions2
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Deer Velvet and Ethinyl Estradiol, Norgestimate

These two interact in 2 distinct ways. Each one is explained separately below.

Why Are There 2 Interactions?

Deer Velvet interacts with whole categories of medication. Ethinyl Estradiol, Norgestimate falls into 2 of those categories, so it can interact with Deer Velvet in 2 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Minor).

Minor

CONTRACEPTIVE DRUGS

1 of 2

Why this applies to Ethinyl Estradiol, Norgestimate

Ethinyl Estradiol, Norgestimate falls under CONTRACEPTIVE DRUGS — the group Deer Velvet interacts with.

Theoretically, deer velvet might interfere with the effectiveness of contraceptive drugs.
Laboratory research shows that deer velvet contains small quantities of estradiol and testosterone. While clinical research shows that taking deer velvet extract does not raise testosterone levels, estradiol levels were not measured.
Severity Minor Likelihood Unlikely Evidence D

Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans..

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the gist with your birth control pill (Ortho Tri-Cyclen and its cousins). Deer velvet naturally contains tiny amounts of hormones, including a bit of estradiol. The worry on paper is that adding outside hormones could, in theory, throw off the careful hormone balance your pill relies on to prevent pregnancy. Honestly though, this concern is very weak. It's based on lab findings, not on real-world studies in people, and the amounts involved are small.

I wouldn't lose sleep over it, but I also can't promise it's harmless since the estrogen content was never properly measured. If you take both, watch for things like spotting or breakthrough bleeding. To be safe, just run it by your pharmacist or doctor before starting deer velvet.

References
  1. Sleivert, G., Burke, V., Palmer, C., Walmsley, A., Gerrard, D., Haines, S., and Littlejohn, R. The effects of deer antler velvet extract or powder supplementation on aerobic power, erythropoiesis, and muscular strength and endurance characteristics. Int PubMed
  2. Bubenik, G. A., Miller, K. V., Lister, A. L., Osborn, D. A., Bartos, L., and van der Kraak, G. J. Testosterone and estradiol concentrations in serum, velvet skin, and growing antler bone of male white-tailed deer. J Exp Zoolog.A Comp Exp Biol 3-1-2005;30 PubMed
Minor

ESTROGENS

2 of 2

Ethinyl Estradiol, Norgestimate also falls under ESTROGENS.

Theoretically, deer velvet might increase the effects and side effects of estrogens.
Laboratory evidence shows that deer velvet contains small quantities of estradiol and testosterone. While clinical research shows that taking deer velvet extract does not raise testosterone levels, estradiol levels were not measured.
Severity Minor Likelihood Unlikely Evidence D

Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans..

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the simple version: your birth control pill (Ortho Tri-Cyclen and similar) already contains a steady dose of estrogen. Lab testing shows deer velvet carries tiny traces of natural estradiol, so in theory adding it could nudge your overall estrogen activity up just a little. If that happened, you might notice the kinds of things higher estrogen can cause, like breast tenderness, nausea, bloating, or mood changes.

I want to be honest about the strength of this, though. This is purely theoretical, based on what's been found in the lab, not on real people taking both together. The amounts involved are very small and a meaningful effect is unlikely. Still, since this affects a hormone medication, it's worth a quick mention to your pharmacist or doctor before adding deer velvet.

References
  1. Sleivert, G., Burke, V., Palmer, C., Walmsley, A., Gerrard, D., Haines, S., and Littlejohn, R. The effects of deer antler velvet extract or powder supplementation on aerobic power, erythropoiesis, and muscular strength and endurance characteristics. Int PubMed
  2. Bubenik, G. A., Miller, K. V., Lister, A. L., Osborn, D. A., Bartos, L., and van der Kraak, G. J. Testosterone and estradiol concentrations in serum, velvet skin, and growing antler bone of male white-tailed deer. J Exp Zoolog.A Comp Exp Biol 3-1-2005;30 PubMed

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Deer Velvet Also Interacts With Other Medications

Deer Velvet has 51 minor known drug interactions in our database — the Ethinyl Estradiol, Norgestimate one above is among them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Deer Velvet

Covers the 2,830 medications we’ve checked against Deer Velvet. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Ethinyl Estradiol, Norgestimate

This page covers Deer Velvet only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Ethinyl Estradiol, Norgestimate page lists 239 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Grapefruit (major), Siberian Cocklebur (major) and St. John's Wort (major).

By severity: 6 major · 195 moderate · 38 minor.

Open the Ethinyl Estradiol, Norgestimate interaction page

One more smart check

Taking Deer Velvet as Part of a Dietary Supplement Product? Check It for Interactions

We hold 249 real supplement products containing Deer Velvet, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Deer Velvet. Your product may carry other ingredients that interact with Ethinyl Estradiol, Norgestimate too, on top of Deer Velvet — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Deer Velvet and Ethinyl Estradiol, Norgestimate Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Deer Velvet
Top half

#513 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Ethinyl Estradiol, Norgestimate
Steady interest

#1,524 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Deer Velvet

What is Deer Velvet?

Deer Velvet
  • Athletic performance and strength
  • Energy and fatigue
  • Joint health and arthritis
  • Immune support
  • Sexual function and libido

Deer velvet is a traditional remedy made from the soft, growing antlers of deer or elk, and it is most often promoted for energy, athletic performance, and joint health. Good-quality human evidence is limited, and most claims are not well proven. Talk to your pharmacist or doctor before using it, and avoid it during pregnancy and breastfeeding.

Read the full Deer Velvet monograph & all interactions
Keep checking

Other Drugs & Deer Velvet

Browse every other medication we’ve checked against Deer Velvet — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
51Minor
2,778No known interaction
Minor

51 interactions

No interaction 2,778 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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Pharmacist Counseling Corner

Taking Deer Velvet and Ethinyl Estradiol, Norgestimate Together: Common Questions

Can you take Deer Velvet with Ethinyl Estradiol, Norgestimate?
There is only a minor interaction, which is usually not serious. Read the full details on this page and confirm with your pharmacist before combining them.
Why are there 2 interactions listed for Deer Velvet and Ethinyl Estradiol, Norgestimate?
Ethinyl Estradiol, Norgestimate belongs to more than one drug category, and Deer Velvet interacts with each of those categories a little differently. We list every one so nothing is missed — your overall risk is driven by the most serious of them.
How serious is the Deer Velvet and Ethinyl Estradiol, Norgestimate interaction?
We rate it Minor. This interaction is generally not clinically significant, but it remains worth noting and discussing with your pharmacist.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.