Drug & supplement interaction

Pyrethrum + Ethinyl Estradiol, Norethindrone, Ferrous Fumarate

Ethinyl Estradiol, Norethindrone, Ferrous Fumarate brand names: Estrostep Fe, Loestrin Fe, Microgestin FE, Junel Fe 1.5/30, Loestrin Fe 1.5/30, and others.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Pyrethrum and Ethinyl Estradiol, Norethindrone, Ferrous Fumarate in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the label for Ethinyl Estradiol, Norethindrone, Ferrous Fumarate states a food rule worth keeping to.

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Interaction report

Pyrethrum and Ethinyl Estradiol, Norethindrone, Ferrous Fumarate

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Ethinyl Estradiol, Norethindrone, Ferrous Fumarate and Pyrethrum in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Pyrethrum at all — not against Ethinyl Estradiol, Norethindrone, Ferrous Fumarate, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Pyrethrum safety at a glance

Pyrethrum overall Use caution Pyrethrum is an insecticide, not a dietary supplement, and should not be taken internally.
Pregnancy Avoid Avoid internal use and limit exposure to insecticide products during pregnancy due to lack of safety data.
Breastfeeding Avoid Avoid internal use while breastfeeding because safety has not been established.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Ethinyl Estradiol, Norethindrone, Ferrous Fumarate and Pyrethrum? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Pyrethrum Itself Has Been Linked To

This is not an interaction — nothing below involves Ethinyl Estradiol, Norethindrone, Ferrous Fumarate. It is the side-effect record for Pyrethrum on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Pyrethrum, this list is the first place to look. One entry is worth acting on rather than waiting out — marked below.

  • An allergic reaction Worth acting on Additional detail

    “Pyrethrum has limited toxicity. The symptoms of overdose include headache, tinnitus, nausea, tingling of fingers and toes, respiratory disturbances, and other symptoms of neurotoxicity (18). The pyrethrum flower or derivatives of it might cause an allergic reaction in individuals sensitive to the Asteraceae/Compositae family.”

    Pyrethrum · Natural Medicines adverse-effect record, reported in cluster headache.

    1 source cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  • Ringing in the ears / Numbness or tingling / Headache / Nausea Additional detail

    Recorded for Pyrethrum in the same Natural Medicines adverse-effect record shown under An allergic reaction above.

Everything above comes from the Natural Medicines adverse-effect record for Pyrethrum — expand a row for the licensed statement it rests on. We read the ADVERSE REACTIONS section of Ethinyl Estradiol, Norethindrone, Ferrous Fumarate’s FDA label too, and the two lists don’t meaningfully overlap — which is why no Ethinyl Estradiol, Norethindrone, Ferrous Fumarate column appears here.

How to take them

Some Ethinyl Estradiol, Norethindrone, Ferrous Fumarate Products Have a Food Rule — Pyrethrum Should Not Break It

At least one FDA label for a product containing Ethinyl Estradiol, Norethindrone, Ferrous Fumarate says to take it with food. If you take Pyrethrum on an empty stomach out of habit, keep them separate — and take Ethinyl Estradiol, Norethindrone, Ferrous Fumarate with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Ethinyl Estradiol, Norethindrone, Ferrous Fumarate products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

Tablets should be taken regularly with a meal or at bedtime.

From the Dosage and Administration section of the FDA label we read for Ethinyl Estradiol, Norethindrone, Ferrous Fumarate — where that label names a specific product, the instruction is that product's.

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Everything else you take

See Every Supplement That Interacts With Ethinyl Estradiol, Norethindrone, Ferrous Fumarate

This page covers Pyrethrum only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Ethinyl Estradiol, Norethindrone, Ferrous Fumarate page lists 240 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 · 196 moderate · 38 minor.

From our pharmacist’s overview on the Ethinyl Estradiol, Norethindrone, Ferrous Fumarate page

“If you take a birth control pill that combines ethinyl estradiol, norethindrone, and iron (Loestrin Fe, Estrostep Fe, Microgestin Fe), a few supplements can genuinely undermine it, and I want you to know which ones first. Six of the 240 ingredients on file carry a major rating.”

Reviewed by 2 · Jul 18, 2026

Open the Ethinyl Estradiol, Norethindrone, Ferrous Fumarate interaction page

How much people look this up

Where Pyrethrum and Ethinyl Estradiol, Norethindrone, Ferrous Fumarate 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 Pyrethrum
Steady interest

#1,117 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Ethinyl Estradiol, Norethindrone, Ferrous Fumarate
Top half

#805 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.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Pyrethrum reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Pyrethrum and Ethinyl Estradiol, Norethindrone, Ferrous Fumarate records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Pyrethrum

What is Pyrethrum?

  • Natural insect repellent
  • Killing fleas, lice, and other pests
  • Garden and household insecticide
  • Traditional use against parasites

Pyrethrum is a daisy-like flower whose extracts (called pyrethrins) are widely used as a natural insecticide for plants, pets, and lice. It is not a supplement meant to be taken by mouth, and there is no good evidence supporting any internal health use. If you use pyrethrum products, treat them as pesticides and follow label directions carefully.

Tanacetum cinerariifolium · Asteraceae · Dried flower heads · Insecticide powders, sprays, and extracts (pyrethrins); rarely used internally

An interaction check asks whether these two react with each other — it does not ask whether Pyrethrum is a good idea for someone in your situation. Here is what our Pyrethrum record says about it on its own.

Pyrethrum: dosing

There is no established or recommended internal dose for pyrethrum, and it should not be taken as a supplement. For insecticide, lice, or flea products, the correct amount depends entirely on the specific product.Always follow the directions on the product label exactly, and do not use more or more often than directed.

From our Pyrethrum monograph — the full record covers uses, side effects and every documented interaction.

Read the full Pyrethrum monograph & all interactions
Keep checking

Other Drugs & Pyrethrum

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

0Major
0Moderate
0Minor
2,829No known interaction
No interaction 2,829 drugs checked — show the list
Evidence & sources

Pyrethrum References

The 3 references that drive our Pyrethrum monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  2. Covington TR, et al. Handbook of Nonprescription Drugs. 11th ed. Washington, DC: American Pharmaceutical Association, 1996.
  3. Drugs in Pregnancy and Lactation. 4th ed. Baltimore, MD: Williams & Wilkins, 1994.

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Pyrethrum and Ethinyl Estradiol, Norethindrone, Ferrous Fumarate Together: Common Questions

Is it safe to take Pyrethrum with Ethinyl Estradiol, Norethindrone, Ferrous Fumarate?
We do not list a known interaction between Pyrethrum and Ethinyl Estradiol, Norethindrone, Ferrous Fumarate. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Should I take Pyrethrum and Ethinyl Estradiol, Norethindrone, Ferrous Fumarate at the same time of day?
At least one FDA label for a product containing Ethinyl Estradiol, Norethindrone, Ferrous Fumarate says to take it with food. If you take Pyrethrum on an empty stomach out of habit, keep them separate and take Ethinyl Estradiol, Norethindrone, Ferrous Fumarate with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Ethinyl Estradiol, Norethindrone, Ferrous Fumarate products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Does Ethinyl Estradiol, Norethindrone, Ferrous Fumarate interact with any supplements?
Yes. Ethinyl Estradiol, Norethindrone, Ferrous Fumarate has documented interactions with 240 supplements in our database — Pyrethrum is not one of them. The Ethinyl Estradiol, Norethindrone, Ferrous Fumarate interaction page linked on this page lists every one, ranked by severity.

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

Still Have a Question About Ethinyl Estradiol, Norethindrone, Ferrous Fumarate and Pyrethrum?

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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.