May reduce contraceptive efficacy &/or increase breakthrough bleeding w/ hepatic microsomal enzyme inducers (eg, carbamazepine, griseofulvin, oxcarbazepine, phenytoin, phenobarb, primidone, St. John's wort, topiramate & rifampicin). May decrease contraceptive efficacy w/ anti-infective drugs (eg, ampicillin, neomycin, nitrofurantoin, penicillin V, sulfonamides, tetracyclines), analgesics, INH, antimigraine drugs & tranquilizers). May increase risk of cholestatic jaundice w/ troleandomycin. May increase plasma conc w/ CYP3A4 inhibitors eg, clarithromycin, erythromycin, grapefruit juice, itraconazole, ketoconazole, ritonavir. Alcohol may reduce the effectiveness of cyproterone acetate.