Some medicines/foods and Visanne may interfere with each other. These include:  medicines used to treat epilepsy such as phenytoin, primidone, barbiturates (e.g. phenobarbitone), carbamazepine, oxcarbamazepine, topiramate, felbamate medicines used to treat depression such as fluoxetine, fluvoxamine diltiazem, verapamil which are medicines used to treat high blood pressure, chest pain or irregular heartbeats medicines used to treat tuberculosis such as rifampicin, rifabutin medicines used to treat HIV or hepatitis C virus (HCV) medicines used to treat fungal infections such as ketoconazole, itraconazole, fluconazole, voriconazole) some antibiotics (e.g. erythromycin, clarithromycin) cimetidine, an antacid herbal medicines containing St. John’s Wort grapefruit. These medicines/foods may be affected by Visanne, or may affect how well it works. Your doctor may need to alter the dose of your medicine, or prescribe a different medicine. 
    
    
    
        
            
                
                هر که هستی، هر چه هستی، تا مفیدی، زنده هستی (توانا بود هر که دانا بود)