The hormones in 
HRT are similar to those used in oral 
contraceptives, and so may be affected by enzyme-inducing drugs in the same way as 
contraceptives. Reduced effects are therefore possible if 
phenobarbital or 
primidone is also given. 
 Any interaction would be most likely to be noticed where 
HRT is prescribed for menopausal vasomotor 
symptoms. Further study is needed to confirm the importance of this possible interaction.