When certain medications, such as barbiturates, protease inhibitors, or modafinil, are taken while you are using NuvaRing, drug interactions may occur. Not only can negative drug interactions reduce the effectiveness of NuvaRing and increase your risk of pregnancy, but you may also develop certain side effects. Other medicines that may lead to NuvaRing interactions include cyclosporine, rifamycin antibiotics, aprepitant, and certain seizure medications.