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What the FDA labels say about taking them together

Abiraterone and dextromethorphan

Abiraterone's FDA label of March 28, 2025 names dextromethorphan in its drug interactions section; the dextromethorphan label PlainMeds reads does not name abiraterone. The abiraterone label: “In a CYP2D6 drug-drug interaction trial, the C max and AUC of dextromethorphan (CYP2D6 substrate) were increased 2.8- and 2.9-fold, respectively, when dextromethorphan was given with abiraterone acetate 1,000 mg daily …”

Check it at the source: the abiraterone FDA label on DailyMed (effective March 28, 2025, Janssen Biotech, Inc.); the dextromethorphan FDA label on DailyMed (effective August 27, 2026).

What does the abiraterone label say about dextromethorphan?

Abiraterone label, drug interactions

In a CYP2D6 drug-drug interaction trial, the C max and AUC of dextromethorphan (CYP2D6 substrate) were increased 2.8- and 2.9-fold, respectively, when dextromethorphan was given with abiraterone acetate 1,000 mg daily and prednisone 5 mg twice daily.

Source: FDA drug label (Zytiga), Janssen Biotech, Inc., effective March 28, 2025 (SPL set 4e338e89-3cf2-48eb-b6e2-a06c608c6513), via openFDA; the full label on DailyMed

What does the dextromethorphan label say about abiraterone?

Dextromethorphan's label (effective August 27, 2026) does not name abiraterone in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Good Sense Cough DM), L. Perrigo Company, effective August 27, 2026 (SPL set 5a2e9bef-42cb-4b72-9a26-c3ae71dcb4ea), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

23Abiraterone generic labelers
28Dextromethorphan generic labelers
AbirateroneDextromethorphan
Labeled forProstate cancerCough and cold
Boxed warningNoNo
Pharmacy cost (NADAC)$0.774 per tablet 250 mg tablet$0.122 per unit 15 mg softgel
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?