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What the FDA labels say about taking them together

Almotriptan and duloxetine

Almotriptan's FDA label of December 31, 2025 names duloxetine in its warnings and precautions section; the duloxetine labels PlainMeds reads (2) do not name almotriptan. The almotriptan label: “If concomitant treatment with almotriptan tablets and an SSRI or SNRI is clinically warranted, careful observation of the patient is advised, particularly during treatment initiation and dose increases.”

Check it at the source: the almotriptan FDA label on DailyMed (effective December 31, 2025, Ajanta Pharma USA Inc.); the duloxetine FDA label on DailyMed (effective May 14, 2024, SUN PHARMACEUTICAL INDUSTRIES, INC.).

What does the almotriptan label say about duloxetine?

Almotriptan label, warnings and precautions

If concomitant treatment with almotriptan tablets and an SSRI (e.g., fluoxetine, paroxetine, sertraline, fluvoxamine, citalopram, escitalopram) or SNRI (e.g., venlafaxine, duloxetine) is clinically warranted, careful observation of the patient is advised, particularly during treatment initiation and dose increases.

Source: FDA drug label (almotriptan), Ajanta Pharma USA Inc., effective December 31, 2025 (SPL set 6fa380c4-c885-4743-85bf-88819ae68645), via openFDA; the full label on DailyMed

What does the duloxetine label say about almotriptan?

Duloxetine's label (effective May 14, 2024) and its 1 other brand-application label do not name almotriptan in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (DRIZALMA SPRINKLE), SUN PHARMACEUTICAL INDUSTRIES, INC., effective May 14, 2024 (SPL set b41423b8-dfec-4d79-ba3c-e43a87803d85), 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

3Almotriptan generic labelers
45Duloxetine generic labelers
AlmotriptanDuloxetine
Labeled forMigraine, PainDepression, Anxiety, Nerve pain and fibromyalgia, Pain
Boxed warningNoYes
Pharmacy cost (NADAC)$16.86 per tablet 12.5 mg tablet$0.102 per capsule 30 mg capsule
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)

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