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What the FDA labels say about taking them together

Artemether/lumefantrine and ketoconazole

Artemether/lumefantrine's FDA label of March 26, 2026 names ketoconazole in its drug interactions section; the ketoconazole label PlainMeds reads does not name artemether/lumefantrine. The artemether/lumefantrine label: “Concurrent oral administration of ketoconazole, a potent CYP3A4 inhibitor, with a single dose of Coartem Tablets resulted in a moderate increase in exposure to artemether, DHA, and lumefantrine in a study of 15 healthy …”

Check it at the source: the artemether/lumefantrine FDA label on DailyMed (effective March 26, 2026, Novartis Pharmaceuticals Corporation); the ketoconazole FDA label on DailyMed (effective January 28, 2026, E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC).

What does the artemether/lumefantrine label say about ketoconazole?

Artemether/lumefantrine label, drug interactions

Concurrent oral administration of ketoconazole, a potent CYP3A4 inhibitor, with a single dose of Coartem Tablets resulted in a moderate increase in exposure to artemether, DHA, and lumefantrine in a study of 15 healthy subjects.

Source: FDA drug label (COARTEM), Novartis Pharmaceuticals Corporation, effective March 26, 2026 (SPL set 7866ec19-dfac-47d4-a53f-511a12643cbf), via openFDA; the full label on DailyMed

What does the ketoconazole label say about artemether/lumefantrine?

Ketoconazole's label (effective January 28, 2026) does not name artemether/lumefantrine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (ketoconazole), E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC, effective January 28, 2026 (SPL set cad7c647-34a9-4e4e-83b3-8d78e58f588f), 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

0Artemether/lumefantrine generic labelers
30Ketoconazole generic labelers
Artemether/lumefantrineKetoconazole
Labeled forn/aFungal infections
Boxed warningNoNo
Pharmacy cost (NADAC)$5.36 per tablet Coartem tablets$0.249 per gram 2% cream
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?