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What the FDA labels say about taking them together

Artemether/lumefantrine and mefloquine

Artemether/lumefantrine's FDA label of March 26, 2026 names mefloquine in its drug interactions section; the mefloquine label PlainMeds reads does not name artemether/lumefantrine. The artemether/lumefantrine label: “If mefloquine is administered immediately prior to Coartem Tablets, there may be a decreased exposure to lumefantrine, possibly due to a mefloquine-induced decrease in bile production.”

Check it at the source: the artemether/lumefantrine FDA label on DailyMed (effective March 26, 2026, Novartis Pharmaceuticals Corporation); the mefloquine FDA label on DailyMed (effective November 18, 2024, Chartwell RX, LLC).

What does the artemether/lumefantrine label say about mefloquine?

Artemether/lumefantrine label, drug interactions

Use of Mefloquine Administration of 3 doses of mefloquine followed 12 hours later by a 6-dose regimen of Coartem Tablets in 14 healthy volunteers demonstrated no effect of mefloquine on plasma concentrations of artemether or the artemether/DHA ratio.

Artemether/lumefantrine label, warnings and precautions

If mefloquine is administered immediately prior to Coartem Tablets, there may be a decreased exposure to lumefantrine, possibly due to a mefloquine-induced decrease in bile production.

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 mefloquine label say about artemether/lumefantrine?

Mefloquine's label (effective November 18, 2024) 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 (Mefloquine Hydrochloride), Chartwell RX, LLC, effective November 18, 2024 (SPL set b884d22b-aae7-4f14-9a04-ae4029a229f0), 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
3Mefloquine generic labelers
Artemether/lumefantrineMefloquine
Labeled forn/an/a
Boxed warningNoYes
Pharmacy cost (NADAC)$5.36 per tablet Coartem tablets$3.97 per tablet 250 mg tablet
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?