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What the FDA labels say about taking them together

Asparaginase and epinephrine

Asparaginase's FDA label of July 1, 2025 names epinephrine in its warnings and precautions section; the epinephrine labels PlainMeds reads (4) do not name asparaginase. The asparaginase label: “Because of the risk of serious allergic reactions, administer RYLAZE in a setting with resuscitation equipment and other agents necessary to treat anaphylaxis.”

Check it at the source: the asparaginase FDA label on DailyMed (effective July 1, 2025); the epinephrine FDA label on DailyMed (effective July 13, 2026, A-S Medication Solutions).

What does the asparaginase label say about epinephrine?

Asparaginase label, warnings and precautions

Because of the risk of serious allergic reactions (e.g., life-threatening anaphylaxis), administer RYLAZE in a setting with resuscitation equipment and other agents necessary to treat anaphylaxis (e.g., epinephrine, oxygen, intravenous steroids, antihistamines) [see Dosage and Administration ( 2.3 )].

Source: FDA drug label (Rylaze), Jazz Pharmaceuticals, Inc., effective July 1, 2025 (SPL set 857e53aa-1098-4dad-b654-0276cdd43e03), via openFDA; the full label on DailyMed

What does the epinephrine label say about asparaginase?

Epinephrine's label (effective July 13, 2026) and its 3 other brand-application labels do not name asparaginase in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Epinephrine), A-S Medication Solutions, effective July 13, 2026 (SPL set 6e811e28-0199-4df7-a916-5940c632401d), 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

0Asparaginase generic labelers
16Epinephrine generic labelers
AsparaginaseEpinephrine
Labeled forLeukemia, lymphoma and myelomaAsthma
Boxed warningNoNo
Pharmacy cost (NADAC)n/a$123.51 per unit 0.15 mg auto-injct
Shortage nowNo current entryA presentation being discontinued

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

What next?