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What the FDA labels say about taking them together

Bexarotene and ketoconazole

Bexarotene's FDA label (Targretin) of February 3, 2020 names ketoconazole in its drug interactions section; the ketoconazole label PlainMeds reads does not name bexarotene. The bexarotene label: “On the basis of the metabolism of bexarotene by cytochrome P450 3A4, concomitant ketoconazole, itraconazole, erythromycin and grapefruit juice could increase bexarotene plasma concentrations.”

Check it at the source: the bexarotene FDA label on DailyMed (effective April 30, 2020, Bausch Health US, LLC); the ketoconazole FDA label on DailyMed (effective January 28, 2026, E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC).

What does the bexarotene label say about ketoconazole?

Targretin label (Bausch Health US, LLC, February 3, 2020), drug interactions

On the basis of the metabolism of bexarotene by cytochrome P450 3A4, concomitant ketoconazole, itraconazole, erythromycin and grapefruit juice could increase bexarotene plasma concentrations.

Source: FDA drug label (Targretin, NDA021056), Bausch Health US, LLC, effective February 3, 2020 (SPL set d35b4697-3f3b-4aa1-b5d9-153993e83811), via openFDA

Source: FDA drug label (Targretin), Bausch Health US, LLC, effective April 30, 2020 (SPL set 1d056725-0576-4338-8089-6336e768ccdc), via openFDA; the full label on DailyMed

What does the ketoconazole label say about bexarotene?

Ketoconazole's label (effective January 28, 2026) does not name bexarotene 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

7Bexarotene generic labelers
30Ketoconazole generic labelers
BexaroteneKetoconazole
Labeled forLeukemia, lymphoma and myelomaFungal infections
Boxed warningYesNo
Pharmacy cost (NADAC)n/a$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?