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What the FDA labels say about taking them together

Brincidofovir and clarithromycin

Brincidofovir's FDA label of July 1, 2025 names clarithromycin in its drug interactions section; the clarithromycin label PlainMeds reads does not name brincidofovir. The brincidofovir label: “Drugs on TEMBEXA Inhibitors for Organic Anion Transporting Polypeptide (OATP) 1B1 and 1B3 Concomitant use of TEMBEXA with OATP1B1 and 1B3 inhibitors increase brincidofovir AUC and C max which may increase …”

Check it at the source: the brincidofovir FDA label on DailyMed (effective July 1, 2025, Emergent BioDefense Operations Lansing LLC); the clarithromycin FDA label on DailyMed (effective April 9, 2026, Solaris Pharma Corporation).

What does the brincidofovir label say about clarithromycin?

Brincidofovir label, drug interactions

Drugs on TEMBEXA Inhibitors for Organic Anion Transporting Polypeptide (OATP) 1B1 and 1B3 Concomitant use of TEMBEXA with OATP1B1 and 1B3 inhibitors (clarithromycin, cyclosporine, erythromycin, gemfibrozil, human immunodeficiency virus [HIV] and hepatitis C virus [HCV] protease inhibitors, rifampin [single dose]) increase brincidofovir AUC and C max which may increase TEMBEXA-associated adverse reactions [see Clinical Pharmacology ( 12.3 )].

Source: FDA drug label (Tembexa), Emergent BioDefense Operations Lansing LLC, effective July 1, 2025 (SPL set 209aa94b-c613-4880-ad89-41be83d12c0a), via openFDA; the full label on DailyMed

What does the clarithromycin label say about brincidofovir?

Clarithromycin's label (effective April 9, 2026) does not name brincidofovir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Clarithromycin), Solaris Pharma Corporation, effective April 9, 2026 (SPL set 4d42821d-ce7a-7d64-e063-6294a90a0875), 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

0Brincidofovir generic labelers
26Clarithromycin generic labelers
BrincidofovirClarithromycin
Labeled forn/aBacterial infections, Acid reflux and ulcers
Boxed warningYesNo
Pharmacy cost (NADAC)n/a$0.466 per tablet 500 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?