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What the FDA labels say about taking them together

Calaspargase and epinephrine

Calaspargase's FDA label of October 8, 2024 names epinephrine in its warnings and precautions section; the epinephrine labels PlainMeds reads (4) do not name calaspargase. The calaspargase label: “Because of the risk of serious allergic reactions, administer ASPARLAS in a clinical setting with resuscitation equipment and other agents necessary to treat anaphylaxis and observe patients for 1 hour after …”

Check it at the source: the calaspargase FDA label on DailyMed (effective October 8, 2024); the epinephrine FDA label on DailyMed (effective July 13, 2026, A-S Medication Solutions).

What does the calaspargase label say about epinephrine?

Calaspargase label, warnings and precautions

Because of the risk of serious allergic reactions (e.g., life-threatening anaphylaxis), administer ASPARLAS in a clinical setting with resuscitation equipment and other agents necessary to treat anaphylaxis (e.g., epinephrine, oxygen, intravenous steroids, antihistamines) [see Dosage and Administration (2.4) ] and observe patients for 1 hour after administration.

Source: FDA drug label (asparlas), Servier Pharmaceuticals LLC, effective October 8, 2024 (SPL set 6585bd0d-bd78-4341-9e87-0f7664821f05), via openFDA; the full label on DailyMed

What does the epinephrine label say about calaspargase?

Epinephrine's label (effective July 13, 2026) and its 3 other brand-application labels do not name calaspargase 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

0Calaspargase generic labelers
16Epinephrine generic labelers
CalaspargaseEpinephrine
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?