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What the FDA labels say about taking them together

Calcifediol and voriconazole

Calcifediol's FDA label of January 19, 2024 names voriconazole in its drug interactions section; the voriconazole labels PlainMeds reads (3) do not name calcifediol. The calcifediol label: “… itraconazole, nefazodone, nelfinavir, ritonavir, saquinavir, telithromycin or voriconazole, may inhibit enzymes involved in vitamin D metabolism (CYP24A1 and CYP27B1), and may alter serum levels of calcifediol.”

Check it at the source: the calcifediol FDA label on DailyMed (effective January 19, 2024, OPKO Pharmaceuticals LLC); the voriconazole FDA label on DailyMed (effective February 26, 2026, Roerig).

What does the calcifediol label say about voriconazole?

Calcifediol label, drug interactions

CYP3A Inhibitors Cytochrome P450 inhibitors, such as ketoconazole, atazanavir, clarithromycin, indinavir, itraconazole, nefazodone, nelfinavir, ritonavir, saquinavir, telithromycin or voriconazole, may inhibit enzymes involved in vitamin D metabolism (CYP24A1 and CYP27B1), and may alter serum levels of calcifediol.

Source: FDA drug label (Rayaldee), NDA208010 (Eirgen), as published by OPKO Pharmaceuticals LLC, effective January 19, 2024 (SPL set 6a95effd-32a5-46b6-a30e-7f4f9bf8cc77), via openFDA; the full label on DailyMed

What does the voriconazole label say about calcifediol?

Voriconazole's label (effective February 26, 2026) and its 2 other brand-application labels do not name calcifediol in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (VFEND), NDA021630 (Pf Prism Cv), as published by Roerig, effective February 26, 2026 (SPL set ce3ef5cf-3087-4d92-9d94-9eb8287228db), 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

0Calcifediol generic labelers
31Voriconazole generic labelers
CalcifediolVoriconazole
Labeled forn/aFungal infections
Boxed warningNoNo
Pharmacy cost (NADAC)$41.26 per capsule 30 mcg capsule (hard)$1.88 per tablet 200 mg tablet
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?