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What the FDA labels say about taking them together

Castor oil and ixabepilone

Ixabepilone's FDA label of December 4, 2025 names castor oil in its contraindications section; the castor oil label PlainMeds reads does not name ixabepilone. The ixabepilone label: “CONTRAINDICATIONS IXEMPRA is contraindicated in patients who have: a neutrophil count <1500 cells/mm 3 or a platelet count <100,000 cells/mm 3. …”

Check it at the source: the castor oil FDA label on DailyMed (effective June 15, 2026); the ixabepilone FDA label on DailyMed (effective December 4, 2025, R-Pharm US Operating, LLC).

What does the castor oil label say about ixabepilone?

Castor oil's label (effective June 15, 2026) does not name ixabepilone in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Signature Care), Better Living Brands, LLC, effective June 15, 2026 (SPL set 4947cf4d-3ebd-4b66-9582-f141407aa300), via openFDA; the full label on DailyMed

What does the ixabepilone label say about castor oil?

Ixabepilone label, contraindications

CONTRAINDICATIONS IXEMPRA is contraindicated in patients who have: a neutrophil count <1500 cells/mm 3 or a platelet count <100,000 cells/mm 3 [see Warnings and Precautions ( 5.2 )]. a history of severe hypersensitivity to agents containing Cremophor ® EL or its derivatives (e.g., polyoxyethylated castor oil) [see Warnings and Precautions ( 5.4 )].

Ixabepilone label, warnings and precautions

Hypersensitivity Reactions IXEMPRA is contraindicated in patients with a history of a severe hypersensitivity reaction to agents containing Cremophor ® EL or its derivatives (eg, polyoxyethylated castor oil) [ see Contraindications ( 4 )].

Source: FDA drug label (IXEMPRA), R-Pharm US Operating, LLC, effective December 4, 2025 (SPL set 241f0b1e-8b95-470d-876f-bf1804daaf18), 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

0Castor oil generic labelers
0Ixabepilone generic labelers
Castor oilIxabepilone
Labeled forConstipationBreast cancer
Boxed warningNoYes
Pharmacy cost (NADAC)$0.0193 per mL Castor oiln/a
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?