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What the FDA labels say about taking them together

Atomoxetine and celecoxib

Celecoxib's FDA label of November 22, 2024 names atomoxetine in its drug interactions section; the atomoxetine labels PlainMeds reads (3) do not name celecoxib. The celecoxib label: “… in vivo drug interaction with drugs that are metabolized by CYP2D6 (e.g., atomoxetine), and celecoxib may enhance the exposure and toxicity of these drugs.”

Check it at the source: the atomoxetine FDA label on DailyMed (effective May 25, 2026, Camber Pharmaceuticals, Inc.); the celecoxib FDA label on DailyMed (effective November 22, 2024, Viatris Specialty LLC).

What does the atomoxetine label say about celecoxib?

Atomoxetine's label (effective May 25, 2026) and its 2 other brand-application labels do not name celecoxib in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Atomoxetine), ANDA202682 (Hetero Labs Ltd V), as published by Camber Pharmaceuticals, Inc., effective May 25, 2026 (SPL set f266ab7b-5a68-42b5-b204-e3249bea0aed), via openFDA; the full label on DailyMed

What does the celecoxib label say about atomoxetine?

Celecoxib label, drug interactions

CYP2D6 substrates Clinical Impact: In vitro studies indicate that celecoxib, although not a substrate, is an inhibitor of CYP2D6. Therefore, there is a potential for an in vivo drug interaction with drugs that are metabolized by CYP2D6 (e.g., atomoxetine), and celecoxib may enhance the exposure and toxicity of these drugs. Intervention: Evaluate each patient’s medical history when consideration is given to prescribing celecoxib. A dosage adjustment may be warranted when celecoxib is administered with CYP2D6 substrates [see ].

Source: FDA drug label (Elyxyb - Celecoxib, NDA212157), SCILEX PHARMACEUTICALS INC., effective November 26, 2024 (SPL set c8a5de07-9f27-4a54-a885-8089f0307bd7), via openFDA

Source: FDA drug label (CELEBREX), NDA020998 (Upjohn), as published by Viatris Specialty LLC, effective November 22, 2024 (SPL set 2d6675e4-5859-4be2-8037-a20ce9f707aa), 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

20Atomoxetine generic labelers
63Celecoxib generic labelers
AtomoxetineCelecoxib
Labeled forADHDOsteoarthritis, Rheumatoid arthritis, Pain, Migraine
Boxed warningYesYes
Pharmacy cost (NADAC)$0.442 per capsule 40 mg capsule$0.0762 per capsule 200 mg capsule
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)

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