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What the FDA labels say about taking them together

Cetuximab and fluorouracil

Cetuximab's FDA label of April 16, 2026 names fluorouracil in its boxed warning section; the fluorouracil labels PlainMeds reads (4) do not name cetuximab. The cetuximab label: “… radiation therapy or with a cetuximab product with platinum-based therapy and fluorouracil. Monitor serum electrolytes, including serum magnesium, potassium, and calcium, during and after ERBITUX administration.”

Check it at the source: the cetuximab FDA label on DailyMed (effective April 16, 2026, ImClone LLC); the fluorouracil FDA label on DailyMed (effective January 19, 2026, Eugia US LLC).

What does the cetuximab label say about fluorouracil?

Cetuximab label, boxed warning

ERBITUX can cause serious and fatal infusion reactions. ( 5.1 , 6 ) Immediately interrupt and permanently discontinue ERBITUX for serious infusion reactions. ( 2.5 ) Cardiopulmonary arrest or sudden death occurred in patients with squamous cell carcinoma of the head and neck receiving ERBITUX with radiation therapy or with a cetuximab product with platinum-based therapy and fluorouracil. Monitor serum electrolytes, including serum magnesium, potassium, and calcium, during and after ERBITUX administration.

Cetuximab label, warnings and precautions

In EXTREME, where a cetuximab product was administered in combination with platinum-based therapy, the addition of cetuximab to cisplatin and fluorouracil resulted in an increased incidence of hypomagnesemia of any grade (14%) and of Grade 3 or 4 hypomagnesemia (7%).

Source: FDA drug label (ERBITUX), ImClone LLC, effective April 16, 2026 (SPL set 8bc6397e-4bd8-4d37-a007-a327e4da34d9), via openFDA; the full label on DailyMed

What does the fluorouracil label say about cetuximab?

Fluorouracil's label (effective January 19, 2026) and its 3 other brand-application labels do not name cetuximab in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (FLUOROURACIL), Eugia US LLC, effective January 19, 2026 (SPL set 697816ce-dc05-4943-b7f0-2f0b125e93b7), 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

0Cetuximab generic labelers
18Fluorouracil generic labelers
CetuximabFluorouracil
Labeled forColorectal cancerColorectal cancer
Boxed warningYesYes
Pharmacy cost (NADAC)n/a$0.616 per gram 5% cream
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?