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What the FDA labels say about taking them together

Chenodiol and cholestyramine

Chenodiol's FDA label of December 16, 2025 names cholestyramine in its drug interactions section; the cholestyramine label PlainMeds reads does not name chenodiol. The chenodiol label: “Drugs on CTEXLI Co-administration of bile acid sequestering agents, such as cholestyramine and colestipol, or aluminum-based antacids may decrease absorption of CTEXLI in the intestine and may result in decreased …”

Check it at the source: the chenodiol FDA label on DailyMed (effective December 16, 2025, Mirum Pharmaceuticals Inc.); the cholestyramine FDA label on DailyMed (effective August 20, 2026, AiPing Pharmaceutical, Inc.).

What does the chenodiol label say about cholestyramine?

Chenodiol label, drug interactions

Drugs on CTEXLI Co-administration of bile acid sequestering agents, such as cholestyramine and colestipol, or aluminum-based antacids may decrease absorption of CTEXLI in the intestine and may result in decreased efficacy of CTEXLI.

Source: FDA drug label (CTEXLI), Mirum Pharmaceuticals Inc., effective December 16, 2025 (SPL set 015384e7-4ac5-4782-a309-e40cd1421c5b), via openFDA; the full label on DailyMed

What does the cholestyramine label say about chenodiol?

Cholestyramine's label (effective August 20, 2026) does not name chenodiol in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Cholestyramine), AiPing Pharmaceutical, Inc., effective August 20, 2026 (SPL set 214ea05f-de81-4026-9df9-4ce3820668ee), 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

1Chenodiol generic labelers
15Cholestyramine generic labelers
ChenodiolCholestyramine
Labeled forn/aHigh cholesterol
Boxed warningNoNo
Pharmacy cost (NADAC)n/a$0.834 per packet Cholestyramine packet
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?