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What the FDA labels say about taking them together

Chenodiol and colestipol

Chenodiol's FDA label of December 16, 2025 names colestipol in its drug interactions section; the colestipol labels PlainMeds reads (3) do 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 colestipol FDA label on DailyMed (effective February 19, 2024, Zydus Pharmaceuticals USA Inc.).

What does the chenodiol label say about colestipol?

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 colestipol label say about chenodiol?

Colestipol's label (effective February 19, 2024) and its 2 other brand-application labels do 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 (Colestipol hydrochloride), Zydus Pharmaceuticals USA Inc., effective February 19, 2024 (SPL set 71f12e0d-373a-4867-b37c-f24d99c5ce95), 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
8Colestipol generic labelers
ChenodiolColestipol
Labeled forn/aHigh cholesterol
Boxed warningNoNo
Pharmacy cost (NADAC)n/a$0.658 per tablet 1 g tablet
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?