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What the FDA labels say about taking them together

Cholestyramine and valproic acid

Valproic acid's FDA label of January 24, 2025 names cholestyramine in its drug interactions section; the cholestyramine label PlainMeds reads does not name valproic acid. The valproic acid label: “Cholestyramine Cholestyramine, when concurrently administered with valproic acid, led to, on average, a 14% decrease in plasma levels of valproic acid in a study conducted in 6 healthy subjects administered valproic …”

Check it at the source: the cholestyramine FDA label on DailyMed (effective August 20, 2026, AiPing Pharmaceutical, Inc.); the valproic acid FDA label on DailyMed (effective January 24, 2025, PAI Holdings, LLC dba PAI Pharma).

What does the cholestyramine label say about valproic acid?

Cholestyramine's label (effective August 20, 2026) does not name valproic acid 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

What does the valproic acid label say about cholestyramine?

Valproic acid label, drug interactions

Cholestyramine Cholestyramine, when concurrently administered with valproic acid, led to, on average, a 14% decrease in plasma levels of valproic acid in a study conducted in 6 healthy subjects administered valproic acid and cholestyramine.

Source: FDA drug label (VALPROIC ACID), PAI Holdings, LLC dba PAI Pharma, effective January 24, 2025 (SPL set 7d5cb52e-37dd-4dfa-a6f4-09f9548846c6), 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

15Cholestyramine generic labelers
22Valproic acid generic labelers
CholestyramineValproic acid
Labeled forHigh cholesterolSeizures and epilepsy, Migraine
Boxed warningNoYes
Pharmacy cost (NADAC)$0.834 per packet Cholestyramine packet$0.243 per capsule 250 mg capsule
Shortage nowNo current entryListed; available

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?