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What the FDA labels say about taking them together

Ciprofloxacin and duloxetine

Ciprofloxacin's FDA label of March 2, 2026 names duloxetine in its drug interactions section, and duloxetine's label names ciprofloxacin too. The ciprofloxacin label: “Duloxetine; Avoid Use Five-fold increase in duloxetine exposure; If unavoidable, monitor for duloxetine toxicity”

Check it at the source: the ciprofloxacin FDA label on DailyMed (effective March 2, 2026, Bayer HealthCare Pharmaceuticals Inc.); the duloxetine FDA label on DailyMed (effective May 14, 2024, SUN PHARMACEUTICAL INDUSTRIES, INC.).

What does the ciprofloxacin label say about duloxetine?

Ciprofloxacin label, drug interactions

Duloxetine; Avoid Use Five-fold increase in duloxetine exposure; If unavoidable, monitor for duloxetine toxicity

Source: FDA drug label (Cipro), Bayer HealthCare Pharmaceuticals Inc., effective March 2, 2026 (SPL set 888dc7f9-ad9c-4c00-8d50-8ddfd9bd27c0), via openFDA; the full label on DailyMed

What does the duloxetine label say about ciprofloxacin?

Duloxetine label, drug interactions

Examples; Fluvoxamine, cimetidine, ciprofloxacin, enoxacin

Source: FDA drug label (DRIZALMA SPRINKLE), SUN PHARMACEUTICAL INDUSTRIES, INC., effective May 14, 2024 (SPL set b41423b8-dfec-4d79-ba3c-e43a87803d85), 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

54Ciprofloxacin generic labelers
45Duloxetine generic labelers
CiprofloxacinDuloxetine
Labeled forDiarrhea, Urinary tract infections, Bacterial infectionsDepression, Anxiety, Nerve pain and fibromyalgia, Pain
Boxed warningYesYes
Pharmacy cost (NADAC)$0.123 per tablet 500 mg tablet$0.102 per capsule 30 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)

What next?