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What the FDA labels say about taking them together

Ciprofloxacin and pretomanid

Pretomanid's FDA label of November 15, 2024 names ciprofloxacin in its drug interactions section; the ciprofloxacin labels PlainMeds reads (3) do not name pretomanid. The pretomanid label: “If pretomanid is co-administered with OAT3 substrate drugs, increase monitoring for OAT3 substrate drug-related adverse reactions and consider dosage reduction for OAT3 substrate drugs, if needed.”

Check it at the source: the ciprofloxacin FDA label on DailyMed (effective March 2, 2026, Bayer HealthCare Pharmaceuticals Inc.); the pretomanid FDA label on DailyMed (effective November 15, 2024, Viatris Specialty LLC).

What does the ciprofloxacin label say about pretomanid?

Ciprofloxacin's label (effective March 2, 2026) and its 2 other brand-application labels do not name pretomanid in these sections. A label lists what its studies and reports found; it is not a complete list.

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 pretomanid label say about ciprofloxacin?

Pretomanid label, drug interactions

If pretomanid is co-administered with OAT3 substrate drugs (e.g., methotrexate, indomethacin, ciprofloxacin), increase monitoring for OAT3 substrate drug-related adverse reactions and consider dosage reduction for OAT3 substrate drugs, if needed.

Source: FDA drug label (Pretomanid), NDA212862 (Mylan Ireland Ltd), as published by Viatris Specialty LLC, effective November 15, 2024 (SPL set f1906fc9-cb3c-4e13-8a4a-da76100c1bf3), 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
0Pretomanid generic labelers
CiprofloxacinPretomanid
Labeled forDiarrhea, Urinary tract infections, Bacterial infectionsn/a
Boxed warningYesNo
Pharmacy cost (NADAC)$0.123 per tablet 500 mg tabletn/a
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?