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What the FDA labels say about taking them together

Clozapine and gatifloxacin

Clozapine's FDA label of June 6, 2025 names gatifloxacin in its drug interactions section; the gatifloxacin label PlainMeds reads does not name clozapine. The clozapine label: “Drugs that cause QT prolongation include: specific antipsychotics, specific antibiotics, Class 1A antiarrhythmics or Class III antiarrhythmics, and others.”

Check it at the source: the clozapine FDA label on DailyMed (effective June 6, 2025, HLS Therapeutics (USA), Inc.); the gatifloxacin FDA label on DailyMed (effective September 8, 2016, Allergan, Inc.).

What does the clozapine label say about gatifloxacin?

Clozapine label, drug interactions

Drugs that cause QT prolongation include: specific antipsychotics (e.g., ziprasidone, iloperidone, chlorpromazine, thioridazine, mesoridazine, droperidol, and pimozide), specific antibiotics (e.g., erythromycin, gatifloxacin, moxifloxacin, sparfloxacin), Class 1A antiarrhythmics (e.g., quinidine, procainamide) or Class III antiarrhythmics (e.g., amiodarone, sotalol), and others (e.g., pentamidine, levomethadyl acetate, methadone, halofantrine, mefloquine, dolasetron mesylate, probucol or tacrolimus) [see Warnings and Precautions ( 5.9 )].

Source: FDA drug label (Clozaril), NDA019758 (Heritage Life), as published by HLS Therapeutics (USA), Inc., effective June 6, 2025 (SPL set 90876802-0e3a-44c9-9ff7-1754dfbe736a), via openFDA; the full label on DailyMed

What does the gatifloxacin label say about clozapine?

Gatifloxacin's label (effective September 8, 2016) does not name clozapine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (ZYMAXID), NDA022548 (Abbvie), as published by Allergan, Inc., effective September 8, 2016 (SPL set 1160b16c-929a-4e85-9c0b-1d8c96a7678b), 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

11Clozapine generic labelers
3Gatifloxacin generic labelers
ClozapineGatifloxacin
Labeled forSchizophrenian/a
Boxed warningYesNo
Pharmacy cost (NADAC)$0.610 per tablet 100 mg tablet$8.85 per mL 0.5% eye drops
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?