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What the FDA labels say about taking them together

Cocaine and cyclophosphamide

Cocaine's FDA label of January 12, 2026 names cyclophosphamide in its drug interactions section; the cyclophosphamide labels PlainMeds reads (4) do not name cocaine. The cocaine label: “… inhibitors, oral contraceptives, glucocorticoids, antimyasthenics (neostigmine), cyclophosphamide, and possibly thiotepa.”

Check it at the source: the cocaine FDA label on DailyMed (effective January 12, 2026, OMNIVIUM PHARMACEUTICALS LLC.); the cyclophosphamide FDA label on DailyMed (effective January 19, 2026, Amneal Pharmaceuticals LLC).

What does the cocaine label say about cyclophosphamide?

Cocaine label, drug interactions

Plasma cholinesterase activity may be decreased by chronic administration of certain monoamine oxidase inhibitors, oral contraceptives, glucocorticoids, antimyasthenics (neostigmine), cyclophosphamide, and possibly thiotepa.

Source: FDA drug label (NUMBRINO), OMNIVIUM PHARMACEUTICALS LLC., effective January 12, 2026 (SPL set d724b5b4-6654-4bf5-9eed-e2c7943084ed), via openFDA; the full label on DailyMed

What does the cyclophosphamide label say about cocaine?

Cyclophosphamide's label (effective January 19, 2026) and its 3 other brand-application labels do not name cocaine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Cyclophosphamide), Amneal Pharmaceuticals LLC, effective January 19, 2026 (SPL set 520bfe39-dfd5-4a20-9a37-80078afded0d), 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

0Cocaine generic labelers
19Cyclophosphamide generic labelers
CocaineCyclophosphamide
Labeled forn/aLeukemia, lymphoma and myeloma
Boxed warningYesNo
Pharmacy cost (NADAC)n/a$1.67 per capsule 50 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?