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What the FDA labels say about taking them together

Colestipol and gemfibrozil

Colestipol's FDA label of February 19, 2024 names gemfibrozil in its drug interactions section, and gemfibrozil's label names colestipol too. The gemfibrozil label: “(F) Bile Acid-Binding Resins: Gemfibrozil AUC was reduced by 30% when gemfibrozil was given (600 mg) simultaneously with resin-granule drugs such as colestipol (5 g).”

Check it at the source: the colestipol FDA label on DailyMed (effective February 19, 2024, Zydus Pharmaceuticals USA Inc.); the gemfibrozil FDA label on DailyMed (effective April 10, 2026, Northstar RxLLC).

What does the colestipol label say about gemfibrozil?

Colestipol label, drug interactions

The absorption of tetracycline, furosemide, penicillin G, hydrochlorothiazide and gemfibrozil was significantly decreased when given simultaneously with colestipol hydrochloride; these drugs were not tested to determine the effect of administration one hour before colestipol hydrochloride.

Source: FDA drug label (Colestipol hydrochloride), Zydus Pharmaceuticals USA Inc., effective February 19, 2024 (SPL set 71f12e0d-373a-4867-b37c-f24d99c5ce95), via openFDA; the full label on DailyMed

What does the gemfibrozil label say about colestipol?

Gemfibrozil label, drug interactions

(F) Bile Acid-Binding Resins: Gemfibrozil AUC was reduced by 30% when gemfibrozil was given (600 mg) simultaneously with resin-granule drugs such as colestipol (5 g).

Source: FDA drug label (Gemfibrozil), Northstar RxLLC, effective April 10, 2026 (SPL set 75cac02c-56e3-4dfe-b1e2-4ce166b28833), 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

8Colestipol generic labelers
27Gemfibrozil generic labelers
ColestipolGemfibrozil
Labeled forHigh cholesterolHigh cholesterol, Heart attack and coronary artery disease
Boxed warningNoYes
Pharmacy cost (NADAC)$0.658 per tablet 1 g tablet$0.104 per tablet 600 mg tablet
Shortage nowNo current entryA presentation being discontinued

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

What next?