Skip to main content

What the FDA labels say about taking them together

Cytarabine and procarbazine

Cytarabine's FDA label of April 7, 2025 names procarbazine in its drug interactions section; the procarbazine label PlainMeds reads does not name cytarabine. The cytarabine label: “… cyclophosphamide, vincristine and prednisone with or without cytarabine injection or procarbazine.”

Check it at the source: the cytarabine FDA label on DailyMed (effective April 7, 2025, Hospira, Inc.); the procarbazine FDA label on DailyMed (effective September 16, 2024, Leadiant Biosciences, Inc.).

What does the cytarabine label say about procarbazine?

Cytarabine label, drug interactions

Drug Interactions Reversible decreases in steady-state plasma digoxin concentrations and renal glycoside excretion were observed in patients receiving beta-acetyldigoxin and chemotherapy regimens containing cyclophosphamide, vincristine and prednisone with or without cytarabine injection or procarbazine.

Source: FDA drug label (Cytarabine), Hospira, Inc., effective April 7, 2025 (SPL set e3a8c0e9-19ed-49b7-8464-11e8806f47fd), via openFDA; the full label on DailyMed

What does the procarbazine label say about cytarabine?

Procarbazine's label (effective September 16, 2024) does not name cytarabine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Matulane), Leadiant Biosciences, Inc., effective September 16, 2024 (SPL set 1aa75a3a-18c9-49e1-91a6-293d0b7da756), 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

5Cytarabine generic labelers
0Procarbazine generic labelers
CytarabineProcarbazine
Labeled forLeukemia, lymphoma and myeloman/a
Boxed warningYesYes
Pharmacy cost (NADAC)n/an/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?