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What the FDA labels say about taking them together

Deferasirox and sildenafil

Deferasirox's FDA label of January 28, 2026 names sildenafil in its drug interactions section; the sildenafil labels PlainMeds reads (4) do not name deferasirox. The deferasirox label: “Closely monitor patients for signs of reduced effectiveness when deferasirox is administered with drugs metabolized by CYP3A4.”

Check it at the source: the deferasirox FDA label on DailyMed (effective January 28, 2026, Novartis Pharmaceuticals Corporation); the sildenafil FDA label on DailyMed (effective November 17, 2023, Viatris Specialty LLC).

What does the deferasirox label say about sildenafil?

Deferasirox label, drug interactions

Closely monitor patients for signs of reduced effectiveness when deferasirox is administered with drugs metabolized by CYP3A4 (e.g., alfentanil, aprepitant, budesonide, buspirone, conivaptan, cyclosporine, darifenacin, darunavir, dasatinib, dihydroergotamine, dronedarone, eletriptan, eplerenone, ergotamine, everolimus, felodipine, fentanyl, hormonal contraceptive agents, indinavir, fluticasone, lopinavir, lovastatin, lurasidone, maraviroc, midazolam, nisoldipine, pimozide, quetiapine, quinidine, saquinavir, sildenafil, simvastatin, sirolimus, tacrolimus, tolvaptan, tipranavir, triazolam, ticagrelor, and vardenafil) [see Clinical Pharmacology (12.3)].

Source: FDA drug label (Exjade), Novartis Pharmaceuticals Corporation, effective January 28, 2026 (SPL set 3495a70c-870c-4968-940e-8baea152cf85), via openFDA; the full label on DailyMed

What does the sildenafil label say about deferasirox?

Sildenafil's label (effective November 17, 2023) and its 3 other brand-application labels do not name deferasirox in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Viagra), Viatris Specialty LLC, effective November 17, 2023 (SPL set d905dc8d-917f-4ea3-a4ee-a1ecf6967d4e), 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

20Deferasirox generic labelers
60Sildenafil generic labelers
DeferasiroxSildenafil
Labeled forn/aErectile dysfunction, Pulmonary arterial hypertension
Boxed warningYesNo
Pharmacy cost (NADAC)$1.25 per tablet 360 mg tablet$0.132 per tablet 100 mg tablet
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?