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What the FDA labels say about taking them together

Delgocitinib and methotrexate

Delgocitinib's FDA label of July 10, 2026 names methotrexate in its warnings and precautions section; the methotrexate labels PlainMeds reads (4) do not name delgocitinib. The delgocitinib label: “In a large, randomized, postmarketing safety trial of an oral JAK inhibitor in combination with methotrexate in rheumatoid arthritis (RA), patients 50 years of age and older with at least one cardiovascular risk factor …”

Check it at the source: the delgocitinib FDA label on DailyMed (effective July 10, 2026, LEO Pharma, Inc); the methotrexate FDA label on DailyMed (effective May 27, 2026, Accord Healthcare Inc.).

What does the delgocitinib label say about methotrexate?

Delgocitinib label, warnings and precautions

In a large, randomized, postmarketing safety trial of an oral JAK inhibitor in combination with methotrexate in rheumatoid arthritis (RA), patients 50 years of age and older with at least one cardiovascular risk factor, higher rates of all-cause mortality, including sudden cardiovascular death, major adverse cardiovascular events (MACE), overall thrombosis, deep venous thrombosis (DVT), pulmonary embolism (PE), and malignancies (excluding non-melanoma skin cancer) were observed in patients treated with the JAK inhibitor compared to those treated with TNF blockers.

Source: FDA drug label (Anzupgo), LEO Pharma, Inc, effective July 10, 2026 (SPL set a59bf36e-6f04-4b47-b385-8040c95f040c), via openFDA; the full label on DailyMed

What does the methotrexate label say about delgocitinib?

Methotrexate's label (effective May 27, 2026) and its 3 other brand-application labels do not name delgocitinib in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Methotrexate), Accord Healthcare Inc., effective May 27, 2026 (SPL set 874c7f43-a3be-4236-89cc-24c44e3c5813), 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

0Delgocitinib generic labelers
29Methotrexate generic labelers
DelgocitinibMethotrexate
Labeled forEczema (atopic dermatitis)Rheumatoid arthritis, Psoriasis, Leukemia, lymphoma and myeloma, Breast cancer
Boxed warningNoYes
Pharmacy cost (NADAC)n/a$0.158 per tablet 2.5 mg tablet
Shortage nowNo current entryIn shortage

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

What next?