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What the FDA labels say about taking them together

Desipramine and quinine

Quinine's FDA label of November 9, 2023 names desipramine in its drug interactions (prescription label) section; the desipramine labels PlainMeds reads (2) do not name quinine. The quinine label: “Desipramine (CYP2D6 Substrate) Quinine (750 mg/day for 2 days) decreased the metabolism of desipramine in patients who were extensive CYP2D6 metabolizers, but had no effect in patients who were poor CYP2D6 metabolizers.”

Check it at the source: the desipramine FDA label on DailyMed (effective July 9, 2025, Alembic Pharmaceuticals Inc.); the quinine FDA label on DailyMed (effective November 9, 2023).

What does the desipramine label say about quinine?

Desipramine's label (effective July 9, 2025) and its 1 other brand-application label do not name quinine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (DESIPRAMINE HYDROCHLORIDE), Alembic Pharmaceuticals Inc., effective July 9, 2025 (SPL set cad14805-64d8-4257-b5f1-d56e0063f0e2), via openFDA; the full label on DailyMed

What does the quinine label say about desipramine?

Quinine label, drug interactions (prescription label)

Desipramine (CYP2D6 Substrate) Quinine (750 mg/day for 2 days) decreased the metabolism of desipramine in patients who were extensive CYP2D6 metabolizers, but had no effect in patients who were poor CYP2D6 metabolizers.

Source: FDA drug label (Chininum sulphuricum), Boiron, effective November 9, 2023 (SPL set 33885950-2a55-11e7-8288-424c58303031), 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

9Desipramine generic labelers
4Quinine generic labelers
DesipramineQuinine
Labeled forDepressionn/a
Boxed warningYesYes
Pharmacy cost (NADAC)$0.276 per tablet 75 mg tablet$0.698 per capsule 324 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?