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What the FDA labels say about taking them together

Desloratadine and fluoxetine

Desloratadine's FDA label of May 17, 2025 names fluoxetine in its drug interactions section; the fluoxetine label PlainMeds reads does not name desloratadine. The desloratadine label: “In controlled clinical studies co-administration of desloratadine with fluoxetine, a selective serotonin reuptake inhibitor (SSRI), resulted in increased plasma concentrations of desloratadine and 3 …”

Check it at the source: the desloratadine FDA label on DailyMed (effective May 17, 2025, Organon LLC); the fluoxetine FDA label on DailyMed (effective January 8, 2026, Dista Products Company).

What does the desloratadine label say about fluoxetine?

Desloratadine label, drug interactions

In controlled clinical studies co-administration of desloratadine with fluoxetine, a selective serotonin reuptake inhibitor (SSRI), resulted in increased plasma concentrations of desloratadine and 3 hydroxydesloratadine, but there were no clinically relevant changes in the safety profile of desloratadine. [See Clinical Pharmacology (12.3) .]

Source: FDA drug label (Clarinex), Organon LLC, effective May 17, 2025 (SPL set c671342e-69a2-4ca5-abc2-8166ed4240d4), via openFDA; the full label on DailyMed

What does the fluoxetine label say about desloratadine?

Fluoxetine's label (effective January 8, 2026) does not name desloratadine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Prozac), NDA018936 (Eli Lilly And Co), as published by Dista Products Company, effective January 8, 2026 (SPL set c88f33ed-6dfb-4c5e-bc01-d8e36dd97299), 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

9Desloratadine generic labelers
58Fluoxetine generic labelers
DesloratadineFluoxetine
Labeled forAllergiesDepression, Anxiety, Bipolar disorder
Boxed warningNoYes
Pharmacy cost (NADAC)$0.258 per tablet 5 mg tablet$0.0519 per capsule 40 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?