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What the FDA labels say about taking them together

Atomoxetine and desvenlafaxine

Desvenlafaxine's FDA label of January 27, 2023 names atomoxetine in its drug interactions section; the atomoxetine labels PlainMeds reads (3) do not name desvenlafaxine. The desvenlafaxine label: “Substrates primarily metabolized by CYP2D6 should be dosed at the original level when co-administered with desvenlafaxine 100 mg or lower or when desvenlafaxine is discontinued.”

Check it at the source: the atomoxetine FDA label on DailyMed (effective May 25, 2026, Camber Pharmaceuticals, Inc.); the desvenlafaxine FDA label on DailyMed (effective January 27, 2023, Alembic Pharmaceuticals Limited).

What does the atomoxetine label say about desvenlafaxine?

Atomoxetine's label (effective May 25, 2026) and its 2 other brand-application labels do not name desvenlafaxine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Atomoxetine), ANDA202682 (Hetero Labs Ltd V), as published by Camber Pharmaceuticals, Inc., effective May 25, 2026 (SPL set f266ab7b-5a68-42b5-b204-e3249bea0aed), via openFDA; the full label on DailyMed

What does the desvenlafaxine label say about atomoxetine?

Desvenlafaxine label, drug interactions

Substrates primarily metabolized by CYP2D6 (e.g., desipramine, atomoxetine, dextromethorphan, metoprolol, nebivolol, perphenazine, tolterodine) should be dosed at the original level when co-administered with desvenlafaxine 100 mg or lower or when desvenlafaxine is discontinued.

Pristiq Extended-Release label (Wyeth Pharmaceuticals LLC, a subsidiary of Pfizer Inc., April 28, 2026), drug interactions

Examples; desipramine, atomoxetine, dextromethorphan, metoprolol, nebivolol, perphenazine, tolterodine

Source: FDA drug label (Pristiq Extended-Release, NDA021992), Wyeth Pharmaceuticals LLC, a subsidiary of Pfizer Inc., effective April 28, 2026 (SPL set 0f43610c-f290-46ea-d186-4f998ed99fce), via openFDA

Source: FDA drug label (Desvenlafaxine), Alembic Pharmaceuticals Limited, effective January 27, 2023 (SPL set 9f74708c-6f6a-46cf-8c79-87a25c2bb6f8), 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

20Atomoxetine generic labelers
20Desvenlafaxine generic labelers
AtomoxetineDesvenlafaxine
Labeled forADHDDepression
Boxed warningYesYes
Pharmacy cost (NADAC)$0.442 per capsule 40 mg capsule$0.396 per unit 50 mg
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)

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