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What the FDA labels say about taking them together

Desvenlafaxine and tolterodine

Desvenlafaxine's FDA label of January 27, 2023 names tolterodine in its drug interactions section; the tolterodine labels PlainMeds reads (2) 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 desvenlafaxine FDA label on DailyMed (effective January 27, 2023, Alembic Pharmaceuticals Limited); the tolterodine FDA label on DailyMed (effective February 9, 2026, Torrent Pharmaceuticals Limited).

What does the desvenlafaxine label say about tolterodine?

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

What does the tolterodine label say about desvenlafaxine?

Tolterodine's label (effective February 9, 2026) and its 1 other brand-application label 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 (TOLTERODINE TARTRATE), Torrent Pharmaceuticals Limited, effective February 9, 2026 (SPL set db6e0b6d-0ce5-41d7-881f-881c11f530a4), 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

20Desvenlafaxine generic labelers
14Tolterodine generic labelers
DesvenlafaxineTolterodine
Labeled forDepressionOveractive bladder
Boxed warningYesNo
Pharmacy cost (NADAC)$0.396 per unit 50 mg$0.268 per capsule 2 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)

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