Skip to main content

What the FDA labels say about taking them together

Digoxin and everolimus

Everolimus's FDA label (Zortress) of February 12, 2026 names digoxin in its drug interactions section; the digoxin labels PlainMeds reads (3) do not name everolimus. The everolimus label: “Inhibitors of P-gp may decrease the efflux of everolimus from intestinal cells and increase everolimus blood concentrations.”

Check it at the source: the digoxin FDA label on DailyMed (effective December 5, 2024, Advanz Pharma (US) Corp.); the everolimus FDA label on DailyMed (effective June 1, 2026, Novartis Pharmaceuticals Corporation).

What does the digoxin label say about everolimus?

Digoxin's label (effective December 5, 2024) and its 2 other brand-application labels do not name everolimus in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (LANOXIN), Advanz Pharma (US) Corp., effective December 5, 2024 (SPL set d91e3646-4c63-4512-ab22-db39c085c4dc), via openFDA; the full label on DailyMed

What does the everolimus label say about digoxin?

Zortress label (Novartis Pharmaceuticals Corporation, February 12, 2026), drug interactions

Inhibitors of P-gp (e.g., digoxin, cyclosporine) may decrease the efflux of everolimus from intestinal cells and increase everolimus blood concentrations.

Source: FDA drug label (Zortress, NDA021560), Novartis Pharmaceuticals Corporation, effective February 12, 2026 (SPL set e082a024-7850-400b-a5c2-2a140612562a), via openFDA

Source: FDA drug label (Afinitor), Novartis Pharmaceuticals Corporation, effective June 1, 2026 (SPL set 2150f73a-179b-4afc-b8ce-67c85cc72f04), 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

26Digoxin generic labelers
14Everolimus generic labelers
DigoxinEverolimus
Labeled forHeart failure, Atrial fibrillationBreast cancer, Seizures and epilepsy, Organ transplant rejection
Boxed warningNoNo
Pharmacy cost (NADAC)$0.133 per tablet 125 mcg tablet$26.32 per tablet 10 mg tablet
Shortage nowNo current entryA presentation being discontinued

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

What next?