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What the FDA labels say about taking them together

Digoxin and ketorolac

Ketorolac's FDA label (Sprix) of December 5, 2024 names digoxin in its drug interactions section; the digoxin labels PlainMeds reads (3) do not name ketorolac. The ketorolac label: “The concomitant use of ketorolac with digoxin has been reported to increase the serum concentration and prolong the half-life of digoxin.”

Check it at the source: the digoxin FDA label on DailyMed (effective December 5, 2024, Advanz Pharma (US) Corp.); the ketorolac FDA label on DailyMed (effective August 31, 2023, Fresenius Kabi USA, LLC).

What does the digoxin label say about ketorolac?

Digoxin's label (effective December 5, 2024) and its 2 other brand-application labels do not name ketorolac 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 ketorolac label say about digoxin?

Sprix label (Zyla Life Sciences US LLC, December 5, 2024), drug interactions

Clinical Impact: The concomitant use of ketorolac with digoxin has been reported to increase the serum concentration and prolong the half-life of digoxin. Intervention: During concomitant use of SPRIX and digoxin, monitor serum digoxin levels.

Source: FDA drug label (Sprix, NDA022382), Zyla Life Sciences US LLC, effective December 5, 2024 (SPL set 97005a1c-167e-4676-bae7-e49b38c36f9e), via openFDA

Source: FDA drug label (Ketorolac Tromethamine), Fresenius Kabi USA, LLC, effective August 31, 2023 (SPL set 3d88cbe6-5230-47aa-80af-0c41283d1f00), 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
60Ketorolac generic labelers
DigoxinKetorolac
Labeled forHeart failure, Atrial fibrillationPain
Boxed warningNoYes
Pharmacy cost (NADAC)$0.133 per tablet 125 mcg tablet$1.02 per mL 30 mg/mL vial
Shortage nowNo current entryIn shortage

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

What next?