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What the FDA labels say about taking them together

Digoxin and lapatinib ditosylate

Lapatinib ditosylate's FDA label of November 30, 2023 names digoxin in its drug interactions section; the digoxin labels PlainMeds reads (3) do not name lapatinib ditosylate. The lapatinib ditosylate label: “Following coadministration of TYKERB and digoxin (P-gp substrate), systemic AUC of an oral digoxin dose increased approximately 2.8-fold.”

Check it at the source: the digoxin FDA label on DailyMed (effective December 5, 2024, Advanz Pharma (US) Corp.); the lapatinib ditosylate FDA label on DailyMed (effective November 30, 2023, Teva Pharmaceuticals, Inc.).

What does the digoxin label say about lapatinib ditosylate?

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

Lapatinib ditosylate label, drug interactions

Following coadministration of lapatinib and digoxin (P-gp substrate), systemic AUC of an oral digoxin dose increased approximately 2.8-fold.

Source: FDA drug label (Tykerb, NDA022059), Novartis Pharmaceuticals Corporation, effective January 27, 2026 (SPL set eee37f88-ec6a-4c30-b8aa-e2c71f93088c), via openFDA

Source: FDA drug label (Lapatinib), Teva Pharmaceuticals, Inc., effective November 30, 2023 (SPL set b09abf73-1eef-4e12-b400-c030d546d223), 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
3Lapatinib ditosylate generic labelers
DigoxinLapatinib ditosylate
Labeled forHeart failure, Atrial fibrillationBreast cancer
Boxed warningNoYes
Pharmacy cost (NADAC)$0.133 per tablet 125 mcg tabletn/a
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?