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What the FDA labels say about taking them together

Doxercalciferol and ketoconazole

Doxercalciferol's FDA label of October 23, 2025 names ketoconazole in its drug interactions section; the ketoconazole label PlainMeds reads does not name doxercalciferol. The doxercalciferol label: “… and thus reduce the formation of active doxercalciferol moiety. Examples Ketoconazole and erythromycin Intervention If a patient initiates or discontinues therapy with a cytochrome P450 inhibitor, dose adjustment of …”

Check it at the source: the doxercalciferol FDA label on DailyMed (effective October 23, 2025, Eugia US LLC); the ketoconazole FDA label on DailyMed (effective January 28, 2026, E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC).

What does the doxercalciferol label say about ketoconazole?

Doxercalciferol label, drug interactions

Cytochrome P450 Inhibitors Clinical Impact Doxercalciferol is activated by CYP 27 in the liver. Cytochrome P450 inhibitors may inhibit the 25-hydroxylation of doxercalciferol and thus reduce the formation of active doxercalciferol moiety [see Clinical Pharmacology (12.3) ]. Examples Ketoconazole and erythromycin Intervention If a patient initiates or discontinues therapy with a cytochrome P450 inhibitor, dose adjustment of doxercalciferol may be necessary. Monitor intact PTH and serum calcium concentrations closely.

Source: FDA drug label (Doxercalciferol), Eugia US LLC, effective October 23, 2025 (SPL set 3376536b-043d-478a-b129-7ce11ec94e3e), via openFDA; the full label on DailyMed

What does the ketoconazole label say about doxercalciferol?

Ketoconazole's label (effective January 28, 2026) does not name doxercalciferol in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (ketoconazole), E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC, effective January 28, 2026 (SPL set cad7c647-34a9-4e4e-83b3-8d78e58f588f), 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

8Doxercalciferol generic labelers
30Ketoconazole generic labelers
DoxercalciferolKetoconazole
Labeled forn/aFungal infections
Boxed warningNoNo
Pharmacy cost (NADAC)n/a$0.249 per gram 2% cream
Shortage nowA presentation being discontinuedNo 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?