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What the FDA labels say about taking them together

Elafibranor and pioglitazone

Elafibranor's FDA label of August 11, 2026 names pioglitazone in its drug interactions section; the pioglitazone label PlainMeds reads does not name elafibranor. The elafibranor label: “Clinical impact; Co-administration of IQIRVO with PPAR-gamma agonists may increase risk of liver injury.”

Check it at the source: the elafibranor FDA label on DailyMed (effective August 11, 2026, Ipsen Biopharmaceuticals, Inc.); the pioglitazone FDA label on DailyMed (effective March 28, 2025, Takeda Pharmaceuticals America, Inc.).

What does the elafibranor label say about pioglitazone?

Elafibranor label, drug interactions

Clinical impact; Co-administration of IQIRVO with PPAR-gamma agonists (e.g., pioglitazone, rosiglitazone) may increase risk of liver injury.

Elafibranor label, warnings and precautions

Patients concomitantly taking PPAR-alpha agonists (e.g., fenofibrate, fenofibric acid) and/or PPAR-gamma agonists (e.g., pioglitazone, rosiglitazone) may have an increased risk of liver injury.

Source: FDA drug label (IQIRVO), Ipsen Biopharmaceuticals, Inc., effective August 11, 2026 (SPL set d78aa14f-6ec1-4b1d-a4ae-e48658137a25), via openFDA; the full label on DailyMed

What does the pioglitazone label say about elafibranor?

Pioglitazone's label (effective March 28, 2025) does not name elafibranor in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Actos), Takeda Pharmaceuticals America, Inc., effective March 28, 2025 (SPL set d2ddc491-88a9-4063-9150-443b4fa4330c), 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

0Elafibranor generic labelers
22Pioglitazone generic labelers
ElafibranorPioglitazone
Labeled forn/aType 2 diabetes
Boxed warningNoYes
Pharmacy cost (NADAC)n/a$0.0675 per tablet 15 mg tablet
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?