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What the FDA labels say about taking them together

Eluxadoline and gemfibrozil

Eluxadoline's FDA label of July 16, 2024 names gemfibrozil in its drug interactions section; the gemfibrozil labels PlainMeds reads (2) do not name eluxadoline. The eluxadoline label: “Increased exposure to eluxadoline when coadministered with cyclosporine [ see Clinical Pharmacology () ]”

Check it at the source: the eluxadoline FDA label on DailyMed (effective July 16, 2024, Allergan, Inc.); the gemfibrozil FDA label on DailyMed (effective April 10, 2026, Northstar RxLLC).

What does the eluxadoline label say about gemfibrozil?

Eluxadoline label, drug interactions

OATP1B1 Inhibitors Clinical Impact: Increased exposure to eluxadoline when coadministered with cyclosporine [ see Clinical Pharmacology () ] … and for other eluxadoline-related adverse reactions [see Adverse Reactions ()]. Examples: cyclosporine, gemfibrozil, antiretrovirals (atazanavir, lopinavir, ritonavir, saquinavir, tipranavir), rifampin, eltrombopag

Source: FDA drug label (Viberzi), NDA206940 (Abbvie), as published by Allergan, Inc., effective July 16, 2024 (SPL set 7821bd40-4c84-4984-951b-6436ae20421a), via openFDA; the full label on DailyMed

What does the gemfibrozil label say about eluxadoline?

Gemfibrozil's label (effective April 10, 2026) and its 1 other brand-application label do not name eluxadoline in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Gemfibrozil), Northstar RxLLC, effective April 10, 2026 (SPL set 75cac02c-56e3-4dfe-b1e2-4ce166b28833), 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

0Eluxadoline generic labelers
27Gemfibrozil generic labelers
EluxadolineGemfibrozil
Labeled forIrritable bowel syndrome, DiarrheaHigh cholesterol, Heart attack and coronary artery disease
Boxed warningNoYes
Pharmacy cost (NADAC)$28.09 per tablet 100 mg tablet$0.104 per tablet 600 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?