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What the FDA labels say about taking them together

Enzalutamide and fostemsavir

Fostemsavir's FDA label of February 13, 2024 names enzalutamide in its contraindications section; the enzalutamide labels PlainMeds reads (2) do not name fostemsavir. The fostemsavir label: “Coadministration is contraindicated due to potential for loss of therapeutic effect to RUKOBIA.”

Check it at the source: the enzalutamide FDA label on DailyMed (effective July 28, 2026, Astellas Pharma US, Inc.); the fostemsavir FDA label on DailyMed (effective February 13, 2024, ViiV Healthcare Company).

What does the enzalutamide label say about fostemsavir?

Enzalutamide's label (effective July 28, 2026) and its 1 other brand-application label do not name fostemsavir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Xtandi), Astellas Pharma US, Inc., effective July 28, 2026 (SPL set b129fdc9-1d8e-425c-a5a9-8a2ed36dfbdf), via openFDA; the full label on DailyMed

What does the fostemsavir label say about enzalutamide?

Fostemsavir label, contraindications

Enzalutamide o Anticonvulsants: Carbamazepine, phenytoin o Antimycobacterial: Rifampin o Antineoplastic:

Fostemsavir label, drug interactions

Concomitant Drug Class/Drug Name: Androgen receptor inhibitor: Enzalutamide; Effect on Concentration of Temsavir and/or Concomitant Drug: ↓Temsavir; Clinical Comment: Coadministration is contraindicated due to potential for loss of therapeutic effect to RUKOBIA [see Contraindications ()].

Source: FDA drug label (Rukobia), ViiV Healthcare Company, effective February 13, 2024 (SPL set a21006b7-6d6f-4f06-81b4-17978756452b), 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

0Enzalutamide generic labelers
0Fostemsavir generic labelers
EnzalutamideFostemsavir
Labeled forProstate cancerHIV
Boxed warningNoNo
Pharmacy cost (NADAC)n/a$156.84 per tablet 600 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)

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