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What the FDA labels say about taking them together

Epinephrine and pegzilarginase

Pegzilarginase's FDA label of February 23, 2026 names epinephrine in its boxed warning section; the epinephrine labels PlainMeds reads (4) do not name pegzilarginase. The pegzilarginase label: “… and immediately initiate appropriate medical treatment, including use of epinephrine.”

Check it at the source: the epinephrine FDA label on DailyMed (effective July 13, 2026, A-S Medication Solutions); the pegzilarginase FDA label on DailyMed (effective February 23, 2026).

What does the epinephrine label say about pegzilarginase?

Epinephrine's label (effective July 13, 2026) and its 3 other brand-application labels do not name pegzilarginase in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Epinephrine), A-S Medication Solutions, effective July 13, 2026 (SPL set 6e811e28-0199-4df7-a916-5940c632401d), via openFDA; the full label on DailyMed

What does the pegzilarginase label say about epinephrine?

Pegzilarginase label, boxed warning

Initiate LOARGYS in a healthcare setting with appropriate medical monitoring and support measures, including access to cardiopulmonary resuscitation equipment. ( 5.1 ) If a severe hypersensitivity reaction (e.g. anaphylaxis) occurs, discontinue LOARGYS, and immediately initiate appropriate medical treatment, including use of epinephrine.

Pegzilarginase label, warnings and precautions

WARNINGS AND PRECAUTIONS Hypersensitivity: If a severe hypersensitivity reaction occurs, discontinue LOARGYS and immediately initiate appropriate medical treatment, including epinephrine.

Source: FDA drug label (Loargys), Immedica Pharma US Inc., effective February 23, 2026 (SPL set d5ceabf2-43a0-4746-9371-d98a39cf6cfc), 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

16Epinephrine generic labelers
0Pegzilarginase generic labelers
EpinephrinePegzilarginase
Labeled forAsthman/a
Boxed warningNoYes
Pharmacy cost (NADAC)$123.51 per unit 0.15 mg auto-injctn/a
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?