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What the FDA labels say about taking them together

Epinephrine and remifentanil

Remifentanil's FDA label of December 15, 2025 names epinephrine in its warnings and precautions section; the epinephrine labels PlainMeds reads (4) do not name remifentanil. The remifentanil label: “If volume expansion with fluids plus other countermeasures do not correct hypotension, consider administration of pressor agents other than epinephrine.”

Check it at the source: the epinephrine FDA label on DailyMed (effective July 13, 2026, A-S Medication Solutions); the remifentanil FDA label on DailyMed (effective December 15, 2025, Mylan Institutional LLC).

What does the epinephrine label say about remifentanil?

Epinephrine's label (effective July 13, 2026) and its 3 other brand-application labels do not name remifentanil 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 remifentanil label say about epinephrine?

Remifentanil label, warnings and precautions

If volume expansion with fluids plus other countermeasures do not correct hypotension, consider administration of pressor agents other than epinephrine.

Source: FDA drug label (Ultiva), Mylan Institutional LLC, effective December 15, 2025 (SPL set 4dbcb8f9-1987-4b66-bd2f-d251fda0be10), 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
2Remifentanil generic labelers
EpinephrineRemifentanil
Labeled forAsthman/a
Boxed warningNoYes
Pharmacy cost (NADAC)$123.51 per unit 0.15 mg auto-injctn/a
Shortage nowA presentation being discontinuedIn shortage

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?