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What the FDA labels say about taking them together

Epoprostenol and furosemide

Epoprostenol's FDA label of November 28, 2022 names furosemide in its drug interactions section; the furosemide labels PlainMeds reads (4) do not name epoprostenol. The epoprostenol label: “In a pharmacokinetic substudy in patients with congestive heart failure receiving furosemide or digoxin in whom therapy with epoprostenol was initiated, apparent oral clearance values for furosemide (n=23) and digoxin …”

Check it at the source: the epoprostenol FDA label on DailyMed (effective November 28, 2022, Actelion Pharmaceuticals US, Inc.); the furosemide FDA label on DailyMed (effective September 30, 2025, Validus Pharmaceuticals LLC).

What does the epoprostenol label say about furosemide?

Epoprostenol label, drug interactions

In a pharmacokinetic substudy in patients with congestive heart failure receiving furosemide or digoxin in whom therapy with epoprostenol was initiated, apparent oral clearance values for furosemide (n=23) and digoxin (n=30) were decreased by 13% and 15%, respectively, on the second day of therapy and had returned to baseline values by day 87.

Source: FDA drug label (Veletri), Actelion Pharmaceuticals US, Inc., effective November 28, 2022 (SPL set df502787-46ec-4dd1-a2c0-be90f6d95a5d), via openFDA; the full label on DailyMed

What does the furosemide label say about epoprostenol?

Furosemide's label (effective September 30, 2025) and its 3 other brand-application labels do not name epoprostenol in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Lasix), Validus Pharmaceuticals LLC, effective September 30, 2025 (SPL set 2c9b4d8f-0770-482d-a9e6-9c616a440b1a), 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

3Epoprostenol generic labelers
52Furosemide generic labelers
EpoprostenolFurosemide
Labeled forPulmonary arterial hypertensionHeart failure, High blood pressure, Edema (fluid retention)
Boxed warningNoNo
Pharmacy cost (NADAC)n/a$0.490 per mL 20 mg/2 mL vial
Shortage nowNo current entryIn shortage

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

What next?