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What the FDA labels say about taking them together

Estradiol and testosterone

Estradiol's FDA label of April 3, 2024 names testosterone in its warnings and precautions section; the testosterone labels PlainMeds reads (4) do not name estradiol. The estradiol label: “Free hormone concentrations, such as testosterone and estradiol, may be decreased.”

Check it at the source: the estradiol FDA label on DailyMed (effective April 3, 2024, Amneal Pharmaceuticals LLC); the testosterone FDA label on DailyMed (effective July 25, 2025, Azurity Pharmaceuticals, Inc.).

What does the estradiol label say about testosterone?

Estradiol label, warnings and precautions

Free hormone concentrations, such as testosterone and estradiol, may be decreased.

Source: FDA drug label (YUVAFEM), Amneal Pharmaceuticals LLC, effective April 3, 2024 (SPL set 30c7f6ba-7a9e-4853-b3e4-e00a46560224), via openFDA; the full label on DailyMed

What does the testosterone label say about estradiol?

Testosterone's label (effective July 25, 2025) and its 3 other brand-application labels do not name estradiol in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (AZMIRO), Azurity Pharmaceuticals, Inc., effective July 25, 2025 (SPL set 235b5625-570d-3fba-e063-6394a90aa2d1), 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

40Estradiol generic labelers
33Testosterone generic labelers
EstradiolTestosterone
Labeled forMenopause symptoms, Breast cancer, OsteoporosisBreast cancer
Boxed warningYesNo
Pharmacy cost (NADAC)$0.0635 per tablet 1 mg tablet$11.39 per mL 200 mg/mL
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)

What next?