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What the FDA labels say about taking them together

Fluconazole and ibrutinib

Fluconazole's FDA label (Fluconazole) of April 2, 2026 names ibrutinib in its drug interactions section; the ibrutinib label PlainMeds reads does not name fluconazole. The fluconazole label: “Ibrutinib Moderate inhibitors of CYP3A4 such as fluconazole may increase plasma ibrutinib concentrations and increase risk of adverse reactions associated with ibrutinib.”

Check it at the source: the fluconazole FDA label on DailyMed (effective April 7, 2026, Zydus Pharmaceuticals (USA) Inc.); the ibrutinib FDA label on DailyMed (effective October 21, 2025).

What does the fluconazole label say about ibrutinib?

Fluconazole label (Mylan Pharmaceuticals Inc., April 2, 2026), drug interactions

Ibrutinib Moderate inhibitors of CYP3A4 such as fluconazole may increase plasma ibrutinib concentrations and increase risk of adverse reactions associated with ibrutinib.

Source: FDA drug label (Fluconazole, NDA020090), Mylan Pharmaceuticals Inc., effective April 2, 2026 (SPL set 737e0fac-a2d2-4053-a0d7-edbfb6248f69), via openFDA

Source: FDA drug label (fluconazole), Zydus Pharmaceuticals (USA) Inc., effective April 7, 2026 (SPL set d1364455-1537-46d4-b093-38cca3be778f), via openFDA; the full label on DailyMed

What does the ibrutinib label say about fluconazole?

Ibrutinib's label (effective October 21, 2025) does not name fluconazole in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Imbruvica), Pharmacyclics LLC, effective October 21, 2025 (SPL set 0dfd0279-ff17-4ea9-89be-9803c71bab44), 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

41Fluconazole generic labelers
0Ibrutinib generic labelers
FluconazoleIbrutinib
Labeled forFungal infections, Urinary tract infectionsLeukemia, lymphoma and myeloma
Boxed warningNoNo
Pharmacy cost (NADAC)$0.380 per tablet 200 mg tabletn/a
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?