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What the FDA labels say about taking them together

Fluconazole and ospemifene

Ospemifene's FDA label of February 14, 2025 names fluconazole in its drug interactions section; the fluconazole labels PlainMeds reads (2) do not name ospemifene. The ospemifene label: “Fluconazole increases serum concentrations of OSPHENA. Do not use rifampin concomitantly with OSPHENA.”

Check it at the source: the fluconazole FDA label on DailyMed (effective April 7, 2026, Zydus Pharmaceuticals (USA) Inc.); the ospemifene FDA label on DailyMed (effective February 14, 2025, Duchesnay USA, Inc.).

What does the fluconazole label say about ospemifene?

Fluconazole's label (effective April 7, 2026) and its 1 other brand-application label do not name ospemifene in these sections. A label lists what its studies and reports found; it is not a complete list.

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 ospemifene label say about fluconazole?

Ospemifene label, drug interactions

Fluconazole increases serum concentrations of OSPHENA. ( 7.2 , 12.3 ) Do not use rifampin concomitantly with OSPHENA.

Source: FDA drug label (Osphena), Duchesnay USA, Inc., effective February 14, 2025 (SPL set 9accbcc9-78ee-4f84-9b7e-704f2ab1c413), 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
0Ospemifene generic labelers
FluconazoleOspemifene
Labeled forFungal infections, Urinary tract infectionsMenopause symptoms
Boxed warningNoYes
Pharmacy cost (NADAC)$0.380 per tablet 200 mg tablet$8.17 per tablet 60 mg tablet
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?