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What the FDA labels say about taking them together

Fosaprepitant and rifampin

Fosaprepitant's FDA label of July 29, 2026 names rifampin in its drug interactions section; the rifampin label PlainMeds reads does not name fosaprepitant. The fosaprepitant label: “Use of EMEND with strong CYP3A4 inducers (e.g., rifampin) may result in a reduction in aprepitant plasma concentrations and decreased efficacy of EMEND.”

Check it at the source: the fosaprepitant FDA label on DailyMed (effective July 29, 2026, AVYXA Pharma, LLC); the rifampin FDA label on DailyMed (effective February 11, 2026, Lupin Pharmaceuticals, Inc.).

What does the fosaprepitant label say about rifampin?

Fosaprepitant label, drug interactions

Examples; rifampin, carbamazepine, phenytoin

Fosaprepitant label, warnings and precautions

Use of NAVITRUX with strong CYP3A4 inducers (e.g., rifampin) may result in a reduction in aprepitant plasma concentrations and decreased efficacy of NAVITRUX.

Source: FDA drug label (Emend, NDA022023), Merck Sharp & Dohme LLC, effective February 20, 2026 (SPL set 8d66803a-6811-4c29-9c57-e16acfa87f21), via openFDA

Source: FDA drug label (Focinvez, NDA216686), Steriscience Specialties Private Limited, effective March 30, 2026 (SPL set 18a60093-cec8-1b8c-e063-6394a90a8902), via openFDA

Source: FDA drug label (NAVITRUX), AVYXA Pharma, LLC, effective July 29, 2026 (SPL set a41b7c3a-1376-43a7-b5b9-6ba2eba1e169), via openFDA; the full label on DailyMed

What does the rifampin label say about fosaprepitant?

Rifampin's label (effective February 11, 2026) does not name fosaprepitant in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (rifampin), Lupin Pharmaceuticals, Inc., effective February 11, 2026 (SPL set b56004f0-f23d-47f6-80c7-39884fccbccc), 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

16Fosaprepitant generic labelers
13Rifampin generic labelers
FosaprepitantRifampin
Labeled forn/an/a
Boxed warningNoNo
Pharmacy cost (NADAC)n/a$0.679 per capsule 300 mg capsule
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?