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What the FDA labels say about taking them together

Fosaprepitant and warfarin

Fosaprepitant's FDA label of July 29, 2026 names warfarin in its drug interactions section; the warfarin label PlainMeds reads does not name fosaprepitant. The fosaprepitant label: “Clinical Impact; Decreased warfarin exposure and decreased prothrombin time (INR).”

Check it at the source: the fosaprepitant FDA label on DailyMed (effective July 29, 2026, AVYXA Pharma, LLC); the warfarin FDA label on DailyMed (effective May 29, 2026, Amneal Pharmaceuticals LLC).

What does the fosaprepitant label say about warfarin?

Fosaprepitant label, drug interactions

Clinical Impact; Decreased warfarin exposure and prolongation of prothrombin time (INR) [see, ].

Fosaprepitant label, warnings and precautions

Coadministration of fosaprepitant with warfarin, a CYP2C9 substrate, may result in a clinically significant decrease in the International Normalized Ratio (INR) of prothrombin time [see Clinical Pharmacology (12.3) ].

Focinvez label (Steriscience Specialties Private Limited, March 30, 2026), drug interactions

Clinical Impact; Decreased warfarin exposure and decreased prothrombin time (INR) [see Warnings and Precautions () and Clinical Pharmacology ()].

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 (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 warfarin label say about fosaprepitant?

Warfarin's label (effective May 29, 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 (Warfarin Sodium), Amneal Pharmaceuticals LLC, effective May 29, 2026 (SPL set 558b7a0d-5490-4c1b-802e-3ab3f1efe760), 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
19Warfarin generic labelers
FosaprepitantWarfarin
Labeled forn/aBlood clots (DVT and PE), Atrial fibrillation
Boxed warningNoYes
Pharmacy cost (NADAC)n/a$0.093 per tablet 2 mg tablet
Shortage nowA presentation being discontinuedNo 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?