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What the FDA labels say about taking them together

Gemfibrozil and olmesartan

Gemfibrozil's FDA label of April 10, 2026 names olmesartan in its drug interactions section; the olmesartan label PlainMeds reads does not name gemfibrozil. The gemfibrozil label: “(D) OATP1B1 substrates: Gemfibrozil is an inhibitor of OATP1B1 transporter and may increase exposure of drugs that are substrates of OATP1B1.”

Check it at the source: the gemfibrozil FDA label on DailyMed (effective April 10, 2026, Northstar RxLLC); the olmesartan FDA label on DailyMed (effective September 23, 2025, Cosette Pharmaceuticals, Inc.).

What does the gemfibrozil label say about olmesartan?

Gemfibrozil label, drug interactions

(D) OATP1B1 substrates: Gemfibrozil is an inhibitor of OATP1B1 transporter and may increase exposure of drugs that are substrates of OATP1B1 (e.g., atrasentan, atorvastatin, bosentan, ezetimibe, fluvastatin, glyburide, SN-38 [active metabolite of irinotecan], rosuvastatin, pitavastatin, pravastatin, rifampin, valsartan, olmesartan).

Source: FDA drug label (Gemfibrozil), Northstar RxLLC, effective April 10, 2026 (SPL set 75cac02c-56e3-4dfe-b1e2-4ce166b28833), via openFDA; the full label on DailyMed

What does the olmesartan label say about gemfibrozil?

Olmesartan's label (effective September 23, 2025) does not name gemfibrozil in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Benicar), Cosette Pharmaceuticals, Inc., effective September 23, 2025 (SPL set dc3f1fd4-5578-4c5d-be7b-12e3f8f3e7df), 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

27Gemfibrozil generic labelers
30Olmesartan generic labelers
GemfibrozilOlmesartan
Labeled forHigh cholesterol, Heart attack and coronary artery diseaseHigh blood pressure
Boxed warningYesYes
Pharmacy cost (NADAC)$0.104 per tablet 600 mg tablet$0.0805 per tablet 20 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?