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What the FDA labels say about taking them together

Gemfibrozil and ozanimod

Ozanimod's FDA label of April 16, 2026 names gemfibrozil in its drug interactions section; the gemfibrozil labels PlainMeds reads (2) do not name ozanimod. The ozanimod label: “Co-administration of ZEPOSIA with strong CYP2C8 inhibitors increases the exposure of the active metabolites of ozanimod, which may increase the risk of ZEPOSIA adverse reactions.”

Check it at the source: the gemfibrozil FDA label on DailyMed (effective April 10, 2026, Northstar RxLLC); the ozanimod FDA label on DailyMed (effective April 16, 2026, Celgene Corporation).

What does the gemfibrozil label say about ozanimod?

Gemfibrozil's label (effective April 10, 2026) and its 1 other brand-application label do not name ozanimod in these sections. A label lists what its studies and reports found; it is not a complete list.

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 ozanimod label say about gemfibrozil?

Ozanimod label, drug interactions

Strong CYP2C8 Inhibitors Clinical Impact: Co-administration of ZEPOSIA with strong CYP2C8 inhibitors increases the exposure of the active metabolites of ozanimod [see ], which may increase the risk of ZEPOSIA adverse reactions. Prevention or Management: Co-administration of ZEPOSIA with strong CYP2C8 inhibitors (e.g., gemfibrozil) is not recommended.

Source: FDA drug label (ZEPOSIA 7-Day Starter Pack), NDA209899 (Bristol), as published by Celgene Corporation, effective April 16, 2026 (SPL set 93ce2fab-edfb-4804-8074-963071de51e4), 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
0Ozanimod generic labelers
GemfibrozilOzanimod
Labeled forHigh cholesterol, Heart attack and coronary artery diseasen/a
Boxed warningYesNo
Pharmacy cost (NADAC)$0.104 per tablet 600 mg tabletn/a
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?