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What the FDA labels say about taking them together

Iloperidone and ketoconazole

Iloperidone's FDA label of May 6, 2026 names ketoconazole in its drug interactions section; the ketoconazole label PlainMeds reads does not name iloperidone. The iloperidone label: “The effect of FANAPT on the QT interval was augmented by the presence of CYP450 2D6 or 3A4 metabolic inhibition.”

Check it at the source: the iloperidone FDA label on DailyMed (effective May 6, 2026, Vanda Pharmaceuticals Inc.); the ketoconazole FDA label on DailyMed (effective January 28, 2026, E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC).

What does the iloperidone label say about ketoconazole?

Iloperidone label, drug interactions

Clinical Impact; Co-administration of ketoconazole with iloperidone, increased the AUC of iloperidone and its metabolites P88 and P95 by 57%, 55%, and 35%, respectively [see ].

Iloperidone label, warnings and precautions

The effect of FANAPT on the QT interval was augmented by the presence of CYP450 2D6 or 3A4 metabolic inhibition (paroxetine 20 mg once daily and ketoconazole 200 mg twice daily, respectively).

Source: FDA drug label (FANAPT), Vanda Pharmaceuticals Inc., effective May 6, 2026 (SPL set 33f60b40-3fca-11de-8f56-0002a5d5c51b), via openFDA; the full label on DailyMed

What does the ketoconazole label say about iloperidone?

Ketoconazole's label (effective January 28, 2026) does not name iloperidone in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (ketoconazole), E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC, effective January 28, 2026 (SPL set cad7c647-34a9-4e4e-83b3-8d78e58f588f), 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

1Iloperidone generic labelers
30Ketoconazole generic labelers
IloperidoneKetoconazole
Labeled forSchizophrenia, Bipolar disorderFungal infections
Boxed warningYesNo
Pharmacy cost (NADAC)$60.01 per tablet 12 mg tablet$0.249 per gram 2% cream
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?