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What the FDA labels say about taking them together

Cilastatin/imipenem and ganciclovir

Cilastatin/imipenem's FDA label of July 5, 2024 names ganciclovir in its drug interactions section; the ganciclovir labels PlainMeds reads (2) do not name cilastatin/imipenem.

Check it at the source: the cilastatin/imipenem FDA label on DailyMed (effective July 5, 2024, Merck Sharp & Dohme LLC); the ganciclovir FDA label on DailyMed (effective January 9, 2026, Fresenius Kabi USA, LLC).

What does the cilastatin/imipenem label say about ganciclovir?

Cilastatin/imipenem label, drug interactions

DRUG INTERACTIONS Ganciclovir: Generalized seizures have been reported in patients who received ganciclovir.

Source: FDA drug label (PRIMAXIN IV), Merck Sharp & Dohme LLC, effective July 5, 2024 (SPL set f41d8abd-7792-4918-1b93-bd83ea01955e), via openFDA; the full label on DailyMed

What does the ganciclovir label say about cilastatin/imipenem?

Ganciclovir's label (effective January 9, 2026) and its 1 other brand-application label do not name cilastatin/imipenem in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Ganciclovir), Fresenius Kabi USA, LLC, effective January 9, 2026 (SPL set 35addab5-09db-4f8a-9c69-6fbce33ecc37), 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

2Cilastatin/imipenem generic labelers
6Ganciclovir generic labelers
Cilastatin/imipenemGanciclovir
Labeled forBacterial infections, Urinary tract infectionsn/a
Boxed warningNoYes
Pharmacy cost (NADAC)n/a$91.24 per gram 0.15% ophthalmic gel
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?