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What the FDA labels say about taking them together

Infliximab and methotrexate

Infliximab's FDA label of August 28, 2026 names methotrexate in its boxed warning section; the methotrexate labels PlainMeds reads (4) do not name infliximab. The infliximab label: “Patients greater than 65 years of age, patients with comorbid conditions and/or patients taking concomitant immunosuppressants such as corticosteroids or methotrexate may be at greater risk of infection.”

Check it at the source: the infliximab FDA label on DailyMed (effective August 28, 2026); the methotrexate FDA label on DailyMed (effective May 27, 2026, Accord Healthcare Inc.).

What does the infliximab label say about methotrexate?

Infliximab label, boxed warning

Most patients who developed these infections were taking concomitant immunosuppressants such as methotrexate or corticosteroids.

Infliximab label, drug interactions

Specific drug interaction studies, including interactions with methotrexate (MTX), have not been conducted.

Infliximab label, warnings and precautions

Patients greater than 65 years of age, patients with co-morbid conditions and/or patients taking concomitant immunosuppressants such as corticosteroids or methotrexate may be at greater risk of infection.

Source: FDA drug label (Inflectra, BLA125544), Pfizer Laboratories Div Pfizer Inc, effective July 28, 2026 (SPL set 37eaca10-d812-48bc-8b8e-b836bfa9968f), via openFDA

Source: FDA drug label (Renflexis), Organon LLC, effective August 28, 2026 (SPL set dbf738c4-3fac-4422-a9d8-51d9c83a8789), via openFDA; the full label on DailyMed

What does the methotrexate label say about infliximab?

Methotrexate's label (effective May 27, 2026) and its 3 other brand-application labels do not name infliximab in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Methotrexate), Accord Healthcare Inc., effective May 27, 2026 (SPL set 874c7f43-a3be-4236-89cc-24c44e3c5813), 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

0Infliximab generic labelers
29Methotrexate generic labelers
InfliximabMethotrexate
Labeled forRheumatoid arthritis, Crohn's disease and ulcerative colitisRheumatoid arthritis, Psoriasis, Leukemia, lymphoma and myeloma, Breast cancer
Boxed warningYesYes
Pharmacy cost (NADAC)n/a$0.158 per tablet 2.5 mg tablet
Shortage nowNo current entryIn shortage

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?