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What the FDA labels say about taking them together

Isotretinoin and tetracycline

Tetracycline's FDA label of March 18, 2025 names isotretinoin in its warnings section; the isotretinoin labels PlainMeds reads (2) do not name tetracycline.

Check it at the source: the isotretinoin FDA label on DailyMed (effective August 19, 2026, Sun Pharmaceutical Industries, Inc.); the tetracycline FDA label on DailyMed (effective March 18, 2025, Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.).

What does the isotretinoin label say about tetracycline?

Isotretinoin's label (effective August 19, 2026) and its 1 other brand-application label do not name tetracycline in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Absorica LD), Sun Pharmaceutical Industries, Inc., effective August 19, 2026 (SPL set 3ef0cff8-19c1-4441-b780-fca6c7ee1615), via openFDA; the full label on DailyMed

What does the tetracycline label say about isotretinoin?

Tetracycline label, warnings

Concomitant use of isotretinoin and tetracycline should be avoided because isotretinoin, a systemic retinoid, is also known to cause pseudotumor cerebri.

Source: FDA drug label (tetracycline hydrochloride), Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc., effective March 18, 2025 (SPL set eaa5b1bd-0927-46e4-b941-32fcc492d258), 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

13Isotretinoin generic labelers
10Tetracycline generic labelers
IsotretinoinTetracycline
Labeled forAcneBacterial infections
Boxed warningYesNo
Pharmacy cost (NADAC)$11.94 per capsule 10 mg capsule$0.247 per capsule 250 mg capsule
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?