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What the FDA labels say about taking them together

Ivacaftor/lumacaftor and ranitidine

Ivacaftor/lumacaftor's FDA label of March 24, 2026 names ranitidine in its drug interactions section; the ranitidine label PlainMeds reads does not name ivacaftor/lumacaftor. The ivacaftor/lumacaftor label: “Proton Pump Inhibitors, H 2 Blockers, Antacids ORKAMBI may reduce the exposure and effectiveness of proton pump inhibitors such as omeprazole, esomeprazole, and lansoprazole, and may alter the exposure of ranitidine.”

Check it at the source: the ivacaftor/lumacaftor FDA label on DailyMed (effective March 24, 2026, Vertex Pharmaceuticals Incorporated); the ranitidine FDA label on DailyMed (effective May 1, 2026, Amneal Pharmaceuticals of New York LLC).

What does the ivacaftor/lumacaftor label say about ranitidine?

Ivacaftor/lumacaftor label, drug interactions

Proton Pump Inhibitors, H 2 Blockers, Antacids ORKAMBI may reduce the exposure and effectiveness of proton pump inhibitors such as omeprazole, esomeprazole, and lansoprazole, and may alter the exposure of ranitidine.

Source: FDA drug label (ORKAMBI), Vertex Pharmaceuticals Incorporated, effective March 24, 2026 (SPL set 3fc1c40e-cfac-47a1-9e1a-61ead3570600), via openFDA; the full label on DailyMed

What does the ranitidine label say about ivacaftor/lumacaftor?

Ranitidine's label (effective May 1, 2026) does not name ivacaftor/lumacaftor in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Ranitidine), Amneal Pharmaceuticals of New York LLC, effective May 1, 2026 (SPL set b38a3332-5c54-453f-aeb7-070f830955c2), 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

0Ivacaftor/lumacaftor generic labelers
8Ranitidine generic labelers
Ivacaftor/lumacaftorRanitidine
Labeled forn/aAcid reflux and ulcers
Boxed warningNoNo
Pharmacy cost (NADAC)n/an/a
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?