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What the FDA labels say about taking them together

Ketoconazole and palbociclib

Palbociclib's FDA label of July 2, 2026 names ketoconazole in its drug interactions section; the ketoconazole label PlainMeds reads does not name palbociclib. The palbociclib label: “Avoid concomitant use of strong CYP3A inhibitors.”

Check it at the source: the ketoconazole FDA label on DailyMed (effective January 28, 2026, E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC); the palbociclib FDA label on DailyMed (effective July 2, 2026, Pfizer Laboratories Div Pfizer Inc).

What does the ketoconazole label say about palbociclib?

Ketoconazole's label (effective January 28, 2026) does not name palbociclib 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

What does the palbociclib label say about ketoconazole?

Palbociclib label, drug interactions

Avoid concomitant use of strong CYP3A inhibitors (e.g., clarithromycin, indinavir, itraconazole, ketoconazole, lopinavir/ritonavir, nefazodone, nelfinavir, posaconazole, ritonavir, saquinavir, telaprevir, telithromycin, and voriconazole).

Source: FDA drug label (Ibrance), Pfizer Laboratories Div Pfizer Inc, effective July 2, 2026 (SPL set fecbdd7d-b729-41b5-9872-231b8fe104ce), 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

30Ketoconazole generic labelers
0Palbociclib generic labelers
KetoconazolePalbociclib
Labeled forFungal infectionsBreast cancer
Boxed warningNoNo
Pharmacy cost (NADAC)$0.249 per gram 2% creamn/a
Shortage nowNo current entryA presentation being discontinued

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

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