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What the FDA labels say about taking them together

Leflunomide and zidovudine

Leflunomide's FDA label of June 4, 2025 names zidovudine in its drug interactions section; the zidovudine labels PlainMeds reads (3) do not name leflunomide. The leflunomide label: “In patients taking ARAVA, exposure of drugs which are OAT3 substrates may be increased.”

Check it at the source: the leflunomide FDA label on DailyMed (effective June 4, 2025, sanofi-aventis U.S. LLC); the zidovudine FDA label on DailyMed (effective February 10, 2025, Aurobindo Pharma Limited).

What does the leflunomide label say about zidovudine?

Leflunomide label, drug interactions

In patients taking ARAVA, exposure of drugs which are OAT3 substrates (e.g., cefaclor, cimetidine, ciprofloxacin, penicillin G, ketoprofen, furosemide, methotrexate, zidovudine) may be increased.

Source: FDA drug label (Arava), sanofi-aventis U.S. LLC, effective June 4, 2025 (SPL set 320f63f2-fac3-4aee-aff8-85724e00ef52), via openFDA; the full label on DailyMed

What does the zidovudine label say about leflunomide?

Zidovudine's label (effective February 10, 2025) and its 2 other brand-application labels do not name leflunomide in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Zidovudine), Aurobindo Pharma Limited, effective February 10, 2025 (SPL set 51abd2ce-6be1-412d-b806-5f24935ac5e3), 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

16Leflunomide generic labelers
3Zidovudine generic labelers
LeflunomideZidovudine
Labeled forRheumatoid arthritisHIV
Boxed warningYesYes
Pharmacy cost (NADAC)$0.324 per tablet 10 mg tablet$0.464 per tablet 300 mg tablet
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?