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What the FDA labels say about taking them together

Mefenamic acid and pemetrexed

Mefenamic acid's FDA label of April 20, 2026 names pemetrexed in its drug interactions section; the pemetrexed labels PlainMeds reads (4) do not name mefenamic acid. The mefenamic acid label: “Concomitant use of mefenamic acid and pemetrexed may increase the risk of pemetrexed- associated myelosuppression, renal, and GI toxicity.”

Check it at the source: the mefenamic acid FDA label on DailyMed (effective April 20, 2026, Lupin Pharmaceuticals, Inc.); the pemetrexed FDA label on DailyMed (effective October 8, 2025, Avyxa Pharma, LLC).

What does the mefenamic acid label say about pemetrexed?

Mefenamic acid label, drug interactions

Pemetrexed Clinical Impact: Concomitant use of mefenamic acid and pemetrexed may increase the risk of pemetrexed- associated myelosuppression, renal, and GI toxicity (…). Intervention: During concomitant use of mefenamic acid and pemetrexed, in patients with renal impairment whose creatinine clearance ranges from 45 to 79 mL/min, monitor for myelosuppression, renal and GI toxicity. …

Source: FDA drug label (Mefenamic Acid), Lupin Pharmaceuticals, Inc., effective April 20, 2026 (SPL set d15733a9-d5fd-4d5f-86ce-e7ed8c706c7f), via openFDA; the full label on DailyMed

What does the pemetrexed label say about mefenamic acid?

Pemetrexed's label (effective October 8, 2025) and its 3 other brand-application labels do not name mefenamic acid in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (AXTLE), Avyxa Pharma, LLC, effective October 8, 2025 (SPL set 9582c46c-d8b0-44b7-a2ee-9c86f5e9b7b1), 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

6Mefenamic acid generic labelers
15Pemetrexed generic labelers
Mefenamic acidPemetrexed
Labeled forPainLung cancer
Boxed warningYesNo
Pharmacy cost (NADAC)$0.948 per capsule 250 mg capsulen/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)

What next?