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What the FDA labels say about taking them together

Mitotane and warfarin

Mitotane's FDA label of March 3, 2026 names warfarin in its drug interactions section; the warfarin label PlainMeds reads does not name mitotane. The mitotane label: “Warfarin Mitotane may induce the metabolism of warfarin, which may reduce its level and its efficacy.”

Check it at the source: the mitotane FDA label on DailyMed (effective March 3, 2026, ESTEVE PHARMACEUTICALS, S.A.); the warfarin FDA label on DailyMed (effective May 29, 2026, Amneal Pharmaceuticals LLC).

What does the mitotane label say about warfarin?

Mitotane label, drug interactions

Warfarin Mitotane may induce the metabolism of warfarin, which may reduce its level and its efficacy [see Clinical Pharmacology (12.3) ].

Source: FDA drug label (Lysodren), ESTEVE PHARMACEUTICALS, S.A., effective March 3, 2026 (SPL set 4046a224-8832-daa2-e063-6294a90a11d7), via openFDA; the full label on DailyMed

What does the warfarin label say about mitotane?

Warfarin's label (effective May 29, 2026) does not name mitotane in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Warfarin Sodium), Amneal Pharmaceuticals LLC, effective May 29, 2026 (SPL set 558b7a0d-5490-4c1b-802e-3ab3f1efe760), 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

0Mitotane generic labelers
19Warfarin generic labelers
MitotaneWarfarin
Labeled forn/aBlood clots (DVT and PE), Atrial fibrillation
Boxed warningYesYes
Pharmacy cost (NADAC)n/a$0.093 per tablet 2 mg tablet
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?