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What the FDA labels say about taking them together

Heparin and oritavancin

Oritavancin's FDA label of December 18, 2025 names heparin in its contraindications section; the heparin labels PlainMeds reads (4) do not name oritavancin. The oritavancin label: “CONTRAINDICATIONS Use of intravenous unfractionated heparin sodium is contraindicated for 120 hours (5 days) after KIMYRSA administration. Known hypersensitivity to oritavancin products.”

Check it at the source: the heparin FDA label on DailyMed (effective November 28, 2025, Fresenius Kabi USA, LLC); the oritavancin FDA label on DailyMed (effective December 18, 2025, Melinta Therapeutics, LLC).

What does the heparin label say about oritavancin?

Heparin's label (effective November 28, 2025) and its 3 other brand-application labels do not name oritavancin in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Heparin Sodium), Fresenius Kabi USA, LLC, effective November 28, 2025 (SPL set d55b4a63-0c04-4874-b74f-9e9b9e8b008c), via openFDA; the full label on DailyMed

What does the oritavancin label say about heparin?

Oritavancin label, contraindications

CONTRAINDICATIONS Use of intravenous unfractionated heparin sodium is contraindicated for 120 hours (5 days) after KIMYRSA administration. ( 4.1 , 5.1 ) Known hypersensitivity to oritavancin products.

Oritavancin label, drug interactions

In addition, oritavancin does not affect tests that are used for diagnosis of Heparin Induced Thrombocytopenia (HIT).

Source: FDA drug label (Orbactiv, NDA206334), Melinta Therapeutics, LLC, effective July 17, 2025 (SPL set ff09a726-9f9b-4e30-b509-396781293220), via openFDA

Source: FDA drug label (Kimyrsa), Melinta Therapeutics, LLC, effective December 18, 2025 (SPL set 5e755c40-6e73-4572-b474-4d8a131693d1), 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

18Heparin generic labelers
0Oritavancin generic labelers
HeparinOritavancin
Labeled forBlood clots (DVT and PE), Atrial fibrillationn/a
Boxed warningNoNo
Pharmacy cost (NADAC)$1.18 per mL 5,000 unit/mL vialn/a
Shortage nowIn shortageNo 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?