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What the FDA labels say about taking them together

Oxaprozin and pemetrexed

Oxaprozin's FDA label of December 26, 2024 names pemetrexed in its drug interactions section; the pemetrexed labels PlainMeds reads (4) do not name oxaprozin. The oxaprozin label: “Concomitant use of oxaprozin and pemetrexed may increase the risk of pemetrexed-associated myelosuppression, renal, and GI toxicity.”

Check it at the source: the oxaprozin FDA label on DailyMed (effective December 26, 2024, Amneal Pharmaceuticals NY LLC); the pemetrexed FDA label on DailyMed (effective October 8, 2025, Avyxa Pharma, LLC).

What does the oxaprozin label say about pemetrexed?

Oxaprozin label, drug interactions

Pemetrexed Clinical Impact: Concomitant use of oxaprozin and pemetrexed may increase the risk of pemetrexed-associated myelosuppression, renal, and GI toxicity (…). Intervention: During concomitant use of oxaprozin 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 (Oxaprozin, NDA217927), SOLA Pharmaceuticals, LLC, effective December 3, 2025 (SPL set 450f5941-7f10-42fe-e063-6394a90a4803), via openFDA

Source: FDA drug label (Oxaprozin), Amneal Pharmaceuticals NY LLC, effective December 26, 2024 (SPL set d9b0ca6c-4c53-4f6e-918b-02a8c472a194), via openFDA; the full label on DailyMed

What does the pemetrexed label say about oxaprozin?

Pemetrexed's label (effective October 8, 2025) and its 3 other brand-application labels do not name oxaprozin 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

7Oxaprozin generic labelers
15Pemetrexed generic labelers
OxaprozinPemetrexed
Labeled forOsteoarthritis, Rheumatoid arthritisLung cancer
Boxed warningYesNo
Pharmacy cost (NADAC)$0.475 per tablet 600 mg tabletn/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?