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What the FDA labels say about taking them together

Ketoconazole and rabeprazole

Rabeprazole's FDA label of January 27, 2026 names ketoconazole in its drug interactions section; the ketoconazole label PlainMeds reads does not name rabeprazole. The rabeprazole label: “Rabeprazole can reduce the absorption of other drugs due to its effect on reducing intragastric acidity.”

Check it at the source: the ketoconazole FDA label on DailyMed (effective January 28, 2026, E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC); the rabeprazole FDA label on DailyMed (effective January 27, 2026, Waylis Therapeutics LLC).

What does the ketoconazole label say about rabeprazole?

Ketoconazole's label (effective January 28, 2026) does not name rabeprazole in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (ketoconazole), E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC, effective January 28, 2026 (SPL set cad7c647-34a9-4e4e-83b3-8d78e58f588f), via openFDA; the full label on DailyMed

What does the rabeprazole label say about ketoconazole?

Rabeprazole label, drug interactions

Clinical Impact: Rabeprazole can reduce the absorption of other drugs due to its effect on reducing intragastric acidity. Intervention: Mycophenolate mofetil (MMF): Co-administration of PPIs in healthy subjects and in transplant patients receiving MMF has been reported to reduce the exposure to the active metabolite, mycophenolic acid (MPA), possibly due to a decrease in MMF solubility at an increased gastric pH. …

Source: FDA drug label (Aciphex), Waylis Therapeutics LLC, effective January 27, 2026 (SPL set 1eb38279-0237-4967-be7a-c53a826c1138), 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

30Ketoconazole generic labelers
20Rabeprazole generic labelers
KetoconazoleRabeprazole
Labeled forFungal infectionsAcid reflux and ulcers
Boxed warningNoNo
Pharmacy cost (NADAC)$0.249 per gram 2% cream$0.224 per tablet 20 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)

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