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What the FDA labels say about taking them together

Fluoxetine and repaglinide

Repaglinide's FDA label of May 2, 2025 names fluoxetine in its drug interactions section; the fluoxetine label PlainMeds reads does not name repaglinide. The repaglinide label: “… inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, nonsteroidal anti-inflammatory agents (NSAIDs), pentoxifylline, pramlintide, propoxyphene …”

Check it at the source: the fluoxetine FDA label on DailyMed (effective January 8, 2026, Dista Products Company); the repaglinide FDA label on DailyMed (effective May 2, 2025, Chartwell RX, LLC).

What does the fluoxetine label say about repaglinide?

Fluoxetine's label (effective January 8, 2026) does not name repaglinide in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Prozac), NDA018936 (Eli Lilly And Co), as published by Dista Products Company, effective January 8, 2026 (SPL set c88f33ed-6dfb-4c5e-bc01-d8e36dd97299), via openFDA; the full label on DailyMed

What does the repaglinide label say about fluoxetine?

Repaglinide label, drug interactions

Drugs That May Increase the Risk of Hypoglycemia Intervention: Repaglinide tablets dose reductions and increased frequency of glucose monitoring may be required when co-administered. Examples: Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, nonsteroidal anti-inflammatory agents (NSAIDs), pentoxifylline, pramlintide, propoxyphene, salicylates, somatostatin analogs (e.g., octreotide), and sulfonamide antibiotics.

Source: FDA drug label (Repaglinide), Chartwell RX, LLC, effective May 2, 2025 (SPL set cb995e92-295e-4638-a064-978211f5afe1), 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

58Fluoxetine generic labelers
7Repaglinide generic labelers
FluoxetineRepaglinide
Labeled forDepression, Anxiety, Bipolar disorderType 2 diabetes
Boxed warningYesNo
Pharmacy cost (NADAC)$0.0519 per capsule 40 mg capsule$0.0987 per tablet 1 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?