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What the FDA labels say about taking them together

Rifapentine and sirolimus

Sirolimus's FDA label of January 28, 2026 names rifapentine in its drug interactions section; the rifapentine label PlainMeds reads does not name sirolimus. The sirolimus label: “Drugs and other agents that could decrease sirolimus concentrations: Carbamazepine, phenobarbital, phenytoin, rifapentine, St. John’s Wort ( Hypericum perforatum )”

Check it at the source: the rifapentine FDA label on DailyMed (effective February 6, 2026, sanofi-aventis U.S. LLC); the sirolimus FDA label on DailyMed (effective January 28, 2026, Glenmark Pharmaceuticals Inc., USA).

What does the rifapentine label say about sirolimus?

Rifapentine's label (effective February 6, 2026) does not name sirolimus in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Priftin), sanofi-aventis U.S. LLC, effective February 6, 2026 (SPL set 3a64fb70-b85e-43d9-8bcd-7e893f568ae1), via openFDA; the full label on DailyMed

What does the sirolimus label say about rifapentine?

Sirolimus label, drug interactions

Drugs and other agents that could decrease sirolimus concentrations: Carbamazepine, phenobarbital, phenytoin, rifapentine, St. John’s Wort ( Hypericum perforatum )

Source: FDA drug label (sirolimus), Glenmark Pharmaceuticals Inc., USA, effective January 28, 2026 (SPL set 57fb4d90-3ccb-4a69-af1e-53be83f7a504), 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

1Rifapentine generic labelers
17Sirolimus generic labelers
RifapentineSirolimus
Labeled forn/aOrgan transplant rejection
Boxed warningNoYes
Pharmacy cost (NADAC)$4.83 per tablet 150 mg tablet$0.723 per tablet 1 mg tablet
Shortage nowResolvedNo 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?