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What the FDA labels say about taking them together

Siltuximab and warfarin

Siltuximab's FDA label of August 27, 2024 names warfarin in its drug interactions section; the warfarin label PlainMeds reads does not name siltuximab. The siltuximab label: “… narrow therapeutic index, perform therapeutic monitoring of effect (e.g., warfarin) or drug concentration as needed and adjust dose.”

Check it at the source: the siltuximab FDA label on DailyMed (effective August 27, 2024); the warfarin FDA label on DailyMed (effective May 29, 2026, Amneal Pharmaceuticals LLC).

What does the siltuximab label say about warfarin?

Siltuximab label, drug interactions

Upon initiation or discontinuation of SYLVANT, in patients being treated with CYP450 substrates with a narrow therapeutic index, perform therapeutic monitoring of effect (e.g., warfarin) or drug concentration (e.g., cyclosporine or theophylline) as needed and adjust dose.

Source: FDA drug label (Sylvant), Recordati Rare Diseases, Inc., effective August 27, 2024 (SPL set 8d663642-f52e-49c0-a023-2da083fdfc0b), via openFDA; the full label on DailyMed

What does the warfarin label say about siltuximab?

Warfarin's label (effective May 29, 2026) does not name siltuximab in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Warfarin Sodium), Amneal Pharmaceuticals LLC, effective May 29, 2026 (SPL set 558b7a0d-5490-4c1b-802e-3ab3f1efe760), 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

0Siltuximab generic labelers
19Warfarin generic labelers
SiltuximabWarfarin
Labeled forn/aBlood clots (DVT and PE), Atrial fibrillation
Boxed warningNoYes
Pharmacy cost (NADAC)n/a$0.093 per tablet 2 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?