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What the FDA labels say about taking them together

Fluoxetine and tetrabenazine

Tetrabenazine's FDA label of November 29, 2019 names fluoxetine in its drug interactions section; the fluoxetine label PlainMeds reads does not name tetrabenazine. The tetrabenazine label: “Strong CYP2D6 inhibitors markedly increase exposure to these metabolites.”

Check it at the source: the fluoxetine FDA label on DailyMed (effective January 8, 2026, Dista Products Company); the tetrabenazine FDA label on DailyMed (effective November 29, 2019, Oceanside Pharmaceuticals).

What does the fluoxetine label say about tetrabenazine?

Fluoxetine's label (effective January 8, 2026) does not name tetrabenazine 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 tetrabenazine label say about fluoxetine?

Tetrabenazine label, drug interactions

Strong CYP2D6 inhibitors (e.g., paroxetine, fluoxetine, quinidine) markedly increase exposure to these metabolites.

Tetrabenazine label, warnings and precautions

Do not exceed 50 mg/day and the maximum single dose should not exceed 25 mg if administered in conjunction with a strong CYP2D6 inhibitor (e.g., fluoxetine, paroxetine).

Source: FDA drug label (tetrabenazine), NDA021894 (Bausch), as published by Oceanside Pharmaceuticals, effective November 29, 2019 (SPL set 5867189c-17bd-4e70-a079-c4730f9950d1), 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
10Tetrabenazine generic labelers
FluoxetineTetrabenazine
Labeled forDepression, Anxiety, Bipolar disordern/a
Boxed warningYesYes
Pharmacy cost (NADAC)$0.0519 per capsule 40 mg capsule$0.702 per tablet 12.5 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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