Does Leflunomide Interact with Duloxetine?
The leflunomide label names duloxetine among CYP1A2 substrates whose exposure may decrease. It attributes this effect to teriflunomide, leflunomide’s active metabolite.
Label evidence and limitations
Named-drug label evidence. The label supports this exposure warning. It does not establish CDI’s moderate category or predict the effect for an individual patient.
Product scope: Oral leflunomide tablets; CYP1A2 substrate interaction.
Read the DailyMed label: These highlights do not include all the information needed to use LEFLUNOMIDE TABLETS safely and effectively. See full prescribing information for LEFLUNOMIDE TABLETS. LEFLUNOMIDE tablets, for oral use Initial U.S. Approval: 1998
Section: 7 Drug Interactions — CYP1A2 substrates. Compared version 8, label date 2024-08-20. The linked label may be updated after this comparison.
This comparison uses the label identifier saved with the CDI record. The compared version may be newer than the original extraction.
AI-assisted source comparison dated 2026-10-16. This is a comparison of label text, not independent clinical review or an individual safety assessment. CDI's stored severity category is not an FDA-assigned rating. Confirm your exact medicines and formulations with your pharmacist or prescriber before changing treatment.
- Stored CDI classification
- Moderate
- Leflunomide Class
- Antirheumatic Agent
- Management
- Confirm exact products with your pharmacist
- Data Source
- Product label via NLM DailyMed
What To Tell Your Doctor or Pharmacist
If you are taking Leflunomide and your doctor is considering prescribing Duloxetine (or vice versa), make sure to:
- Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
- Ask whether the benefits of combining these medications outweigh the risks for your specific situation
- Ask what symptoms to watch for that would indicate the interaction is causing problems
- Never stop or change either medication without first consulting your healthcare provider