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What the FDA labels say about taking them together

Apixaban and atazanavir

Atazanavir's FDA label of August 6, 2025 names apixaban in its drug interactions section; the apixaban labels PlainMeds reads (2) do not name atazanavir. The atazanavir label: “… CYP3A4/P-gp inhibitor, may result in an increased risk of bleeding. Refer to apixaban dosing instructions for coadministration with strong CYP3A4 and P-gp inhibitors in the apixaban prescribing information. …”

Check it at the source: the apixaban FDA label on DailyMed (effective April 24, 2026, Cardinal Health 107, LLC); the atazanavir FDA label on DailyMed (effective August 6, 2025, Aurobindo Pharma Limited).

What does the apixaban label say about atazanavir?

Apixaban's label (effective April 24, 2026) and its 1 other brand-application label do not name atazanavir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (ELIQUIS), NDA202155 (Bristol Myers Squibb), as published by Cardinal Health 107, LLC, effective April 24, 2026 (SPL set a454cd24-0c6d-46e8-b1e4-197388606175), via openFDA; the full label on DailyMed

What does the atazanavir label say about apixaban?

Atazanavir label, drug interactions

Concomitant Drug Class/Specific Drugs: rivaroxaban apixaban; Effect on Concentration of Atazanavir or Concomitant Drug: Atazanavir with ritonavir ↑ rivaroxaban Atazanavir ↑ rivaroxaban Atazanavir with ritonavir ↑ apixaban Atazanavir ↑ apixaban; Clinical Comment: Coadministration of atazanavir with ritonavir, a strong CYP3A4/P-gp inhibitor, and rivaroxaban is not recommended, as it may result in an increased risk of bleeding. Coadministration of atazanavir, a CYP3A4 inhibitor, and rivaroxaban may result in an increased risk of bleeding. Close monitoring is recommended when atazanavir is coadministered with rivaroxaban. …

Reyataz label (E.R. Squibb & Sons, L.L.C., December 5, 2024), drug interactions

Concomitant Drug Class/Specific Drugs: apixaban; Effect on Concentration of Atazanavir or Concomitant Drug: REYATAZ with ritonavir ↑ apixaban; Clinical Comment: Concomitant use of REYATAZ with ritonavir, a strong CYP3A4/P-gp inhibitor, may result in an increased risk of bleeding. Refer to apixaban dosing instructions for coadministration with strong CYP3A4 and P-gp inhibitors in the apixaban prescribing information.

Source: FDA drug label (Reyataz, NDA021567), E.R. Squibb & Sons, L.L.C., effective December 5, 2024 (SPL set 165cff62-b284-4a27-a65d-9ec8a5bfcdd8), via openFDA

Source: FDA drug label (Atazanavir Sulfate), Aurobindo Pharma Limited, effective August 6, 2025 (SPL set 7fbea274-d6b5-4faa-bbf0-05fefab42114), 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

2Apixaban generic labelers
4Atazanavir generic labelers
ApixabanAtazanavir
Labeled forAtrial fibrillation, Blood clots (DVT and PE), Stroke preventionHIV
Boxed warningYesNo
Pharmacy cost (NADAC)$5.52 per tablet 5 mg tablet$2.23 per capsule 300 mg capsule
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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