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What the FDA labels say about taking them together

Atazanavir and dexamethasone

Atazanavir's FDA label of August 6, 2025 names dexamethasone in its drug interactions section; the dexamethasone labels PlainMeds reads (4) do not name atazanavir. The atazanavir label: “Coadministration with dexamethasone or other corticosteroids that induce CYP3A may result in loss of therapeutic effect of atazanavir and development of resistance to atazanavir and/or ritonavir. …”

Check it at the source: the atazanavir FDA label on DailyMed (effective August 6, 2025, Aurobindo Pharma Limited); the dexamethasone FDA label on DailyMed (effective June 6, 2025, Hikma Pharmaceuticals USA, Inc.).

What does the atazanavir label say about dexamethasone?

Atazanavir label, drug interactions

Concomitant Drug Class/Specific Drugs: Corticosteroids: dexamethasone and other corticosteroids (all routes of administration); Effect on Concentration of Atazanavir or Concomitant Drug: ↓ atazanavir ↑ corticosteroids; Clinical Comment: Coadministration with dexamethasone or other corticosteroids that induce CYP3A may result in loss of therapeutic effect of atazanavir and development of resistance to atazanavir and/or ritonavir. Alternative corticosteroids should be considered. …

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

What does the dexamethasone label say about atazanavir?

Dexamethasone's label (effective June 6, 2025) and its 3 other brand-application labels 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 (Dexamethasone Intensol), Hikma Pharmaceuticals USA, Inc., effective June 6, 2025 (SPL set b15200fb-1826-472b-a907-e677a272513b), 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

4Atazanavir generic labelers
60Dexamethasone generic labelers
AtazanavirDexamethasone
Labeled forHIVAsthma, Eczema (atopic dermatitis), Leukemia, lymphoma and myeloma, Herpes and shingles, Crohn's disease and ulcerative colitis, Multiple sclerosis, Osteoarthritis, Rheumatoid arthritis, Psoriasis, Allergies, Anemia, Pain
Boxed warningNoNo
Pharmacy cost (NADAC)$2.23 per capsule 300 mg capsule$0.193 per tablet 4 mg tablet
Shortage nowNo current entryIn shortage

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?