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What the FDA labels say about taking them together

Atazanavir and edoxaban

Atazanavir's FDA label of August 6, 2025 names edoxaban in its drug interactions section; the edoxaban label PlainMeds reads does not name atazanavir. The atazanavir label: “Concomitant use of REYATAZ with ritonavir, a strong CYP3A4/P-gp inhibitor, may result in an increased risk of bleeding. Refer to the respective DOAC prescribing information regarding dosing instructions for …”

Check it at the source: the atazanavir FDA label on DailyMed (effective August 6, 2025, Aurobindo Pharma Limited); the edoxaban FDA label on DailyMed (effective July 10, 2025, Daiichi Sankyo Inc.).

What does the atazanavir label say about edoxaban?

Atazanavir label, drug interactions

Concomitant Drug Class/Specific Drugs: Direct-Acting Oral Anticoagulants: betrixaban, dabigatran, edoxaban; Effect on Concentration of Atazanavir or Concomitant Drug: ↑ betrixaban ↑ dabigatran ↑ edoxaban; Clinical Comment: Concomitant use of atazanavir with ritonavir, a strong CYP3A4/P-gp inhibitor, may result in an increased risk of bleeding. Refer to the respective DOAC prescribing information regarding dosing instructions for coadministration with P-gp inhibitors.

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

What does the edoxaban label say about atazanavir?

Edoxaban's label (effective July 10, 2025) does 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 (SAVAYSA), Daiichi Sankyo Inc., effective July 10, 2025 (SPL set e77d3400-56ad-11e3-949a-0800200c9a66), 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
0Edoxaban generic labelers
AtazanavirEdoxaban
Labeled forHIVAtrial fibrillation, Stroke prevention, Blood clots (DVT and PE)
Boxed warningNoYes
Pharmacy cost (NADAC)$2.23 per capsule 300 mg capsule$15.51 per tablet 60 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?