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What the FDA labels say about taking them together

Atazanavir and famotidine/ibuprofen

Famotidine/ibuprofen's FDA label of July 3, 2025 names atazanavir in its drug interactions section; the atazanavir labels PlainMeds reads (2) do not name famotidine/ibuprofen. The famotidine/ibuprofen label: “Because famotidine lowers intra-gastric acidity, this may result in reduced absorption and loss of efficacy of concomitant drugs.”

Check it at the source: the atazanavir FDA label on DailyMed (effective August 6, 2025, Aurobindo Pharma Limited); the famotidine/ibuprofen FDA label on DailyMed (effective July 3, 2025, Aurobindo Pharma Limited).

What does the atazanavir label say about famotidine/ibuprofen?

Atazanavir's label (effective August 6, 2025) and its 1 other brand-application label do not name famotidine/ibuprofen in these sections. A label lists what its studies and reports found; it is not a complete list.

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 famotidine/ibuprofen label say about atazanavir?

Famotidine/ibuprofen label, drug interactions

Drugs Dependent on Gastric pH for Absorption Clinical Impact: Because famotidine lowers intra-gastric acidity, this may result in reduced absorption and loss of efficacy of concomitant drugs. … other drugs whose absorption is dependent on gastric pH, refer to their prescribing information (e.g., atazanavir, erlotinib, ketoconazole, itraconazole, nilotinib, ledipasvir/sofosbuvir, and rilpivirine).

Source: FDA drug label (Ibuprofen and famotidine), Aurobindo Pharma Limited, effective July 3, 2025 (SPL set 21688404-41fb-487e-8ba0-aea4431a42fa), 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
16Famotidine/ibuprofen generic labelers
AtazanavirFamotidine/ibuprofen
Labeled forHIVOsteoarthritis, Rheumatoid arthritis
Boxed warningNoYes
Pharmacy cost (NADAC)$2.23 per capsule 300 mg capsule$0.714 per unit 800-26.6 mg
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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