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What the FDA labels say about taking them together

Atazanavir and quetiapine

Atazanavir's FDA label of August 6, 2025 names quetiapine in its drug interactions section; the quetiapine labels PlainMeds reads (2) do not name atazanavir. The atazanavir label: “Initiation of REYATAZ with ritonavir in patients taking quetiapine: Consider alternative antiretroviral therapy to avoid increases in quetiapine exposures. …”

Check it at the source: the atazanavir FDA label on DailyMed (effective August 6, 2025, Aurobindo Pharma Limited); the quetiapine FDA label on DailyMed (effective April 10, 2026, H2-Pharma, LLC).

What does the atazanavir label say about quetiapine?

Atazanavir label, drug interactions

Concomitant Drug Class/Specific Drugs: lurasidone quetiapine; Effect on Concentration of Atazanavir or Concomitant Drug: Atazanavir with ritonavir ↑ lurasidone Atazanavir ↑ lurasidone ↑ quetiapine; Clinical Comment: Atazanavir with ritonavir Coadministration of lurasidone with atazanavir with ritonavir is contraindicated. This is due to the potential for serious and/or life-threatening reactions [see ]. Atazanavir without ritonavir If coadministration is necessary, reduce the lurasidone dose. Refer to the lurasidone prescribing information for concomitant use with moderate CYP3A4 inhibitors. …

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

Concomitant Drug Class/Specific Drugs: quetiapine; Effect on Concentration of Atazanavir or Concomitant Drug: ↑ quetiapine; Clinical Comment: Initiation of REYATAZ with ritonavir in patients taking quetiapine: Consider alternative antiretroviral therapy to avoid increases in quetiapine exposures. If coadministration is necessary, reduce the quetiapine dose to 1/6 of the current dose and monitor for quetiapine-associated adverse reactions. Refer to the quetiapine prescribing information for recommendations on adverse reaction monitoring. …

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 quetiapine label say about atazanavir?

Quetiapine's label (effective April 10, 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 (SEROQUEL), NDA020639 (Cheplapharm), as published by H2-Pharma, LLC, effective April 10, 2026 (SPL set 8ae62aaf-f8c5-417f-baac-0098369ca322), 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
48Quetiapine generic labelers
AtazanavirQuetiapine
Labeled forHIVSchizophrenia, Bipolar disorder, Depression
Boxed warningNoYes
Pharmacy cost (NADAC)$2.23 per capsule 300 mg capsule$0.127 per tablet 300 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)

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