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What the FDA labels say about taking them together

Atazanavir and sildenafil

Atazanavir's FDA label of August 6, 2025 names sildenafil in its contraindications section; the sildenafil labels PlainMeds reads (4) do not name atazanavir. The atazanavir label: “Drug Class: Phosphodiesterase-5 (PDE-5) Inhibitor; Drugs within class that are contraindicated with REYATAZ: Sildenafil b when dosed as REVATIO ® for the treatment of pulmonary arterial hypertension”

Check it at the source: the atazanavir FDA label on DailyMed (effective August 6, 2025, Aurobindo Pharma Limited); the sildenafil FDA label on DailyMed (effective November 17, 2023, Viatris Specialty LLC).

What does the atazanavir label say about sildenafil?

Atazanavir label, contraindications

Drug Class: Phosphodiesterase-5 (PDE-5) Inhibitor; Drugs within class that are contraindicated with atazanavir capsules: Sildenafil b when dosed as REVATIO ® for the treatment of pulmonary arterial hypertension

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 sildenafil label say about atazanavir?

Sildenafil's label (effective November 17, 2023) 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 (Viagra), Viatris Specialty LLC, effective November 17, 2023 (SPL set d905dc8d-917f-4ea3-a4ee-a1ecf6967d4e), 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
60Sildenafil generic labelers
AtazanavirSildenafil
Labeled forHIVErectile dysfunction, Pulmonary arterial hypertension
Boxed warningNoNo
Pharmacy cost (NADAC)$2.23 per capsule 300 mg capsule$0.132 per tablet 100 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?