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What the FDA labels say about taking them together

Atazanavir and tacrolimus

Atazanavir's FDA label (Reyataz) of December 5, 2024 names tacrolimus in its drug interactions section; the tacrolimus labels PlainMeds reads (4) do not name atazanavir. The atazanavir label: “Therapeutic concentration monitoring is recommended for these immunosuppressants when coadministered with REYATAZ.”

Check it at the source: the atazanavir FDA label on DailyMed (effective August 6, 2025, Aurobindo Pharma Limited); the tacrolimus FDA label on DailyMed (effective July 17, 2026, Stellon Biotech Inc.).

What does the atazanavir label say about tacrolimus?

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

Concomitant Drug Class/Specific Drugs: Immunosuppressants: cyclosporine, sirolimus, tacrolimus; Effect on Concentration of Atazanavir or Concomitant Drug: ↑ immunosuppressants; Clinical Comment: Therapeutic concentration monitoring is recommended for these immunosuppressants when coadministered with REYATAZ.

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 tacrolimus label say about atazanavir?

Tacrolimus's label (effective July 17, 2026) 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 (Tacrolimus), Stellon Biotech Inc., effective July 17, 2026 (SPL set 6b89e8a4-9f11-42e3-8e79-fe617e7c461f), 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
33Tacrolimus generic labelers
AtazanavirTacrolimus
Labeled forHIVOrgan transplant rejection, Eczema (atopic dermatitis)
Boxed warningNoYes
Pharmacy cost (NADAC)$2.23 per capsule 300 mg capsule$0.970 per gram 0.1% ointment
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?