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What the FDA labels say about taking them together

Atazanavir/cobicistat and naloxone

Atazanavir/cobicistat's FDA label of May 12, 2025 names naloxone in its drug interactions section; the naloxone labels PlainMeds reads (4) do not name atazanavir/cobicistat. The atazanavir/cobicistat label: “Initiation of buprenorphine, buprenorphine/naloxone or methadone in patients taking EVOTAZ: Carefully titrate the dose of buprenorphine, buprenorphine/naloxone or methadone to the desired effect; …”

Check it at the source: the atazanavir/cobicistat FDA label on DailyMed (effective May 12, 2025, E.R. Squibb & Sons, L.L.C.); the naloxone FDA label on DailyMed (effective August 17, 2026, Emergent Devices Inc.).

What does the atazanavir/cobicistat label say about naloxone?

Atazanavir/cobicistat label, drug interactions

Concomitant Drug Class/Specific Drugs: Narcotic analgesics: For treatment of opioid dependence: buprenorphine, naloxone, methadone; Effect b on Concentration: buprenorphine or buprenorphine/naloxone: effects unknown methadone: effects unknown; Clinical Comment: Initiation of buprenorphine, buprenorphine/naloxone or methadone in patients taking EVOTAZ: Carefully titrate the dose of buprenorphine, buprenorphine/naloxone or methadone to the desired effect; use the lowest feasible initial or maintenance dose. Initiation of EVOTAZ in patients taking buprenorphine, buprenorphine/naloxone or methadone: A dose adjustment for buprenorphine, buprenorphine/naloxone or methadone may be needed. …

Source: FDA drug label (EVOTAZ), NDA206353 (Bristol), as published by E.R. Squibb & Sons, L.L.C., effective May 12, 2025 (SPL set 83db29d7-5d85-49d6-8cb6-740473365cf8), via openFDA; the full label on DailyMed

What does the naloxone label say about atazanavir/cobicistat?

Naloxone's label (effective August 17, 2026) and its 3 other brand-application labels do not name atazanavir/cobicistat in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (NARCAN), Emergent Devices Inc., effective August 17, 2026 (SPL set a0ebc83d-2892-40de-bc0a-775ce90b30db), 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

0Atazanavir/cobicistat generic labelers
41Naloxone generic labelers
Atazanavir/cobicistatNaloxone
Labeled forHIVn/a
Boxed warningNoNo
Pharmacy cost (NADAC)$52.05 per tablet 300 mg-150 mg tablet$12.74 per mL 2 mg/2 mL syringe
Shortage nowA presentation being discontinuedNo 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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