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What the FDA labels say about taking them together

Azithromycin and nevirapine

Nevirapine's FDA label of July 15, 2026 names azithromycin in its drug interactions section; the azithromycin labels PlainMeds reads (4) do not name nevirapine. The nevirapine label: “… against this pathogen may be altered. Alternatives to clarithromycin, such as azithromycin, should be considered.”

Check it at the source: the azithromycin FDA label on DailyMed (effective December 4, 2025, Bionpharma Inc.); the nevirapine FDA label on DailyMed (effective July 15, 2026, Mylan Pharmaceuticals Inc.).

What does the azithromycin label say about nevirapine?

Azithromycin's label (effective December 4, 2025) and its 3 other brand-application labels do not name nevirapine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Azithromycin), Bionpharma Inc., effective December 4, 2025 (SPL set 859bb02c-a4bc-46fa-9fc9-def1219b5dfb), via openFDA; the full label on DailyMed

What does the nevirapine label say about azithromycin?

Nevirapine label, drug interactions

Drug Name: Antibiotics: Clarithromycin; Effect on Concentration of Nevirapine or Concomitant Drug: ↓ Clarithromycin ↑ 14-OH clarithromycin; Clinical Comment: Clarithromycin exposure was significantly decreased by nevirapine; however, 14-OH metabolite concentrations were increased. Because clarithromycin active metabolite has reduced activity against Mycobacterium avium-intracellulare complex, overall activity against this pathogen may be altered. Alternatives to clarithromycin, such as azithromycin, should be considered.

Source: FDA drug label (Nevirapine), Mylan Pharmaceuticals Inc., effective July 15, 2026 (SPL set c6e93829-7024-48f6-8023-da6ff27dfc0a), 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

55Azithromycin generic labelers
6Nevirapine generic labelers
AzithromycinNevirapine
Labeled forBacterial infectionsHIV
Boxed warningNoYes
Pharmacy cost (NADAC)$0.266 per tablet 250 mg tablet$0.147 per tablet 200 mg tablet
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)

What next?