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What the FDA labels say about taking them together

Cabotegravir and magnesium hydroxide

Cabotegravir's FDA label (Vocabria) of April 11, 2025 names magnesium hydroxide in its drug interactions section; the magnesium hydroxide label PlainMeds reads does not name cabotegravir.

Check it at the source: the cabotegravir FDA label on DailyMed (effective April 11, 2025, ViiV Healthcare Company); the magnesium hydroxide FDA label on DailyMed (effective August 21, 2026).

What does the cabotegravir label say about magnesium hydroxide?

Vocabria label (ViiV Healthcare Company, April 11, 2025), drug interactions

Concomitant Drug Class/Drug Name: Antacids containing polyvalent cations (e.g., aluminum or magnesium hydroxide, calcium carbonate); Effect on Concentration: ↓Cabotegravir; Clinical Comment: Administer antacid products at least 2 hours before or 4 hours after taking VOCABRIA.

Source: FDA drug label (Vocabria, NDA212887), ViiV Healthcare Company, effective April 11, 2025 (SPL set 66d450fb-cca4-476c-b0c7-c0730e3e4cf3), via openFDA

Source: FDA drug label (Apretude), ViiV Healthcare Company, effective April 11, 2025 (SPL set 4338428e-43d4-4e02-ac9d-bd98e738a7da), via openFDA; the full label on DailyMed

What does the magnesium hydroxide label say about cabotegravir?

Magnesium hydroxide's label (effective August 21, 2026) does not name cabotegravir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (MiraFAST soft chews), Bayer HealthCare LLC., effective August 21, 2026 (SPL set 2cee67dd-b71f-32b8-e063-6394a90ae864), 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

0Cabotegravir generic labelers
0Magnesium hydroxide generic labelers
CabotegravirMagnesium hydroxide
Labeled forHIVConstipation, Acid reflux and ulcers
Boxed warningYesNo
Pharmacy cost (NADAC)n/a$0.0095 per mL Milk of magnesia suspension
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?