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What the FDA labels say about taking them together

Cobicistat and cyclosporine

Cobicistat's FDA label of February 10, 2026 names cyclosporine in its drug interactions section; the cyclosporine labels PlainMeds reads (4) do not name cobicistat. The cobicistat label: “These immunosuppressant agents are metabolized by CYP3A. Therapeutic drug monitoring is recommended if coadministered.”

Check it at the source: the cobicistat FDA label on DailyMed (effective February 10, 2026, Gilead Sciences, Inc.); the cyclosporine FDA label on DailyMed (effective August 10, 2026, Novartis Pharmaceuticals Corporation).

What does the cobicistat label say about cyclosporine?

Cobicistat label, drug interactions

Concomitant Drug Class/Drug Name: Immuno-suppressants: cyclosporine everolimus sirolimus tacrolimus; Potential Effect ↑ = Increase, ↓ = Decrease, ↔ = No change: ↑ immuno-suppressants; Clinical Comment: These immunosuppressant agents are metabolized by CYP3A. Therapeutic drug monitoring is recommended if coadministered.

Source: FDA drug label (Tybost), Gilead Sciences, Inc., effective February 10, 2026 (SPL set 3784c35c-e87f-410c-900b-8fd6313c6010), via openFDA; the full label on DailyMed

What does the cyclosporine label say about cobicistat?

Cyclosporine's label (effective August 10, 2026) and its 3 other brand-application labels do not name cobicistat in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Neoral), Novartis Pharmaceuticals Corporation, effective August 10, 2026 (SPL set 94461af3-11f1-4670-95d4-2965b9538ae3), 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

0Cobicistat generic labelers
14Cyclosporine generic labelers
CobicistatCyclosporine
Labeled forHIVOrgan transplant rejection, Rheumatoid arthritis
Boxed warningNoYes
Pharmacy cost (NADAC)n/a$1.04 per unit 0.05% eye emulsion
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?