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What the FDA labels say about taking them together

Cobicistat and dabigatran

Cobicistat's FDA label of February 10, 2026 names dabigatran in its drug interactions section; the dabigatran labels PlainMeds reads (2) do not name cobicistat. The cobicistat label: “TYBOST coadministered with atazanavir or darunavir: Due to potentially increased bleeding risk, dosing recommendations for coadministration of apixaban with TYBOST depends on the apixaban dose. …”

Check it at the source: the cobicistat FDA label on DailyMed (effective February 10, 2026, Gilead Sciences, Inc.); the dabigatran FDA label on DailyMed (effective June 25, 2025, Boehringer Ingelheim Pharmaceuticals Inc.).

What does the cobicistat label say about dabigatran?

Cobicistat label, drug interactions

Concomitant Drug Class/Drug Name: Anticoagulants: Direct Oral Anticoagulants (DOACs) apixaban rivaroxaban betrixaban dabigatran edoxaban; Potential Effect ↑ = Increase, ↓ = Decrease, ↔ = No change: ↑ apixaban; Clinical Comment: TYBOST coadministered with atazanavir or darunavir: Due to potentially increased bleeding risk, dosing recommendations for coadministration of apixaban with TYBOST depends on the apixaban dose. Refer to apixaban dosing instructions for coadministration with strong CYP3A and P-gp inhibitors in apixaban prescribing information.

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 dabigatran label say about cobicistat?

Dabigatran's label (effective June 25, 2025) and its 1 other brand-application label 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 (Pradaxa), Boehringer Ingelheim Pharmaceuticals Inc., effective June 25, 2025 (SPL set ba74e3cd-b06f-4145-b284-5fd6b84ff3c9), 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
16Dabigatran generic labelers
CobicistatDabigatran
Labeled forHIVAtrial fibrillation, Blood clots (DVT and PE), Stroke prevention
Boxed warningNoYes
Pharmacy cost (NADAC)n/a$0.795 per capsule 150 mg capsule
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?