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What the FDA labels say about taking them together

Cobicistat and everolimus

Cobicistat's FDA label of February 10, 2026 names everolimus in its drug interactions section; the everolimus labels PlainMeds reads (2) 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 everolimus FDA label on DailyMed (effective June 1, 2026, Novartis Pharmaceuticals Corporation).

What does the cobicistat label say about everolimus?

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 everolimus label say about cobicistat?

Everolimus's label (effective June 1, 2026) 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 (Afinitor), Novartis Pharmaceuticals Corporation, effective June 1, 2026 (SPL set 2150f73a-179b-4afc-b8ce-67c85cc72f04), 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
14Everolimus generic labelers
CobicistatEverolimus
Labeled forHIVBreast cancer, Seizures and epilepsy, Organ transplant rejection
Boxed warningNoNo
Pharmacy cost (NADAC)n/a$26.32 per tablet 10 mg tablet
Shortage nowA presentation being discontinuedA presentation being discontinued

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?