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What the FDA labels say about taking them together

Cobicistat and lovastatin

Cobicistat's FDA label of February 10, 2026 names lovastatin in its contraindications section; the lovastatin label PlainMeds reads does not name cobicistat. The cobicistat label: “Coadministration with lovastatin or simvastatin is contraindicated due to potential for serious reactions such as myopathy including rhabdomyolysis.”

Check it at the source: the cobicistat FDA label on DailyMed (effective February 10, 2026, Gilead Sciences, Inc.); the lovastatin FDA label on DailyMed (effective May 6, 2026, Lupin Pharmaceuticals, Inc.).

What does the cobicistat label say about lovastatin?

Cobicistat label, contraindications

St. John's wort ( Hypericum perforatum ) Hormonal Contraceptives: drospirenone/ ethinyl estradiol Lipid-modifying Agents: lomitapide, lovastatin, simvastatin Non-nucleoside Reverse Transcriptase Inhibitor: nevirapine Phosphodiesterase-5 (PDE-5) Inhibitor: sildenafil when administered as Revatio ® for the treatment of pulmonary arterial hypertension Protease Inhibitor: indinavir Sedative/hypnotics triazolam, orally administered midazolam Coadministration with certain drugs for which altered plasma concentrations are associated with serious and/or life-threatening events or loss of therapeutic effect.

Cobicistat label, drug interactions

Concomitant Drug Class/Drug Name: Lipid-modifying Agents: HMG-CoA reductase inhibitors: lovastatin simvastatin; Potential Effect ↑ = Increase, ↓ = Decrease, ↔ = No change: ↑ lovastatin ↑ simvastatin; Clinical Comment: Coadministration with lovastatin or simvastatin is contraindicated due to potential for serious reactions such as myopathy including rhabdomyolysis.

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 lovastatin label say about cobicistat?

Lovastatin's label (effective May 6, 2026) does 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 (Lovastatin), Lupin Pharmaceuticals, Inc., effective May 6, 2026 (SPL set df7ddf4f-d569-431e-81f1-9129d7043150), 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
19Lovastatin generic labelers
CobicistatLovastatin
Labeled forHIVHigh cholesterol, Heart attack and coronary artery disease
Boxed warningNoNo
Pharmacy cost (NADAC)n/a$0.0436 per tablet 20 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?