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What the FDA labels say about taking them together

Cobicistat and quetiapine

Cobicistat's FDA label of February 10, 2026 names quetiapine in its drug interactions section; the quetiapine labels PlainMeds reads (2) do not name cobicistat. The cobicistat label: “Initiation of TYBOST coadministered with atazanavir or darunavir in patients taking quetiapine: Consider alternative antiretroviral therapy to avoid increases in quetiapine exposure. …”

Check it at the source: the cobicistat FDA label on DailyMed (effective February 10, 2026, Gilead Sciences, Inc.); the quetiapine FDA label on DailyMed (effective April 10, 2026, H2-Pharma, LLC).

What does the cobicistat label say about quetiapine?

Cobicistat label, drug interactions

Concomitant Drug Class/Drug Name: quetiapine; Potential Effect ↑ = Increase, ↓ = Decrease, ↔ = No change: ↑ quetiapine; Clinical Comment: Initiation of TYBOST coadministered with atazanavir or darunavir in patients taking quetiapine: Consider alternative antiretroviral therapy to avoid increases in quetiapine exposure. If coadministration is necessary, reduce the quetiapine dose to 1/6 of the current dose and monitor for quetiapine-associated adverse reactions. Refer to the quetiapine prescribing information for recommendations on adverse reaction monitoring. …

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 quetiapine label say about cobicistat?

Quetiapine's label (effective April 10, 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 (SEROQUEL), NDA020639 (Cheplapharm), as published by H2-Pharma, LLC, effective April 10, 2026 (SPL set 8ae62aaf-f8c5-417f-baac-0098369ca322), 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
48Quetiapine generic labelers
CobicistatQuetiapine
Labeled forHIVSchizophrenia, Bipolar disorder, Depression
Boxed warningNoYes
Pharmacy cost (NADAC)n/a$0.127 per tablet 300 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?