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What the FDA labels say about taking them together

Cobicistat, elvitegravir, emtricitabine and tenofovir alafenamide and sertraline

Cobicistat, elvitegravir, emtricitabine and tenofovir alafenamide's FDA label of February 3, 2025 names sertraline in its drug interactions section; the sertraline labels PlainMeds reads (3) do not name cobicistat, elvitegravir, emtricitabine and tenofovir alafenamide. The cobicistat, elvitegravir, emtricitabine and tenofovir alafenamide label: “Careful dosage titration of the antidepressant and monitoring for antidepressant response are recommended when coadministered with GENVOYA.”

Check it at the source: the cobicistat, elvitegravir, emtricitabine and tenofovir alafenamide FDA label on DailyMed (effective February 3, 2025, Gilead Sciences, Inc.); the sertraline FDA label on DailyMed (effective August 8, 2023, Viatris Specialty LLC).

What does the cobicistat, elvitegravir, emtricitabine and tenofovir alafenamide label say about sertraline?

Cobicistat, elvitegravir, emtricitabine and tenofovir alafenamide label, drug interactions

Concomitant Drug Class/Drug Name: Antidepressants: Selective Serotonin Reuptake Inhibitors (SSRIs) e.g., paroxetine Tricyclic Antidepressants (TCAs) e.g., amitriptyline desipramine imipramine nortriptyline bupropion trazodone; Effect on Concentration ↑ = Increase, ↓ = Decrease: ↑ SSRIs (except sertraline) ↑ TCAs ↑ trazodone; Clinical Comment: Careful dosage titration of the antidepressant and monitoring for antidepressant response are recommended when coadministered with GENVOYA.

Source: FDA drug label (Genvoya), Gilead Sciences, Inc., effective February 3, 2025 (SPL set 34784acf-15ed-4715-b504-eb30430518e9), via openFDA; the full label on DailyMed

What does the sertraline label say about cobicistat, elvitegravir, emtricitabine and tenofovir alafenamide?

Sertraline's label (effective August 8, 2023) and its 2 other brand-application labels do not name cobicistat, elvitegravir, emtricitabine and tenofovir alafenamide in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Zoloft), Viatris Specialty LLC, effective August 8, 2023 (SPL set fda754f6-d0f3-4dce-a17a-927d64f912f7), 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, elvitegravir, emtricitabine and tenofovir alafenamide generic labelers
47Sertraline generic labelers
Cobicistat, elvitegravir, emtricitabine and tenofovir alafenamideSertraline
Labeled forHIVDepression, Anxiety
Boxed warningYesYes
Pharmacy cost (NADAC)$143.35 per tablet Genvoya tablet$0.0507 per tablet 100 mg tablet
Shortage nowNo current entryNo current entry

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

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