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What the FDA labels say about taking them together

Cobicistat, elvitegravir, emtricitabine and tenofovir disoproxil and sertraline

Cobicistat, elvitegravir, emtricitabine and tenofovir disoproxil's FDA label of February 4, 2025 names sertraline in its drug interactions section; the sertraline labels PlainMeds reads (3) do not name cobicistat, elvitegravir, emtricitabine and tenofovir disoproxil. The cobicistat, elvitegravir, emtricitabine and tenofovir disoproxil label: “Careful dose titration of the antidepressant and monitoring for antidepressant response are recommended when coadministered with STRIBILD.”

Check it at the source: the cobicistat, elvitegravir, emtricitabine and tenofovir disoproxil FDA label on DailyMed (effective February 4, 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 disoproxil label say about sertraline?

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

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

Source: FDA drug label (Stribild), Gilead Sciences, Inc., effective February 4, 2025 (SPL set 74ae2a93-b267-444c-8f0f-a2a6522260ee), via openFDA; the full label on DailyMed

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

Sertraline's label (effective August 8, 2023) and its 2 other brand-application labels do not name cobicistat, elvitegravir, emtricitabine and tenofovir disoproxil 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 disoproxil generic labelers
47Sertraline generic labelers
Cobicistat, elvitegravir, emtricitabine and tenofovir disoproxilSertraline
Labeled forHIVDepression, Anxiety
Boxed warningYesYes
Pharmacy cost (NADAC)$150.14 per tablet Stribild 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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