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What the FDA labels say about taking them together

Cortisone and lenacapavir

Lenacapavir's FDA label of August 27, 2026 names cortisone in its drug interactions section; the cortisone label PlainMeds reads does not name lenacapavir. The lenacapavir label: “Concomitant administration with systemic corticosteroids whose exposures are significantly increased by CYP3A inhibitors can increase the risk for Cushing's syndrome and adrenal suppression. …”

Check it at the source: the cortisone FDA label on DailyMed (effective June 6, 2025, Chartwell RX, LLC); the lenacapavir FDA label on DailyMed (effective August 27, 2026, Gilead Sciences, Inc.).

What does the cortisone label say about lenacapavir?

Cortisone's label (effective June 6, 2025) does not name lenacapavir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Cortisone Acetate), Chartwell RX, LLC, effective June 6, 2025 (SPL set cc158d11-f356-4696-8b73-5d2681dcbcf2), via openFDA; the full label on DailyMed

What does the lenacapavir label say about cortisone?

Lenacapavir label, drug interactions

Concomitant Drug Class/Drug Name: Corticosteroids (systemic): cortisone/hydrocortisone dexamethasone; Effect on Concentration ↑ = Increase, ↓ = Decrease.: ↑ corticosteroids (systemic); Clinical Comment: Concomitant administration with systemic corticosteroids whose exposures are significantly increased by CYP3A inhibitors can increase the risk for Cushing's syndrome and adrenal suppression. Initiate with the lowest starting dose and titrate carefully while monitoring for safety.

Source: FDA drug label (Sunlenca), Gilead Sciences, Inc., effective August 27, 2026 (SPL set e5652804-29c4-40d7-aeb2-0142ed2a7b5b), 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

1Cortisone generic labelers
0Lenacapavir generic labelers
CortisoneLenacapavir
Labeled forOsteoarthritis, Asthma, Allergies, Herpes and shingles, Leukemia, lymphoma and myeloma, Crohn's disease and ulcerative colitisHIV
Boxed warningNoNo
Pharmacy cost (NADAC)n/an/a
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)

What next?