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What the FDA labels say about taking them together

Darunavir and desipramine

Darunavir's FDA label of August 29, 2025 names desipramine in its drug interactions section; the desipramine labels PlainMeds reads (2) do not name darunavir. The darunavir label: “Use a lower dose of the tricyclic antidepressants and trazodone due to potential increased adverse events such as nausea, dizziness, hypotension and syncope.”

Check it at the source: the darunavir FDA label on DailyMed (effective August 29, 2025, Janssen Products LP); the desipramine FDA label on DailyMed (effective July 9, 2025, Alembic Pharmaceuticals Inc.).

What does the darunavir label say about desipramine?

Darunavir label, drug interactions

Concomitant Drug Class Drug Name Examples: amitriptyline, desipramine, imipramine, nortriptyline; Effect on Concentration of Darunavir Or Concomitant Drug: ↑ amitriptyline ↑ desipramine ↑ imipramine ↑ nortriptyline; Clinical Comment: Use a lower dose of the tricyclic antidepressants and trazodone due to potential increased adverse events such as nausea, dizziness, hypotension and syncope.

Source: FDA drug label (PREZISTA), Janssen Products LP, effective August 29, 2025 (SPL set 814301f9-c990-46a5-b481-2879a521a16f), via openFDA; the full label on DailyMed

What does the desipramine label say about darunavir?

Desipramine's label (effective July 9, 2025) and its 1 other brand-application label do not name darunavir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (DESIPRAMINE HYDROCHLORIDE), Alembic Pharmaceuticals Inc., effective July 9, 2025 (SPL set cad14805-64d8-4257-b5f1-d56e0063f0e2), 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

13Darunavir generic labelers
9Desipramine generic labelers
DarunavirDesipramine
Labeled forHIVDepression
Boxed warningNoYes
Pharmacy cost (NADAC)$1.16 per tablet 600 mg tablet$0.276 per tablet 75 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)

What next?