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What the FDA labels say about taking them together

Darunavir and ethinyl estradiol/segesterone

Ethinyl estradiol/segesterone's FDA label of April 23, 2025 names darunavir in its drug interactions section; the darunavir label PlainMeds reads does not name ethinyl estradiol/segesterone. The ethinyl estradiol/segesterone label: “Significant decreases in systemic exposure of estrogen and/or progestin have been noted when CHCs are co-administered with some HIV protease inhibitors, some HCV protease inhibitors, and some non-nucleoside reverse …”

Check it at the source: the darunavir FDA label on DailyMed (effective August 29, 2025, Janssen Products LP); the ethinyl estradiol/segesterone FDA label on DailyMed (effective April 23, 2025).

What does the darunavir label say about ethinyl estradiol/segesterone?

Darunavir's label (effective August 29, 2025) does not name ethinyl estradiol/segesterone in these sections. A label lists what its studies and reports found; it is not a complete list.

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 ethinyl estradiol/segesterone label say about darunavir?

Ethinyl estradiol/segesterone label, drug interactions

Significant decreases in systemic exposure of estrogen and/or progestin have been noted when CHCs are co-administered with some HIV protease inhibitors (eg, nelfinavir, ritonavir, darunavir/ritonavir, (fos)amprenavir/ritonavir, lopinavir/ritonavir, and tipranavir/ritonavir), some HCV protease inhibitors (eg, boceprevir and telaprevir), and some non-nucleoside reverse transcriptase inhibitors (eg, nevirapine).

Source: FDA drug label (Annovera), Mayne Pharma, effective April 23, 2025 (SPL set eb18194f-2021-41fa-8bdf-31e0c0eb646b), 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
0Ethinyl estradiol/segesterone generic labelers
DarunavirEthinyl estradiol/segesterone
Labeled forHIVBirth control
Boxed warningNoYes
Pharmacy cost (NADAC)$1.16 per tablet 600 mg tablet$2,315.29 per ring Annovera vaginal ring
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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