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What the FDA labels say about taking them together

Darunavir and methylergonovine

Darunavir's FDA label of August 29, 2025 names methylergonovine in its contraindications section; the methylergonovine label PlainMeds reads does not name darunavir. The darunavir label: “Co-administration is contraindicated due to potential for serious and/or life-threatening reactions such as acute ergot toxicity characterized by peripheral vasospasm and ischemia of the extremities and other tissues.”

Check it at the source: the darunavir FDA label on DailyMed (effective August 29, 2025, Janssen Products LP); the methylergonovine FDA label on DailyMed (effective May 1, 2026, Teva Pharmaceuticals USA, Inc.).

What does the darunavir label say about methylergonovine?

Darunavir label, contraindications

Alpha 1-adrenoreceptor antagonist: alfuzosin Anti-gout: colchicine, in patients with renal and/or hepatic impairment Antimycobacterial: rifampin Antipsychotics: lurasidone, pimozide Cardiac Disorders: dronedarone, ivabradine, ranolazine Ergot derivatives, e.g. dihydroergotamine, ergotamine, methylergonovine Herbal product:

Darunavir label, drug interactions

Concomitant Drug Class Drug Name Examples: e.g. dihydroergotamine, ergotamine, methylergonovine; Effect on Concentration of Darunavir Or Concomitant Drug: ↑ ergot derivatives; Clinical Comment: Co-administration is contraindicated due to potential for serious and/or life-threatening reactions such as acute ergot toxicity characterized by peripheral vasospasm and ischemia of the extremities and other tissues.

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 methylergonovine label say about darunavir?

Methylergonovine's label (effective May 1, 2026) does 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 (Methylergonovine Maleate), Teva Pharmaceuticals USA, Inc., effective May 1, 2026 (SPL set d8e4b8ed-3289-4611-8a61-2392a4bf6072), 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
14Methylergonovine generic labelers
DarunavirMethylergonovine
Labeled forHIVn/a
Boxed warningNoNo
Pharmacy cost (NADAC)$1.16 per tablet 600 mg tablet$4.50 per tablet 0.2 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?