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What the FDA labels say about taking them together

Darunavir and metoprolol

Darunavir's FDA label of August 29, 2025 names metoprolol in its drug interactions section; the metoprolol labels PlainMeds reads (4) do not name darunavir. The darunavir label: “Clinical monitoring of patients is recommended. A dose decrease may be needed for these drugs when co-administered with PREZISTA/ritonavir and a lower dose of the beta blocker should be considered.”

Check it at the source: the darunavir FDA label on DailyMed (effective August 29, 2025, Janssen Products LP); the metoprolol FDA label on DailyMed (effective March 3, 2026, Melinta Therapeutics, LLC).

What does the darunavir label say about metoprolol?

Darunavir label, drug interactions

Concomitant Drug Class Drug Name Examples: β-Blockers: e.g. carvedilol, metoprolol, timolol; Effect on Concentration of Darunavir Or Concomitant Drug: ↑ beta-blockers; Clinical Comment: Clinical monitoring of patients is recommended. A dose decrease may be needed for these drugs when co-administered with PREZISTA/ritonavir and a lower dose of the beta blocker should be considered.

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 metoprolol label say about darunavir?

Metoprolol's label (effective March 3, 2026) and its 3 other brand-application labels 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 (TOPROL XL), Melinta Therapeutics, LLC, effective March 3, 2026 (SPL set 496ddfaa-7c9c-4888-b747-a210249b367a), 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
74Metoprolol generic labelers
DarunavirMetoprolol
Labeled forHIVHigh blood pressure, Angina, Heart failure, Heart attack and coronary artery disease
Boxed warningNoNo
Pharmacy cost (NADAC)$1.16 per tablet 600 mg tablet$0.085 per tablet 100 mg tablet
Shortage nowNo current entryA presentation being discontinued

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?