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What the FDA labels say about taking them together

Darunavir and naloxegol

Darunavir's FDA label of August 29, 2025 names naloxegol in its contraindications section; the naloxegol label PlainMeds reads does not name darunavir. The darunavir label: “Co-administration of PREZISTA/ritonavir and naloxegol is contraindicated due to potential for precipitating opioid withdrawal symptoms.”

Check it at the source: the darunavir FDA label on DailyMed (effective August 29, 2025, Janssen Products LP); the naloxegol FDA label on DailyMed (effective September 1, 2026, Averitas Pharma, Inc.).

What does the darunavir label say about naloxegol?

Darunavir label, contraindications

St. John's wort ( Hypericum perforatum ) Hepatitis C direct acting antiviral: elbasvir/grazoprevir Lipid modifying agents: lomitapide, lovastatin, simvastatin Opioid Antagonist: naloxegol PDE-5 inhibitor: sildenafil when used for treatment of pulmonary arterial hypertension Sedatives/hypnotics: orally administered midazolam, triazolam Co-administration of PREZISTA/ritonavir is contraindicated with drugs that are highly dependent on CYP3A for clearance and for which elevated plasma concentrations are associated with serious and/or life-threatening events (narrow therapeutic index).

Darunavir label, drug interactions

Concomitant Drug Class Drug Name Examples: naloxegol; Effect on Concentration of Darunavir Or Concomitant Drug: ↑ naloxegol; Clinical Comment: Co-administration of PREZISTA/ritonavir and naloxegol is contraindicated due to potential for precipitating opioid withdrawal symptoms.

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 naloxegol label say about darunavir?

Naloxegol's label (effective September 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 (MOVANTIK), Averitas Pharma, Inc., effective September 1, 2026 (SPL set 28596788-b73f-4247-85fc-3105f51fff5a), 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
0Naloxegol generic labelers
DarunavirNaloxegol
Labeled forHIVn/a
Boxed warningNoNo
Pharmacy cost (NADAC)$1.16 per tablet 600 mg tablet$14.61 per tablet 25 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?