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What the FDA labels say about taking them together

Darunavir and omeprazole

Darunavir's FDA label of August 29, 2025 names omeprazole in its drug interactions section; the omeprazole labels PlainMeds reads (2) do not name darunavir. The darunavir label: “When omeprazole is co-administered with PREZISTA/ritonavir, monitor patients for decreased efficacy of omeprazole. Consider increasing the omeprazole dose in patients whose symptoms are not well controlled; …”

Check it at the source: the darunavir FDA label on DailyMed (effective August 29, 2025, Janssen Products LP); the omeprazole FDA label on DailyMed (effective April 22, 2024, Apotex Corp).

What does the darunavir label say about omeprazole?

Darunavir label, drug interactions

Concomitant Drug Class Drug Name Examples: Proton pump inhibitor: omeprazole; Effect on Concentration of Darunavir Or Concomitant Drug: ↓ omeprazole ↔ darunavir; Clinical Comment: When omeprazole is co-administered with PREZISTA/ritonavir, monitor patients for decreased efficacy of omeprazole. Consider increasing the omeprazole dose in patients whose symptoms are not well controlled; avoid use of more than 40 mg per day of omeprazole.

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 omeprazole label say about darunavir?

Omeprazole's label (effective April 22, 2024) 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 (Omeprazole), Apotex Corp, effective April 22, 2024 (SPL set b83329ac-a65e-b3af-a3fb-c5a6c740e5e7), 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
118Omeprazole generic labelers
DarunavirOmeprazole
Labeled forHIVAcid reflux and ulcers
Boxed warningNoNo
Pharmacy cost (NADAC)$1.16 per tablet 600 mg tablet$0.0295 per capsule 20 mg capsule
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?