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What the FDA labels say about taking them together

Desipramine and ritonavir

Ritonavir's FDA label of July 23, 2026 names desipramine in its drug interactions section; the desipramine labels PlainMeds reads (2) do not name ritonavir. The ritonavir label: “Dosage reduction and concentration monitoring of desipramine is recommended.”

Check it at the source: the desipramine FDA label on DailyMed (effective July 9, 2025, Alembic Pharmaceuticals Inc.); the ritonavir FDA label on DailyMed (effective July 23, 2026, AbbVie Inc.).

What does the desipramine label say about ritonavir?

Desipramine's label (effective July 9, 2025) and its 1 other brand-application label do not name ritonavir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (DESIPRAMINE HYDROCHLORIDE), Alembic Pharmaceuticals Inc., effective July 9, 2025 (SPL set cad14805-64d8-4257-b5f1-d56e0063f0e2), via openFDA; the full label on DailyMed

What does the ritonavir label say about desipramine?

Ritonavir label, drug interactions

Concomitant Drug Class/Drug Name: Antidepressant: desipramine; Effect on Concentration of Ritonavir or Concomitant Drug: ↑ desipramine; Clinical Comment: Dosage reduction and concentration monitoring of desipramine is recommended.

Source: FDA drug label (Norvir), AbbVie Inc., effective July 23, 2026 (SPL set 2849298e-de6e-47bb-8194-56e075b33fc3), 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

9Desipramine generic labelers
7Ritonavir generic labelers
DesipramineRitonavir
Labeled forDepressionHIV
Boxed warningYesYes
Pharmacy cost (NADAC)$0.276 per tablet 75 mg tablet$0.607 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?