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What the FDA labels say about taking them together

Digoxin and lenacapavir

Lenacapavir's FDA label of August 27, 2026 names digoxin in its drug interactions section; the digoxin labels PlainMeds reads (3) do not name lenacapavir. The lenacapavir label: “Use with caution and monitor digoxin therapeutic concentration.”

Check it at the source: the digoxin FDA label on DailyMed (effective December 5, 2024, Advanz Pharma (US) Corp.); the lenacapavir FDA label on DailyMed (effective August 27, 2026, Gilead Sciences, Inc.).

What does the digoxin label say about lenacapavir?

Digoxin's label (effective December 5, 2024) and its 2 other brand-application labels do not name lenacapavir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (LANOXIN), Advanz Pharma (US) Corp., effective December 5, 2024 (SPL set d91e3646-4c63-4512-ab22-db39c085c4dc), via openFDA; the full label on DailyMed

What does the lenacapavir label say about digoxin?

Lenacapavir label, drug interactions

Concomitant Drug Class/Drug Name: Antiarrhythmics: digoxin; Effect on Concentration ↑ = Increase, ↓ = Decrease.: ↑ digoxin; Clinical Comment: Use with caution and monitor digoxin therapeutic concentration.

Source: FDA drug label (Sunlenca), Gilead Sciences, Inc., effective August 27, 2026 (SPL set e5652804-29c4-40d7-aeb2-0142ed2a7b5b), 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

26Digoxin generic labelers
0Lenacapavir generic labelers
DigoxinLenacapavir
Labeled forHeart failure, Atrial fibrillationHIV
Boxed warningNoNo
Pharmacy cost (NADAC)$0.133 per tablet 125 mcg tabletn/a
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)

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