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What the FDA labels say about taking them together

Dolutegravir and efavirenz

Dolutegravir's FDA label of May 22, 2026 names efavirenz in its drug interactions section; the efavirenz label PlainMeds reads does not name dolutegravir. The dolutegravir label: “Adjust dose of TIVICAY to twice daily for treatment-naïve and treatment-experienced, INSTI-naïve adult patients. In pediatric patients, increase the weight-based dose of TIVICAY or TIVICAY PD to twice daily. …”

Check it at the source: the dolutegravir FDA label on DailyMed (effective May 22, 2026, ST. MARY'S MEDICAL PARK PHARMACY); the efavirenz FDA label on DailyMed (effective March 31, 2024, Cipla USA Inc.).

What does the dolutegravir label say about efavirenz?

Dolutegravir label, drug interactions

Concomitant Drug Class/Drug Name: Non-nucleoside reverse transcriptase inhibitor: Efavirenz a; Effect on Concentration of Dolutegravir and/or Concomitant Drug: ↓Dolutegravir; Clinical Comment: Adjust dose of TIVICAY to twice daily for treatment-naïve and treatment-experienced, INSTI-naïve adult patients. In pediatric patients, increase the weight-based dose of TIVICAY or TIVICAY PD to twice daily (Tables,, and). Use alternative combinations that do not include metabolic inducers where possible for INSTI-experienced patients with certain INSTI-associated resistance substitutions or clinically suspected INSTI resistance. b

Source: FDA drug label (Tivicay), NDA204790 (Viiv Hlthcare), as published by ST. MARY'S MEDICAL PARK PHARMACY, effective May 22, 2026 (SPL set 485bc9db-8665-9f5a-e063-6394a90a7921), via openFDA; the full label on DailyMed

What does the efavirenz label say about dolutegravir?

Efavirenz's label (effective March 31, 2024) does not name dolutegravir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Efavirenz), Cipla USA Inc., effective March 31, 2024 (SPL set 92603fa5-7a2c-4bfb-9a70-aadb4fba952c), 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

0Dolutegravir generic labelers
5Efavirenz generic labelers
DolutegravirEfavirenz
Labeled forHIVHIV
Boxed warningNoNo
Pharmacy cost (NADAC)$77.64 per tablet 50 mg tablet$1.28 per tablet 600 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?