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What the FDA labels say about taking them together

Doravirine/islatravir and emtricitabine

Doravirine/islatravir's FDA label of April 20, 2026 names emtricitabine in its contraindications section; the emtricitabine label PlainMeds reads does not name doravirine/islatravir. The doravirine/islatravir label: “Co-administration is contraindicated with lamivudine or emtricitabine.”

Check it at the source: the doravirine/islatravir FDA label on DailyMed (effective April 20, 2026, Merck Sharp & Dohme LLC); the emtricitabine FDA label on DailyMed (effective December 2, 2025, Gilead Sciences, Inc.).

What does the doravirine/islatravir label say about emtricitabine?

Doravirine/islatravir label, contraindications

CONTRAINDICATIONS IDVYNSO is contraindicated when co-administered with: drugs that are strong cytochrome P450 (CYP)3A enzyme inducers as significant decreases in doravirine plasma concentrations may occur, which may decrease the effectiveness of IDVYNSO [see Warnings and Precautions (5.2), Drug Interactions (7.2), and Clinical Pharmacology (12.3) ]. lamivudine (3TC) or emtricitabine (FTC) as significant decreases in islatravir-triphosphate (ISL-TP) concentrations may occur, which may decrease the effectiveness of IDVYNSO [see Warnings and Precautions (5.2), Drug Interactions (7.2) and Clinical Pharmacology (12.3) ].

Doravirine/islatravir label, drug interactions

Concomitant Drug Class/Drug Name: Anti-virals lamivudine emtricitabine; Effect on Concentration: ↓ ISL-TP; Clinical Comment: Co-administration is contraindicated with lamivudine or emtricitabine.

Source: FDA drug label (IDVYNSO), NDA216964 (Msd), as published by Merck Sharp & Dohme LLC, effective April 20, 2026 (SPL set 11aaeb53-9848-433c-be7f-db8a5bc0b26f), via openFDA; the full label on DailyMed

What does the emtricitabine label say about doravirine/islatravir?

Emtricitabine's label (effective December 2, 2025) does not name doravirine/islatravir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Emtriva), Gilead Sciences, Inc., effective December 2, 2025 (SPL set d6599395-3944-44f9-97f2-e0424c6b6a1f), 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

0Doravirine/islatravir generic labelers
2Emtricitabine generic labelers
Doravirine/islatravirEmtricitabine
Labeled forHIVHIV
Boxed warningNoYes
Pharmacy cost (NADAC)n/a$12.69 per capsule 200 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?