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What the FDA labels say about taking them together

Efavirenz/lamivudine/tenofovir disoproxil and nicardipine

Efavirenz/lamivudine/tenofovir disoproxil's FDA label of October 15, 2019 names nicardipine in its drug interactions section; the nicardipine labels PlainMeds reads (2) do not name efavirenz/lamivudine/tenofovir disoproxil. The efavirenz/lamivudine/tenofovir disoproxil label: “When coadministered with EFV, dosage adjustment of calcium channel blocker may be needed and should be guided by clinical response.”

Check it at the source: the efavirenz/lamivudine/tenofovir disoproxil FDA label on DailyMed (effective October 15, 2019, Viatris Specialty LLC); the nicardipine FDA label on DailyMed (effective August 24, 2024, Hikma Pharmaceuticals USA Inc.).

What does the efavirenz/lamivudine/tenofovir disoproxil label say about nicardipine?

Efavirenz/lamivudine/tenofovir disoproxil label, drug interactions

Concomitant Drug/Class/Drug Name: Others (e.g., felodipine, nicardipine, nifedipine, verapamil); Effect: ↓ calcium channel blocker; Clinical Comment: When coadministered with EFV, dosage adjustment of calcium channel blocker may be needed and should be guided by clinical response (refer to the full prescribing information for the calcium channel blocker).

Source: FDA drug label (SYMFI), NDA022142 (Mylan Labs Ltd), as published by Viatris Specialty LLC, effective October 15, 2019 (SPL set 81a55dd9-78a8-49c3-88ab-8f5bffafa359), via openFDA; the full label on DailyMed

What does the nicardipine label say about efavirenz/lamivudine/tenofovir disoproxil?

Nicardipine's label (effective August 24, 2024) and its 1 other brand-application label do not name efavirenz/lamivudine/tenofovir disoproxil in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Nicardipine Hydrochloride), Hikma Pharmaceuticals USA Inc., effective August 24, 2024 (SPL set 18fb1c2b-0c1e-436c-a5b6-d4840b5da228), 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

1Efavirenz/lamivudine/tenofovir disoproxil generic labelers
25Nicardipine generic labelers
Efavirenz/lamivudine/tenofovir disoproxilNicardipine
Labeled forHIVHigh blood pressure, Angina
Boxed warningYesNo
Pharmacy cost (NADAC)n/a$1.12 per capsule 20 mg capsule
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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