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What the FDA labels say about taking them together

Etravirine and sirolimus

Etravirine's FDA label of August 15, 2023 names sirolimus in its drug interactions section; the sirolimus labels PlainMeds reads (4) do not name etravirine. The etravirine label: “INTELENCE and systemic immunosuppressants should be co-administered with caution because plasma concentrations of cyclosporine, sirolimus, or tacrolimus may be affected.”

Check it at the source: the etravirine FDA label on DailyMed (effective August 15, 2023, Janssen Products LP); the sirolimus FDA label on DailyMed (effective January 28, 2026, Glenmark Pharmaceuticals Inc., USA).

What does the etravirine label say about sirolimus?

Etravirine label, drug interactions

Concomitant Drug Class/Drug Name: Immunosuppressants: cyclosporine sirolimus tacrolimus; Effect on Concentration of Etravirine or Concomitant Drug: ↓ immunosuppressant; Clinical Comment: INTELENCE and systemic immunosuppressants should be co-administered with caution because plasma concentrations of cyclosporine, sirolimus, or tacrolimus may be affected.

Source: FDA drug label (Intelence), Janssen Products LP, effective August 15, 2023 (SPL set 6a9cbc29-9f15-4b24-8d86-206b82887f3d), via openFDA; the full label on DailyMed

What does the sirolimus label say about etravirine?

Sirolimus's label (effective January 28, 2026) and its 3 other brand-application labels do not name etravirine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (sirolimus), Glenmark Pharmaceuticals Inc., USA, effective January 28, 2026 (SPL set 57fb4d90-3ccb-4a69-af1e-53be83f7a504), 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

5Etravirine generic labelers
17Sirolimus generic labelers
EtravirineSirolimus
Labeled forHIVOrgan transplant rejection
Boxed warningNoYes
Pharmacy cost (NADAC)$9.94 per tablet 200 mg tablet$0.723 per tablet 1 mg tablet
Shortage nowA presentation being discontinuedNo 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?