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What the FDA labels say about taking them together

Everolimus and ritonavir

Everolimus's FDA label (Zortress) of February 12, 2026 names ritonavir in its drug interactions section; the ritonavir label PlainMeds reads does not name everolimus. The everolimus label: “Concurrent treatment with strong inhibitors and inducers of CYP3A4 is not recommended.”

Check it at the source: the everolimus FDA label on DailyMed (effective June 1, 2026, Novartis Pharmaceuticals Corporation); the ritonavir FDA label on DailyMed (effective July 23, 2026, AbbVie Inc.).

What does the everolimus label say about ritonavir?

Zortress label (Novartis Pharmaceuticals Corporation, February 12, 2026), drug interactions

Concurrent treatment with strong inhibitors (e.g., ketoconazole, itraconazole, voriconazole, clarithromycin, telithromycin, ritonavir, boceprevir, telaprevir) and inducers (e.g., rifampin, rifabutin) of CYP3A4 is not recommended.

Zortress label (Novartis Pharmaceuticals Corporation, February 12, 2026), warnings and precautions

Inhibitors and Inducers of CYP3A4 Coadministration of Zortress with strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, voriconazole, clarithromycin, telithromycin, ritonavir, boceprevir, telaprevir) or strong CYP3A4 inducers (e.g., rifampin, rifabutin) is not recommended without close monitoring of everolimus whole blood trough concentrations [see Drug Interactions (7)].

Source: FDA drug label (Zortress, NDA021560), Novartis Pharmaceuticals Corporation, effective February 12, 2026 (SPL set e082a024-7850-400b-a5c2-2a140612562a), via openFDA

Source: FDA drug label (Afinitor), Novartis Pharmaceuticals Corporation, effective June 1, 2026 (SPL set 2150f73a-179b-4afc-b8ce-67c85cc72f04), via openFDA; the full label on DailyMed

What does the ritonavir label say about everolimus?

Ritonavir's label (effective July 23, 2026) does not name everolimus in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Norvir), AbbVie Inc., effective July 23, 2026 (SPL set 2849298e-de6e-47bb-8194-56e075b33fc3), 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

14Everolimus generic labelers
7Ritonavir generic labelers
EverolimusRitonavir
Labeled forBreast cancer, Seizures and epilepsy, Organ transplant rejectionHIV
Boxed warningNoYes
Pharmacy cost (NADAC)$26.32 per tablet 10 mg tablet$0.607 per tablet 100 mg tablet
Shortage nowA presentation being discontinuedA 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?