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What the FDA labels say about taking them together

Fluticasone and nelfinavir

Fluticasone's FDA label of December 19, 2024 names nelfinavir in its drug interactions (prescription label) section, and nelfinavir's label names fluticasone too. The nelfinavir label: “Concomitant use of fluticasone propionate and VIRACEPT may increase plasma concentrations of fluticasone propionate. Use with caution. Consider alternatives to fluticasone propionate, particularly for long-term use.”

Check it at the source: the fluticasone FDA label on DailyMed (effective December 19, 2024, Haleon US Holdings LLC); the nelfinavir FDA label on DailyMed (effective December 11, 2025, AGOURON).

What does the fluticasone label say about nelfinavir?

Fluticasone label, drug interactions (prescription label)

The use of strong CYP3A4 inhibitors (e.g., ritonavir, atazanavir, clarithromycin, indinavir, itraconazole, nefazodone, nelfinavir, saquinavir, ketoconazole, telithromycin, conivaptan, lopinavir, voriconazole) with XHANCE is not recommended because increased systemic corticosteroid adverse effects may occur.

Arnuity Ellipta label (GlaxoSmithKline LLC, October 18, 2023), warnings and precautions

Interactions with Strong Cytochrome P450 3A4 Inhibitors Caution should be exercised when considering the coadministration of ARNUITY ELLIPTA with ketoconazole and other known strong CYP3A4 inhibitors (including, but not limited to, ritonavir, clarithromycin, conivaptan, indinavir, itraconazole, lopinavir, nefazodone, nelfinavir, saquinavir, telithromycin, troleandomycin, voriconazole) because increased systemic corticosteroid adverse effects may occur [see Drug Interactions ( 7.1 ), Clinical Pharmacology ( 12.3 )].

Fluticasone Propionate Diskus label (Sportpharm LLC, July 28, 2026), warnings and precautions

Interactions with Strong Cytochrome P450 3A4 Inhibitors The use of strong cytochrome P450 3A4 (CYP3A4) inhibitors (e.g., ritonavir, atazanavir, clarithromycin, indinavir, itraconazole, nefazodone, nelfinavir, saquinavir, ketoconazole, telithromycin) with Fluticasone Propionate DISKUS is not recommended because increased systemic corticosteroid adverse effects may occur [see Drug Interactions ( 7.1 ), Clinical Pharmacology ( 12.3 )].

Source: FDA drug label (Arnuity Ellipta, NDA205625), GlaxoSmithKline LLC, effective October 18, 2023 (SPL set 50f193ee-1691-486d-9370-a664df63695c), via openFDA

Source: FDA drug label (Fluticasone Propionate Diskus, NDA020833), Sportpharm LLC, effective July 28, 2026 (SPL set 348cbd8c-edeb-499c-961d-3aeb5cc2cef1), via openFDA

Source: FDA drug label (FLONASE ALLERGY RELIEF), Haleon US Holdings LLC, effective December 19, 2024 (SPL set b6134ba0-b70a-4eac-9a82-cef64b242c1d), via openFDA; the full label on DailyMed

What does the nelfinavir label say about fluticasone?

Nelfinavir label, drug interactions

Concomitant Drug Class/Drug Name: Fluticasone; Effect on Concentration: ↑ fluticasone; Clinical Comment: Concomitant use of fluticasone propionate and VIRACEPT may increase plasma concentrations of fluticasone propionate. Use with caution. Consider alternatives to fluticasone propionate, particularly for long-term use.

Source: FDA drug label (VIRACEPT), AGOURON, effective December 11, 2025 (SPL set e72c2bc6-9462-4a2e-8e1d-b97592376cbd), 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

71Fluticasone generic labelers
0Nelfinavir generic labelers
FluticasoneNelfinavir
Labeled forAllergies, Asthma, Eczema (atopic dermatitis)HIV
Boxed warningNoNo
Pharmacy cost (NADAC)$0.243 per gram 0.05% creamn/a
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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