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What the FDA labels say about taking them together

Fostemsavir and simvastatin

Fostemsavir's FDA label of February 13, 2024 names simvastatin in its drug interactions section; the simvastatin label PlainMeds reads does not name fostemsavir. The fostemsavir label: “Use the lowest possible starting dose for statins and monitor for statin-associated adverse events.”

Check it at the source: the fostemsavir FDA label on DailyMed (effective February 13, 2024, ViiV Healthcare Company); the simvastatin FDA label on DailyMed (effective March 28, 2025, Organon LLC).

What does the fostemsavir label say about simvastatin?

Fostemsavir label, drug interactions

Concomitant Drug Class/Drug Name: Statins: Rosuvastatin b Atorvastatin Fluvastatin Pitavastatin Simvastatin; Effect on Concentration of Temsavir and/or Concomitant Drug: ↑Rosuvastatin ↑Atorvastatin ↑Fluvastatin ↑Pitavastatin ↑Simvastatin; Clinical Comment: Use the lowest possible starting dose for statins and monitor for statin-associated adverse events.

Source: FDA drug label (Rukobia), ViiV Healthcare Company, effective February 13, 2024 (SPL set a21006b7-6d6f-4f06-81b4-17978756452b), via openFDA; the full label on DailyMed

What does the simvastatin label say about fostemsavir?

Simvastatin's label (effective March 28, 2025) does not name fostemsavir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (ZOCOR), Organon LLC, effective March 28, 2025 (SPL set 8f55d5de-5a4f-4a39-8c84-c53976dd6af9), 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

0Fostemsavir generic labelers
27Simvastatin generic labelers
FostemsavirSimvastatin
Labeled forHIVHeart attack and coronary artery disease, High cholesterol, High triglycerides
Boxed warningNoNo
Pharmacy cost (NADAC)$156.84 per tablet 600 mg tablet$0.0321 per tablet 20 mg tablet
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)

What next?