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What the FDA labels say about taking them together

Buprenorphine/naloxone and glecaprevir/pibrentasvir

Glecaprevir/pibrentasvir's FDA label of June 25, 2025 names buprenorphine/naloxone in its drug interactions section; the buprenorphine/naloxone labels PlainMeds reads (3) do not name glecaprevir/pibrentasvir. The glecaprevir/pibrentasvir label: “See Clinical Pharmacology, Tables 10 and 11. ↑= increase; ↓= decrease; ↔ = no effect 7.4 Medication-Assisted Treatment (MAT) for Opioid Use Disorder No buprenorphine/naloxone or methadone dosage adjustment is required …”

Check it at the source: the buprenorphine/naloxone FDA label on DailyMed (effective July 26, 2026, Hikma Pharmaceuticals USA Inc.); the glecaprevir/pibrentasvir FDA label on DailyMed (effective June 25, 2025, AbbVie Inc.).

What does the buprenorphine/naloxone label say about glecaprevir/pibrentasvir?

Buprenorphine/naloxone's label (effective July 26, 2026) and its 2 other brand-application labels do not name glecaprevir/pibrentasvir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (buprenorphine and naloxone), Hikma Pharmaceuticals USA Inc., effective July 26, 2026 (SPL set 713db2c6-0544-4633-b874-cfbeaf93db89), via openFDA; the full label on DailyMed

What does the glecaprevir/pibrentasvir label say about buprenorphine/naloxone?

Glecaprevir/pibrentasvir label, drug interactions

See Clinical Pharmacology, Tables 10 and 11 . ↑= increase; ↓= decrease; ↔ = no effect 7.4 Medication-Assisted Treatment (MAT) for Opioid Use Disorder No buprenorphine/naloxone or methadone dosage adjustment is required when used concomitantly with MAVYRET.

Source: FDA drug label (Mavyret), AbbVie Inc., effective June 25, 2025 (SPL set 7bf99777-0401-9095-8645-16c6e907fcc0), 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

26Buprenorphine/naloxone generic labelers
0Glecaprevir/pibrentasvir generic labelers
Buprenorphine/naloxoneGlecaprevir/pibrentasvir
Labeled forOpioid use disorderHepatitis C
Boxed warningNoYes
Pharmacy cost (NADAC)$0.521 per tablet 2-0.5 mg sl tablet$152.98 per tablet 100-40 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?