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What the FDA labels say about taking them together

Lenacapavir and methylergonovine

Lenacapavir's FDA label of August 27, 2026 names methylergonovine in its drug interactions section; the methylergonovine label PlainMeds reads does not name lenacapavir. The lenacapavir label: “Concomitant administration of SUNLENCA with dihydroergotamine, ergotamine or methylergonovine is not recommended.”

Check it at the source: the lenacapavir FDA label on DailyMed (effective August 27, 2026, Gilead Sciences, Inc.); the methylergonovine FDA label on DailyMed (effective May 1, 2026, Teva Pharmaceuticals USA, Inc.).

What does the lenacapavir label say about methylergonovine?

Lenacapavir label, drug interactions

Concomitant Drug Class/Drug Name: Ergot derivatives: dihydroergotamine ergotamine methylergonovine; Effect on Concentration ↑ = Increase, ↓ = Decrease.: ↑ dihydroergotamine ↑ ergotamine ↑ methylergonovine; Clinical Comment: Concomitant administration of SUNLENCA with dihydroergotamine, ergotamine or methylergonovine is not recommended.

Source: FDA drug label (Sunlenca), Gilead Sciences, Inc., effective August 27, 2026 (SPL set e5652804-29c4-40d7-aeb2-0142ed2a7b5b), via openFDA; the full label on DailyMed

What does the methylergonovine label say about lenacapavir?

Methylergonovine's label (effective May 1, 2026) does not name lenacapavir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Methylergonovine Maleate), Teva Pharmaceuticals USA, Inc., effective May 1, 2026 (SPL set d8e4b8ed-3289-4611-8a61-2392a4bf6072), 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

0Lenacapavir generic labelers
14Methylergonovine generic labelers
LenacapavirMethylergonovine
Labeled forHIVn/a
Boxed warningNoNo
Pharmacy cost (NADAC)n/a$4.50 per tablet 0.2 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?