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What the FDA labels say about taking them together

Lenacapavir and midazolam

Lenacapavir's FDA label of August 27, 2026 names midazolam in its drug interactions section; the midazolam labels PlainMeds reads (4) do not name lenacapavir.

Check it at the source: the lenacapavir FDA label on DailyMed (effective August 27, 2026, Gilead Sciences, Inc.); the midazolam FDA label on DailyMed (effective January 1, 2024, Fresenius Kabi USA, LLC).

What does the lenacapavir label say about midazolam?

Lenacapavir label, drug interactions

Concomitant Drug Class/Drug Name: Sedatives/Hypnotics: midazolam (oral) triazolam; Effect on Concentration ↑ = Increase, ↓ = Decrease.: ↑ midazolam (oral) ↑ triazolam; Clinical Comment: Use with caution when midazolam or triazolam is concomitantly administered with SUNLENCA

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 midazolam label say about lenacapavir?

Midazolam's label (effective January 1, 2024) and its 3 other brand-application labels do 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 (Midazolam), Fresenius Kabi USA, LLC, effective January 1, 2024 (SPL set 1cc9ba6e-fa1b-405e-9de8-720c567b2a73), 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
22Midazolam generic labelers
LenacapavirMidazolam
Labeled forHIVn/a
Boxed warningNoYes
Pharmacy cost (NADAC)n/a$0.233 per mL 2 mg/2 mL vial
Shortage nowNo current entryIn shortage

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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