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What the FDA labels say about taking them together

Metoprolol and ritonavir

Ritonavir's FDA label of July 23, 2026 names metoprolol in its drug interactions section; the metoprolol labels PlainMeds reads (4) do not name ritonavir. The ritonavir label: “Caution is warranted and clinical monitoring of patients is recommended. A dose decrease may be needed for these drugs when co-administered with ritonavir.”

Check it at the source: the metoprolol FDA label on DailyMed (effective March 3, 2026, Melinta Therapeutics, LLC); the ritonavir FDA label on DailyMed (effective July 23, 2026, AbbVie Inc.).

What does the metoprolol label say about ritonavir?

Metoprolol's label (effective March 3, 2026) and its 3 other brand-application labels do not name ritonavir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (TOPROL XL), Melinta Therapeutics, LLC, effective March 3, 2026 (SPL set 496ddfaa-7c9c-4888-b747-a210249b367a), via openFDA; the full label on DailyMed

What does the ritonavir label say about metoprolol?

Ritonavir label, drug interactions

Concomitant Drug Class/Drug Name: β-Blockers: metoprolol, timolol; Effect on Concentration of Ritonavir or Concomitant Drug: ↑ beta-blockers; Clinical Comment: Caution is warranted and clinical monitoring of patients is recommended. A dose decrease may be needed for these drugs when co-administered with ritonavir.

Source: FDA drug label (Norvir), AbbVie Inc., effective July 23, 2026 (SPL set 2849298e-de6e-47bb-8194-56e075b33fc3), 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

74Metoprolol generic labelers
7Ritonavir generic labelers
MetoprololRitonavir
Labeled forHigh blood pressure, Angina, Heart failure, Heart attack and coronary artery diseaseHIV
Boxed warningNoYes
Pharmacy cost (NADAC)$0.085 per tablet 100 mg tablet$0.607 per tablet 100 mg tablet
Shortage nowA presentation being discontinuedA presentation being discontinued

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?