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What the FDA labels say about taking them together

Midazolam and nelfinavir

Nelfinavir's FDA label of December 11, 2025 names midazolam in its contraindications section; the midazolam labels PlainMeds reads (4) do not name nelfinavir. The nelfinavir label: “Sedative/Hypnotics Triazolam, oral midazolam Potential for serious and/or life threatening reactions such as prolonged or increased sedation or respiratory depression.”

Check it at the source: the midazolam FDA label on DailyMed (effective January 1, 2024, Fresenius Kabi USA, LLC); the nelfinavir FDA label on DailyMed (effective December 11, 2025, AGOURON).

What does the midazolam label say about nelfinavir?

Midazolam's label (effective January 1, 2024) and its 3 other brand-application labels do not name nelfinavir 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

What does the nelfinavir label say about midazolam?

Nelfinavir label, contraindications

Sedative/Hypnotics Triazolam, oral midazolam Potential for serious and/or life threatening reactions such as prolonged or increased sedation or respiratory depression.

Source: FDA drug label (VIRACEPT), AGOURON, effective December 11, 2025 (SPL set e72c2bc6-9462-4a2e-8e1d-b97592376cbd), 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

22Midazolam generic labelers
0Nelfinavir generic labelers
MidazolamNelfinavir
Labeled forn/aHIV
Boxed warningYesNo
Pharmacy cost (NADAC)$0.233 per mL 2 mg/2 mL vialn/a
Shortage nowIn shortageNo current entry

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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