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What the FDA labels say about taking them together

Cariprazine and nirmatrelvir/ritonavir

Nirmatrelvir/ritonavir's FDA label of February 19, 2026 names cariprazine in its drug interactions section; the cariprazine label PlainMeds reads does not name nirmatrelvir/ritonavir. The nirmatrelvir/ritonavir label: “Drug Class: aripiprazole, brexpiprazole, cariprazine, iloperidone, lumateperone, pimavanserin; Drugs within Class: ↑ aripiprazole ↑ brexpiprazole ↑ cariprazine ↑ iloperidone ↑ lumateperone ↑ pimavanserin; …”

Check it at the source: the cariprazine FDA label on DailyMed (effective December 18, 2025, Allergan, Inc.); the nirmatrelvir/ritonavir FDA label on DailyMed (effective February 19, 2026, Pfizer Laboratories Div Pfizer Inc).

What does the cariprazine label say about nirmatrelvir/ritonavir?

Cariprazine's label (effective December 18, 2025) does not name nirmatrelvir/ritonavir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Vraylar), NDA204370 (Abbvie), as published by Allergan, Inc., effective December 18, 2025 (SPL set 4b5f7c65-aa2d-452a-b3db-bc85c06ff12f), via openFDA; the full label on DailyMed

What does the nirmatrelvir/ritonavir label say about cariprazine?

Nirmatrelvir/ritonavir label, drug interactions

Drug Class: aripiprazole, brexpiprazole, cariprazine, iloperidone, lumateperone, pimavanserin; Drugs within Class: ↑ aripiprazole ↑ brexpiprazole ↑ cariprazine ↑ iloperidone ↑ lumateperone ↑ pimavanserin; Effect on Concentration: Dosage adjustment of aripiprazole, brexpiprazole, cariprazine, iloperidone, lumateperone, and pimavanserin is recommended. Refer to the individual product prescribing information for more information.

Source: FDA drug label (Paxlovid), Pfizer Laboratories Div Pfizer Inc, effective February 19, 2026 (SPL set 8a99d6d6-fd9e-45bb-b1bf-48c7f761232a), 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

0Cariprazine generic labelers
0Nirmatrelvir/ritonavir generic labelers
CariprazineNirmatrelvir/ritonavir
Labeled forSchizophrenia, Bipolar disorder, DepressionCOVID-19
Boxed warningYesYes
Pharmacy cost (NADAC)$50.84 per capsule 1.5 mg capsule$49.24 per unit 300-100 mg dose pack
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?