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What the FDA labels say about taking them together

Cilostazol and nirmatrelvir/ritonavir

Nirmatrelvir/ritonavir's FDA label of February 19, 2026 names cilostazol in its drug interactions section; the cilostazol label PlainMeds reads does not name nirmatrelvir/ritonavir. The nirmatrelvir/ritonavir label: “Drug Class: cilostazol; Drugs within Class: ↑ cilostazol; Effect on Concentration: Dosage adjustment of cilostazol is recommended. Refer to the cilostazol prescribing information for more information.”

Check it at the source: the cilostazol FDA label on DailyMed (effective September 10, 2026, Apotex Corp.); the nirmatrelvir/ritonavir FDA label on DailyMed (effective February 19, 2026, Pfizer Laboratories Div Pfizer Inc).

What does the cilostazol label say about nirmatrelvir/ritonavir?

Cilostazol's label (effective September 10, 2026) 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 (cilostazol), Apotex Corp., effective September 10, 2026 (SPL set ceac1ae3-c343-28ca-c083-b748d21a15e6), via openFDA; the full label on DailyMed

What does the nirmatrelvir/ritonavir label say about cilostazol?

Nirmatrelvir/ritonavir label, drug interactions

Drug Class: cilostazol; Drugs within Class: ↑ cilostazol; Effect on Concentration: Dosage adjustment of cilostazol is recommended. Refer to the cilostazol 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

9Cilostazol generic labelers
0Nirmatrelvir/ritonavir generic labelers
CilostazolNirmatrelvir/ritonavir
Labeled forn/aCOVID-19
Boxed warningYesYes
Pharmacy cost (NADAC)$0.132 per tablet 100 mg tablet$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?