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What the FDA labels say about taking them together

Nirmatrelvir/ritonavir and quetiapine

Nirmatrelvir/ritonavir's FDA label of February 19, 2026 names quetiapine in its drug interactions section; the quetiapine labels PlainMeds reads (2) do not name nirmatrelvir/ritonavir. The nirmatrelvir/ritonavir label: “If co-administration is necessary, reduce quetiapine dose and monitor for quetiapine-associated adverse reactions. Refer to the quetiapine prescribing information for recommendations.”

Check it at the source: the nirmatrelvir/ritonavir FDA label on DailyMed (effective February 19, 2026, Pfizer Laboratories Div Pfizer Inc); the quetiapine FDA label on DailyMed (effective April 10, 2026, H2-Pharma, LLC).

What does the nirmatrelvir/ritonavir label say about quetiapine?

Nirmatrelvir/ritonavir label, drug interactions

Drug Class: Antipsychotics; Drugs within Class: quetiapine; Effect on Concentration: ↑ quetiapine; Clinical Comments: If co-administration is necessary, reduce quetiapine dose and monitor for quetiapine-associated adverse reactions. Refer to the quetiapine prescribing information for recommendations.

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

What does the quetiapine label say about nirmatrelvir/ritonavir?

Quetiapine's label (effective April 10, 2026) and its 1 other brand-application label do 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 (SEROQUEL), NDA020639 (Cheplapharm), as published by H2-Pharma, LLC, effective April 10, 2026 (SPL set 8ae62aaf-f8c5-417f-baac-0098369ca322), 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.

These are the ingredient's own label sentences, repeated in a combination product's or a biosimilar's label. The ingredient pair sets them out with both labels side by side.

Both medicines on the record

0Nirmatrelvir/ritonavir generic labelers
48Quetiapine generic labelers
Nirmatrelvir/ritonavirQuetiapine
Labeled forCOVID-19Schizophrenia, Bipolar disorder, Depression
Boxed warningYesYes
Pharmacy cost (NADAC)$49.24 per unit 300-100 mg dose pack$0.127 per tablet 300 mg tablet
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)

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