Nirmatrelvir/Ritonavir and Tamsulosin Interaction

Drug interaction information between Nirmatrelvir/Ritonavir and Tamsulosin.

Nirmatrelvir/Ritonavir and Tamsulosin have a documented moderate interaction in FDA labeling.

FDA drug labeling documents a moderate-severity interaction between Nirmatrelvir/Ritonavir and Tamsulosin. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Nirmatrelvir/Ritonavir

Antiviral (Protease Inhibitor Combination)

Drug B

Tamsulosin

Alpha-1 Adrenergic Blocker

How They Interact

This treatment stops your body from breaking down tamsulosin. This causes the drug to stay in your system longer and reach levels that could be harmful.

FDA Label Information

Alpha 1- adrenoreceptor antagonist tamsulosin ↑ tamsulosin Avoid concomitant use with PAXLOVID.

Tamsulosin Also Interacts With

View all Tamsulosin interactions →

Frequently Asked Questions

What SPL severity band is on file for Nirmatrelvir/Ritonavir + Tamsulosin?

Compiled FDA labeling labels this pair moderate. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Nirmatrelvir/Ritonavir has 86 labeled pairs on file vs Tamsulosin's 18. In the moderate band specifically: Nirmatrelvir/Ritonavir has 30 (also Amlodipine, Fluticasone, Apixaban, Clopidogrel); Tamsulosin has 8 (also Paroxetine, Warfarin, Erythromycin, Terbinafine).

What mechanism field is on file for Nirmatrelvir/Ritonavir and Tamsulosin?

This treatment stops your body from breaking down tamsulosin. This causes the drug to stay in your system longer and reach levels that could be harmful.

Nirmatrelvir/Ritonavir carries more major-labeled pairs than Tamsulosin

SPL source-record counts only. This page's band is moderate · classes on file: Nirmatrelvir/Ritonavir (Antiviral (Protease Inhibitor Combination)); Tamsulosin (Alpha-1 Adrenergic Blocker).

Nirmatrelvir/Ritonavir has 23 major-labeled pairs vs Tamsulosin's 1. This page itself is in the moderate band, not the major band.

Nirmatrelvir/Ritonavir

23 major · 30 moderate · 33 minor · 86 total

Tamsulosin

1 major · 8 moderate · 9 minor · 18 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.