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What the FDA labels say about taking them together

Nirmatrelvir/ritonavir and upadacitinib

Nirmatrelvir/ritonavir's FDA label of February 19, 2026 names upadacitinib in its drug interactions section; the upadacitinib label PlainMeds reads does not name nirmatrelvir/ritonavir. The nirmatrelvir/ritonavir label: “Drug Class: upadacitinib; Drugs within Class: ↑ upadacitinib; Effect on Concentration: Dosing recommendations for co-administration of upadacitinib with PAXLOVID depends on the upadacitinib indication. …”

Check it at the source: the nirmatrelvir/ritonavir FDA label on DailyMed (effective February 19, 2026, Pfizer Laboratories Div Pfizer Inc); the upadacitinib FDA label on DailyMed (effective June 30, 2026, AbbVie Inc.).

What does the nirmatrelvir/ritonavir label say about upadacitinib?

Nirmatrelvir/ritonavir label, drug interactions

Drug Class: upadacitinib; Drugs within Class: ↑ upadacitinib; Effect on Concentration: Dosing recommendations for co-administration of upadacitinib with PAXLOVID depends on the upadacitinib indication. Refer to the upadacitinib 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

What does the upadacitinib label say about nirmatrelvir/ritonavir?

Upadacitinib's label (effective June 30, 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 (Rinvoq), AbbVie Inc., effective June 30, 2026 (SPL set 2966aec7-2ef0-923c-d8ff-fe1a957bf095), 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

0Nirmatrelvir/ritonavir generic labelers
0Upadacitinib generic labelers
Nirmatrelvir/ritonavirUpadacitinib
Labeled forCOVID-19Rheumatoid arthritis, Crohn's disease and ulcerative colitis
Boxed warningYesYes
Pharmacy cost (NADAC)$49.24 per unit 300-100 mg dose pack$229.31 per tablet 15 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)

What next?