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What the FDA labels say about taking them together

Ribavirin and sofosbuvir

Sofosbuvir's FDA label of December 26, 2024 names ribavirin in its contraindications section; the ribavirin labels PlainMeds reads (2) do not name sofosbuvir.

Check it at the source: the ribavirin FDA label on DailyMed (effective February 6, 2024, Aurobindo Pharma Limited); the sofosbuvir FDA label on DailyMed (effective December 26, 2024, Gilead Sciences, Inc.).

What does the ribavirin label say about sofosbuvir?

Ribavirin's label (effective February 6, 2024) and its 1 other brand-application label do not name sofosbuvir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Ribavirin), Aurobindo Pharma Limited, effective February 6, 2024 (SPL set eee304d0-c2ea-44f4-97d9-92a414d31b6c), via openFDA; the full label on DailyMed

What does the sofosbuvir label say about ribavirin?

Sofosbuvir label, contraindications

CONTRAINDICATIONS When SOVALDI is used in combination with ribavirin or peginterferon alfa/ribavirin, the contraindications applicable to those agents are applicable to combination therapies.

Source: FDA drug label (Sovaldi), Gilead Sciences, Inc., effective December 26, 2024 (SPL set 80beab2c-396e-4a37-a4dc-40fdb62859cf), 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

1Ribavirin generic labelers
0Sofosbuvir generic labelers
RibavirinSofosbuvir
Labeled forHepatitis CHepatitis C
Boxed warningYesYes
Pharmacy cost (NADAC)$0.451 per tablet 200 mg tabletn/a
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?