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What the FDA labels say about taking them together

Midazolam and tecovirimat

Tecovirimat's FDA label of December 31, 2025 names midazolam in its drug interactions section; the midazolam labels PlainMeds reads (4) do not name tecovirimat. The tecovirimat label: “Monitor for effectiveness of midazolam.”

Check it at the source: the midazolam FDA label on DailyMed (effective January 1, 2024, Fresenius Kabi USA, LLC); the tecovirimat FDA label on DailyMed (effective December 31, 2025, SIGA Technologies, Inc.).

What does the midazolam label say about tecovirimat?

Midazolam's label (effective January 1, 2024) and its 3 other brand-application labels do not name tecovirimat in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Midazolam), Fresenius Kabi USA, LLC, effective January 1, 2024 (SPL set 1cc9ba6e-fa1b-405e-9de8-720c567b2a73), via openFDA; the full label on DailyMed

What does the tecovirimat label say about midazolam?

Tecovirimat label, drug interactions

Concomitant Drug Class/Drug Name: Midazolam b; Effect on Concentration a: ↓ midazolam; Clinical Effect/Recommendation: Monitor for effectiveness of midazolam.

Source: FDA drug label (TPOXX), SIGA Technologies, Inc., effective December 31, 2025 (SPL set fce826ab-4d6a-4139-a2ee-a304a913a253), 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

22Midazolam generic labelers
0Tecovirimat generic labelers
MidazolamTecovirimat
Labeled forn/an/a
Boxed warningYesNo
Pharmacy cost (NADAC)$0.233 per mL 2 mg/2 mL vialn/a
Shortage nowIn shortageNo 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?