Tenofovir Disoproxil and Acyclovir Interaction

Drug interaction information between Tenofovir Disoproxil and Acyclovir.

Tenofovir Disoproxil and Acyclovir have a documented minor interaction in FDA labeling.

FDA drug labeling documents a minor-severity interaction between Tenofovir Disoproxil and Acyclovir. 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

Tenofovir Disoproxil

Nucleotide Reverse Transcriptase Inhibitor

Drug B

Acyclovir

Antiviral (Nucleoside Analog)

How They Interact

These two drugs are both filtered out of the body by the kidneys, which can increase the risk of kidney strain when used at the same time.

FDA Label Information

Some examples include, but are not limited to, acyclovir, cidofovir, ganciclovir, valacyclovir, valganciclovir, aminoglycosides (e.g., gentamicin), and high-dose or multiple NSAIDs [see Warnings and Precautions ( 5.2)].

Frequently Asked Questions

What SPL severity band is on file for Tenofovir Disoproxil + Acyclovir?

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

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

Tenofovir Disoproxil has 14 labeled pairs on file vs Acyclovir's 7. In the minor band specifically: Tenofovir Disoproxil has 13 (also Valacyclovir, Gentamicin, Darunavir, Ledipasvir/Sofosbuvir); Acyclovir has 7 (also Bictegravir, Cidofovir, Emtricitabine/Tenofovir, Meperidine).

What mechanism field is on file for Tenofovir Disoproxil and Acyclovir?

These two drugs are both filtered out of the body by the kidneys, which can increase the risk of kidney strain when used at the same time.

Tenofovir Disoproxil's labeled portfolio outnumbers Acyclovir

SPL source-record counts only. This page's band is minor · classes on file: Tenofovir Disoproxil (Nucleotide Reverse Transcriptase Inhibitor); Acyclovir (Antiviral (Nucleoside Analog)).

Tenofovir Disoproxil

0 major · 1 moderate · 13 minor · 14 total

Acyclovir

0 major · 0 moderate · 7 minor · 7 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.