Tenofovir Disoproxil and Ledipasvir/Sofosbuvir Interaction

Drug interaction information between Tenofovir Disoproxil and Ledipasvir/Sofosbuvir.

Tenofovir Disoproxil and Ledipasvir/Sofosbuvir have a documented minor interaction in FDA labeling.

FDA drug labeling documents a minor-severity interaction between Tenofovir Disoproxil and Ledipasvir/Sofosbuvir. 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

Ledipasvir/Sofosbuvir

NS5A/NS5B Inhibitor (HCV)

How They Interact

Taking these drugs together can increase the amount of tenofovir in your blood.

FDA Label Information

Hepatitis C Antiviral Agents: sofosbuvir/velpatasvir sofosbuvir/velpatasvir/ voxilaprevir ledipasvir/sofosbuvir ↑ tenofovir Monitor patients receiving tenofovir disoproxil fumarate tablets concomitantly with EPCLUSA ® (sofosbuvir/velpatasvir) or VOSEVI ® (sofosbuvir/velpatasvir/voxilaprevir) for adverse reactions associated with tenofovir DF. Monitor patients receiving tenofovir disoproxil fumarate tablets concomitantly with HARVONI ® (ledipasvir/sofosbuvir) without an HIV-1 protease inhibitor/ritonavir or an HIV-1 protease inhibitor/cobicistat combination for adverse reactions associated...

Ledipasvir/Sofosbuvir Also Interacts With

View all Ledipasvir/Sofosbuvir interactions →

Frequently Asked Questions

What SPL severity band is on file for Tenofovir Disoproxil + Ledipasvir/Sofosbuvir?

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?

Ledipasvir/Sofosbuvir has 22 labeled pairs on file vs Tenofovir Disoproxil's 14. In the minor band specifically: Tenofovir Disoproxil has 13 (also Valacyclovir, Acyclovir, Gentamicin, Darunavir); Ledipasvir/Sofosbuvir has 17 (also Omeprazole, Pravastatin, Warfarin, Verapamil).

What mechanism field is on file for Tenofovir Disoproxil and Ledipasvir/Sofosbuvir?

Taking these drugs together can increase the amount of tenofovir in your blood.

Ledipasvir/Sofosbuvir's labeled portfolio outnumbers Tenofovir Disoproxil

SPL source-record counts only. This page's band is minor · classes on file: Tenofovir Disoproxil (Nucleotide Reverse Transcriptase Inhibitor); Ledipasvir/Sofosbuvir (NS5A/NS5B Inhibitor (HCV)).

Tenofovir Disoproxil

0 major · 1 moderate · 13 minor · 14 total

Ledipasvir/Sofosbuvir

0 major · 5 moderate · 17 minor · 22 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.