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What the FDA labels say about taking them together

Sofosbuvir/velpatasvir and tenofovir disoproxil

Tenofovir disoproxil's FDA label of June 7, 2024 names sofosbuvir/velpatasvir in its drug interactions section; the sofosbuvir/velpatasvir label PlainMeds reads does not name tenofovir disoproxil. The tenofovir disoproxil label: “Hepatitis C Antiviral Agents: sofosbuvir/velpatasvir sofosbuvir/velpatasvir/ voxilaprevir ledipasvir/sofosbuvir ↑ tenofovir Monitor patients receiving tenofovir disoproxil fumarate concomitantly with EPCLUSA ® …”

Check it at the source: the sofosbuvir/velpatasvir FDA label on DailyMed (effective June 5, 2024, Gilead Sciences, Inc.); the tenofovir disoproxil FDA label on DailyMed (effective June 7, 2024, Aurobindo Pharma Limited).

What does the sofosbuvir/velpatasvir label say about tenofovir disoproxil?

Sofosbuvir/velpatasvir's label (effective June 5, 2024) does not name tenofovir disoproxil in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Epclusa), Gilead Sciences, Inc., effective June 5, 2024 (SPL set 7f30631a-ee3b-4cfe-866b-964df3f0a44f), via openFDA; the full label on DailyMed

What does the tenofovir disoproxil label say about sofosbuvir/velpatasvir?

Tenofovir disoproxil label, drug interactions

Hepatitis C Antiviral Agents: sofosbuvir/velpatasvir sofosbuvir/velpatasvir/ voxilaprevir ledipasvir/sofosbuvir ↑ tenofovir Monitor patients receiving tenofovir disoproxil fumarate concomitantly with EPCLUSA ® (sofosbuvir/velpatasvir) for adverse reactions associated with TDF.

Viread label (Gilead Sciences, Inc., February 18, 2025), drug interactions

Named in a table that the FDA label file prints without its column breaks; the full label shows the table.

Source: FDA drug label (Viread, NDA021356), Gilead Sciences, Inc., effective February 18, 2025 (SPL set 33fd6418-fbdc-42ca-a50d-ce2a476a5418), via openFDA

Source: FDA drug label (Tenofovir Disoproxil Fumarate), Aurobindo Pharma Limited, effective June 7, 2024 (SPL set a75c6be8-3719-4bb3-8a9e-06e5254d2a82), 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

0Sofosbuvir/velpatasvir generic labelers
15Tenofovir disoproxil generic labelers
Sofosbuvir/velpatasvirTenofovir disoproxil
Labeled forHepatitis CHIV, Hepatitis B
Boxed warningYesYes
Pharmacy cost (NADAC)$278.03 per unit 400-100$0.294 per tablet 300 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)

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