Drug & supplement interaction

Agave + Atazanavir, Cobicistat

Atazanavir, Cobicistat brand name: Evotaz.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Agave and Atazanavir, Cobicistat in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the label for Atazanavir, Cobicistat states a food rule worth keeping to, and the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Agave and Atazanavir, Cobicistat

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Atazanavir, Cobicistat and Agave in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Agave at all — not against Atazanavir, Cobicistat, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Agave safety at a glance

Agave overall Use caution Agave nectar is generally fine as a food, but medicinal use of the raw plant or sap is poorly studied and can irritate.
Pregnancy Likely Unsafe When used orally. Agave contains constituents that may be uterine stimulants, and it has traditionally been used to induce labor. Read the full pregnancy detail
Breastfeeding Avoid There is not enough safety information, so avoid medicinal use while breastfeeding.

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Atazanavir, Cobicistat and Agave? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

No Interaction Found — But Data Suggests Agave and Atazanavir, Cobicistat May Share a Side Effect

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do.

  • A skin rash Additional detail

    Agave

    “There are reports of acute irritant contact dermatitis due to agave exposure, especially to the sap. Oxalic acid crystals in the sap may be the cause of this irritation. Treatment with oral antihistamines and topical saline compresses have been shown to reduce skin lesions following agave exposure within 7-10 days.”

    Agave · Natural Medicines adverse-effect record, reported in dermatitis.

    6 sources cited
    1. 19626. High WA. Agave contact dermatitis. Am J Contact Dermat 2003;14(4):213-214. DOI
    2. 19627. Brazzelli V, Romano E, Balduzzi A, et al. Acute irritant contact dermatitis from Agave americana L. Contact Dermatitis 1995;33(1):60-61.
    3. 26145. Cherpelis BS, Fenske NA. Purpuric irritant contact dermatitis induced by Agave americana. Cutis 2000;66(4):287-8.
    4. 20014. Ricks MR, Vogel PS, Elston DM, et al. Purpuric agave dermatitis. J Am Acad Dermatol 1999;40(2 Pt 2):356-358. PubMed
    5. 20015. Kerner J, Mitchell J, Maibach HI. Irritant contact dermatitis from Agave americana L. Incorrect use of sap as "hair restorer". Arch Dermatol 1973;108(1):102-103. DOI
    6. 19622. Golan H, Landau M, Goldberg I, et al. [Dermatitis from contact with Agave americana]. Harefuah 2000;139(7-8):276-8, 326.

    Atazanavir, Cobicistat

    Listed in the ADVERSE REACTIONS section of the FDA label for Atazanavir, Cobicistat. Read the label on DailyMed ›

Effects for Atazanavir, Cobicistat come from the ADVERSE REACTIONS section of its FDA label; effects for Agave come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Special populations

Agave in Pregnancy & Breastfeeding

Pregnancy Likely Unsafe

When used orally. Agave contains constituents that may be uterine stimulants, and it has traditionally been used to induce labor.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

How to take them

Some Atazanavir, Cobicistat Products Have a Food Rule — Agave Should Not Break It

At least one FDA label for a product containing Atazanavir, Cobicistat says to take it with food. If you take Agave on an empty stomach out of habit, keep them separate — and take Atazanavir, Cobicistat with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Atazanavir, Cobicistat products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

(2.1) • Recommended dosage: One tablet once daily, taken orally with food in adults and pediatric patients weighing at least 35 kg.

From the Dosage and Administration section of the FDA label we read for Atazanavir, Cobicistat — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Overlapping uses

What Atazanavir, Cobicistat Is Prescribed For, and What Agave Has Been Studied For

These two come up together because they touch the same health topic — not because they do the same job. Atazanavir, Cobicistat is a prescription medicine with approved uses on its FDA label. Agave is a supplement: what follows is what researchers have looked at it for, and how strong that evidence is.

Atazanavir, Cobicistat is prescribed for: Evotaz (atazanavir/cobicistat) is used to treat HIV-1 infection. It must always be taken together with other antiretroviral medicines — it is not a complete regimen on its own. It is approved for adults and for pediatric patients who weigh at least 35 kg. In patients who have been on HIV treatment before (treatment-experienced), how well Evotaz works depends on how much resistance to protease inhibitors the virus has already developed.

Read the rest of what Atazanavir, Cobicistat is prescribed for

Your prescriber will review this before starting you on Evotaz.

Agave has been studied for:

  • Cancer studied, not established Agave has been studied for this. Natural Medicines rates the evidence: Insufficient Reliable Evidence To Rate Read what the research shows

    Agave for cancer

    Although there has been interest in using oral agave for cancer, there is insufficient reliable information about the clinical effects of agave for this purpose.

Effectiveness ratings and the research summaries above are the verbatim record from the Natural Medicines database, which grades evidence from “Effective” down to “Insufficient Reliable Evidence To Rate”. A rating below the top of that scale means researchers have looked at it — not that it works, and never that it can stand in for a prescribed medicine. Do not stop or replace Atazanavir, Cobicistat on your own; if you are taking Agave for the same health topic, tell your prescriber, especially if the medicine is being adjusted to a target.

Everything else you take

See Every Supplement That Interacts With Atazanavir, Cobicistat

This page covers Agave only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Atazanavir, Cobicistat page lists 152 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), Acacia Rigidula (moderate) and Adrafinil (moderate).

By severity: 3 major · 107 moderate · 42 minor.

From our pharmacist’s overview on the Atazanavir, Cobicistat page

“Evotaz (atazanavir with cobicistat) treats HIV, and its effectiveness depends on steady blood levels, so I read this list of 152 supplements and herbs carefully rather than casually. Only three carry a major rating, but those three deserve your attention first: St.”

Reviewed by 2 · Jul 18, 2026

Open the Atazanavir, Cobicistat interaction page

One more smart check

Taking Agave as Part of a Dietary Supplement Product? Check It for Interactions

We hold 88 real supplement products containing Agave, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Agave. Even though Agave itself has no known interaction with Atazanavir, Cobicistat, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Agave and Atazanavir, Cobicistat Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Agave
Top half

#536 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Atazanavir, Cobicistat
Steady interest

#1,964 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Agave reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Agave and Atazanavir, Cobicistat records this page draws on were last updated July 11, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Agave

What is Agave?

Agave
  • Natural sweetener (agave nectar)
  • Digestive complaints
  • Wound and skin care (topical)
  • Mild antimicrobial
  • Traditional remedy for inflammation

Agave is a succulent plant best known as the source of agave nectar, a popular sweetener, and the base for tequila and mezcal. While it has a long history of folk use for digestion, skin care, and minor infections, there is very little solid human research to support medicinal benefits, and the raw sap can irritate skin and may be unsafe to take internally in large amounts. Talk to your pharmacist or doctor before using agave as a supplement.

Agave americana · Asparagaceae · Leaves, sap (used to make agave nectar/syrup), and roots · Agave nectar/syrup (sweetener), dried leaf, topical sap preparations, and occasionally capsules or extracts

An interaction check asks whether these two react with each other — it does not ask whether Agave is a good idea for someone in your situation. Here is what our Agave record says about it on its own.

Agave: dosing

There is no established standardized medicinal dose for agave. Most people only encounter it as agave nectar used to sweeten food and drinks, where the "dose" is simply how much sweetener you choose to use.For any supplement product containing agave extract, follow the directions on the product label and do not exceed the recommended amount.

From our Agave monograph — the full record covers uses, side effects and every documented interaction.

Read the full Agave monograph & all interactions
Medication

About Atazanavir and Cobicistat

What Is Atazanavir and Cobicistat Used For?

Brand name: Evotaz

Evotaz (atazanavir/cobicistat) is used to treat HIV-1 infection. It must always be taken together with other antiretroviral medicines — it is not a complete regimen on its own. It is approved for adults and for pediatric patients who weigh at least 35 kg.

In patients who have been on HIV treatment before (treatment-experienced), how well Evotaz works depends on how much resistance to protease inhibitors the virus has already developed. Your prescriber will review this before starting you on Evotaz.

See full Atazanavir and Cobicistat drug information
Keep checking

Other Drugs & Agave

Browse every other medication we’ve checked against Agave — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
No interaction 2,829 drugs checked — show the list
Evidence & sources

Agave References

The 8 references that drive our Agave monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Golan H, Landau M, Goldberg I, et al. [Dermatitis from contact with Agave americana]. Harefuah 2000;139(7-8):276-8, 326.
  2. Brenner S, Landau M, Goldberg I. Contact dermatitis with systemic symptoms from Agave americana. Dermatology 1998;196(4):408-411.
  3. High WA. Agave contact dermatitis. Am J Contact Dermat 2003;14(4):213-214. DOI
  4. Brazzelli V, Romano E, Balduzzi A, et al. Acute irritant contact dermatitis from Agave americana L. Contact Dermatitis 1995;33(1):60-61.
  5. Ricks MR, Vogel PS, Elston DM, et al. Purpuric agave dermatitis. J Am Acad Dermatol 1999;40(2 Pt 2):356-358. PubMed
  6. Kerner J, Mitchell J, Maibach HI. Irritant contact dermatitis from Agave americana L. Incorrect use of sap as "hair restorer". Arch Dermatol 1973;108(1):102-103. DOI
  7. Basilio CM, Seyler L, Bernstein J, et al. Isolation and characterization of an utero-active compound from Agave americana. P R Health Sci J 1989;8(3):295-299.
  8. Cherpelis BS, Fenske NA. Purpuric irritant contact dermatitis induced by Agave americana. Cutis 2000;66(4):287-8.

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Agave and Atazanavir, Cobicistat Together: Common Questions

Is it safe to take Agave with Atazanavir, Cobicistat?
We do not list a known interaction between Agave and Atazanavir, Cobicistat. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Do Agave and Atazanavir, Cobicistat have any of the same side effects?
Yes — our sources link each of them separately to one of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Should I take Agave and Atazanavir, Cobicistat at the same time of day?
At least one FDA label for a product containing Atazanavir, Cobicistat says to take it with food. If you take Agave on an empty stomach out of habit, keep them separate and take Atazanavir, Cobicistat with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Atazanavir, Cobicistat products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Are Agave and Atazanavir, Cobicistat used for the same thing?
They overlap in purpose, which usually means the real question is whether you need both rather than whether they are safe together. This page lists the shared uses and how strong the evidence is for Agave in each. That is a conversation for your prescriber, especially if Atazanavir, Cobicistat is being adjusted to a target.
Does Atazanavir, Cobicistat interact with any supplements?
Yes. Atazanavir, Cobicistat has documented interactions with 152 supplements in our database — Agave is not one of them. The Atazanavir, Cobicistat interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Atazanavir, Cobicistat and Agave?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.