Drug & supplement interaction

Lipase + Darunavir, Cobicistat

Darunavir, Cobicistat brand name: Prezcobix.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Lipase and Darunavir, 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 Darunavir, 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

Lipase and Darunavir, 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 Darunavir, Cobicistat and Lipase 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 Lipase at all — not against Darunavir, 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.

Lipase safety at a glance

Lipase overall Use caution Generally well tolerated in supplement form, but people with serious digestive conditions should use it only under medical guidance.
Pregnancy Use caution There is little safety data on supplemental lipase in pregnancy, so use only if advised by your doctor.
Breastfeeding Use caution Safety while breastfeeding has not been well studied, so check with your healthcare provider first.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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

No Interaction Found — But Data Suggests Lipase and Darunavir, Cobicistat May Share Several of the Same Side Effects

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.

  • Stomach pain / Vomiting Additional detail

    Lipase

    “Orally, when added to the formula or pasteurized breast milk consumed by premature infants, recombinant human bile salt-stimulated lipase (rhBSSL) can cause gastrointestinal adverse effects, including abdominal distension, flatulence, constipation, colic, abdominal pain, gastroenteritis, vomiting, regurgitation, and rectal bleeding.”

    Lipase · Natural Medicines adverse-effect record, reported in constipation.

    1 source cited
    1. 101940. Casper C, Hascoet JM, Ertl T, et al. Recombinant bile salt-stimulated lipase in preterm infant feeding: A randomized phase 3 study. PLoS One. 2016;11(5):e0156071. PubMed

    Darunavir, Cobicistat

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

Reported for Lipase but not commonly for Darunavir, Cobicistat: bloating or gas, constipation and bleeding or bruising.

Effects for Darunavir, Cobicistat come from the ADVERSE REACTIONS section of its FDA label; effects for Lipase 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.

How to take them

Some Darunavir, Cobicistat Products Have a Food Rule — Lipase Should Not Break It

At least one FDA label for a product containing Darunavir, Cobicistat says to take it with food. If you take Lipase on an empty stomach out of habit, keep them separate — and take Darunavir, 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 Darunavir, 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 DOSAGE AND ADMINISTRATION Recommended dosage: Adults and pediatric patients weighing at least 40 kg: One 800 mg/150 mg tablet taken once daily with food.

From the Dosage and Administration section of the FDA label we read for Darunavir, 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.

Everything else you take

See Every Supplement That Interacts With Darunavir, Cobicistat

This page covers Lipase only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Darunavir, Cobicistat page lists 145 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 · 102 moderate · 40 minor.

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

“Prezcobix (darunavir with cobicistat) treats HIV, and it only works if it holds a steady blood level, so this list of 145 supplements deserves real care. Three carry a major rating and matter most: St.”

Reviewed by 2 · Jul 18, 2026

Open the Darunavir, Cobicistat interaction page

One more smart check

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

We hold 6,058 real supplement products containing Lipase, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Lipase. Even though Lipase itself has no known interaction with Darunavir, 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 Lipase and Darunavir, 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 Lipase
Top 5%

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

29 days ago today
Medication Darunavir, Cobicistat
Top 25%

#625 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 Lipase reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Lipase and Darunavir, Cobicistat records this page draws on were last updated July 10, 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 Lipase

What is Lipase?

  • Digestive support
  • Bloating and gas
  • Fat digestion
  • Pancreatic enzyme insufficiency
  • Indigestion after fatty meals

Lipase is a digestive enzyme that helps your body break down dietary fats. It is well established as part of prescription pancreatic enzyme therapy for people who cannot make enough of their own, but over-the-counter lipase supplements for everyday digestion or weight loss have much weaker evidence. Talk with your pharmacist or doctor before using it, especially if you have a known digestive condition.

Enzyme derived from animal (pancreatic) sources, fungi (such as Aspergillus), or plants · Capsules, tablets, powders, and combination digestive enzyme blends

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

Lipase: dosing

There is no single standardized dose of lipase for general digestive support, and the right amount depends on the product, its source, and why you are taking it. Lipase strength is often measured in units of enzyme activity rather than milligrams, which can make products hard to compare.For everyday use, follow the directions on the product label, since enzyme supplements are usually taken with or just before meals. Do not assume more is better.If you have a medical condition that affects your pancreas, your doctor will prescribe a specific dose of pancreatic enzymes tailored to you—do not try to self-treat these conditions with over-the-counter products.

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

Read the full Lipase monograph & all interactions
Medication

About Darunavir and Cobicistat

What Is Darunavir and Cobicistat Used For?

Brand name: Prezcobix

Prezcobix and Prezcobix Ped are used to treat HIV-1 (the virus that causes AIDS) in adults and children 3 years of age and older who weigh at least 15 kg (about 33 lbs). They are always used together with other HIV medications — never alone. They are approved for people who are new to HIV treatment (treatment-naïve) as well as those who have taken HIV medicines before (treatment-experienced), as long as their virus does not have certain darunavir resistance mutations.

Prezcobix is specifically approved for adults and pediatric patients weighing at least 40 kg. Prezcobix Ped is available for smaller pediatric patients aged 3 and older weighing at least 15 kg. The right product and dose depend on the patient's weight and their ability to swallow tablets.

See full Darunavir and Cobicistat drug information
Keep checking

Other Drugs & Lipase

Browse every other medication we’ve checked against Lipase — 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

Lipase References

The 1 references that drive our Lipase 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. Casper C, Hascoet JM, Ertl T, et al. Recombinant bile salt-stimulated lipase in preterm infant feeding: A randomized phase 3 study. PLoS One. 2016;11(5):e0156071. PubMed

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 Lipase and Darunavir, Cobicistat Together: Common Questions

Is it safe to take Lipase with Darunavir, Cobicistat?
We do not list a known interaction between Lipase and Darunavir, 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 Lipase and Darunavir, Cobicistat have any of the same side effects?
Yes — our sources link each of them separately to 2 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 Lipase and Darunavir, Cobicistat at the same time of day?
At least one FDA label for a product containing Darunavir, Cobicistat says to take it with food. If you take Lipase on an empty stomach out of habit, keep them separate and take Darunavir, Cobicistat with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Darunavir, Cobicistat products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Does Darunavir, Cobicistat interact with any supplements?
Yes. Darunavir, Cobicistat has documented interactions with 145 supplements in our database — Lipase is not one of them. The Darunavir, 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 Darunavir, Cobicistat and Lipase?

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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.