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What the FDA labels say about taking them together

Acetaminophen/caffeine/dihydrocodeine and disulfiram

Acetaminophen/caffeine/dihydrocodeine's FDA label of May 2, 2022 names disulfiram in its drug interactions section; the disulfiram label PlainMeds reads does not name acetaminophen/caffeine/dihydrocodeine. The acetaminophen/caffeine/dihydrocodeine label: “Co-administration of caffeine and disulfiram may lead to a substantial decrease in caffeine clearance.”

Check it at the source: the acetaminophen/caffeine/dihydrocodeine FDA label on DailyMed (effective May 2, 2022, Proficient Rx LP); the disulfiram FDA label on DailyMed (effective August 20, 2024, Sigmapharm Laboratories, LLC).

What does the acetaminophen/caffeine/dihydrocodeine label say about disulfiram?

Acetaminophen/caffeine/dihydrocodeine label, drug interactions

Co-administration of caffeine and disulfiram may lead to a substantial decrease in caffeine clearance.

Source: FDA drug label (Trezix), ANDA204785 (Key Therap), as published by Proficient Rx LP, effective May 2, 2022 (SPL set 45c3c2a1-6a89-471e-b6d4-5a4cd73b987a), via openFDA; the full label on DailyMed

What does the disulfiram label say about acetaminophen/caffeine/dihydrocodeine?

Disulfiram's label (effective August 20, 2024) does not name acetaminophen/caffeine/dihydrocodeine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Disulfiram), Sigmapharm Laboratories, LLC, effective August 20, 2024 (SPL set 40f5497f-fe84-43b2-8ff4-32d59edf3917), 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

1Acetaminophen/caffeine/dihydrocodeine generic labelers
5Disulfiram generic labelers
Acetaminophen/caffeine/dihydrocodeineDisulfiram
Labeled forPainAlcohol use disorder
Boxed warningYesYes
Pharmacy cost (NADAC)n/a$1.82 per tablet 250 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)

What next?