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What the FDA labels say about taking them together

Armodafinil and clomipramine

Armodafinil's FDA label of September 2, 2025 names clomipramine in its drug interactions section; the clomipramine label PlainMeds reads does not name armodafinil. The armodafinil label: “Effects of NUVIGIL on CYP2C19 Substrates Elimination of drugs that are substrates for CYP2C19 may be prolonged by NUVIGIL via inhibition of metabolic enzymes, with resultant higher systemic exposure.”

Check it at the source: the armodafinil FDA label on DailyMed (effective September 2, 2025, Golden State Medical Supply, Inc.); the clomipramine FDA label on DailyMed (effective November 26, 2024).

What does the armodafinil label say about clomipramine?

Armodafinil label, drug interactions

Effects of NUVIGIL on CYP2C19 Substrates Elimination of drugs that are substrates for CYP2C19 (e.g., phenytoin, diazepam, propranolol, omeprazole, and clomipramine) may be prolonged by NUVIGIL via inhibition of metabolic enzymes, with resultant higher systemic exposure.

Source: FDA drug label (Nuvigil), NDA021875 (Nuvo Pharms), as published by Golden State Medical Supply, Inc., effective September 2, 2025 (SPL set 3dd49302-f757-d945-e063-6294a90afcba), via openFDA; the full label on DailyMed

What does the clomipramine label say about armodafinil?

Clomipramine's label (effective November 26, 2024) does not name armodafinil in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (CLOMIPRAMINE HYDROCHLORIDE), SpecGx LLC, effective November 26, 2024 (SPL set d7cee3fa-d05c-4702-8f75-f446627bdb49), 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

7Armodafinil generic labelers
16Clomipramine generic labelers
ArmodafinilClomipramine
Labeled forn/an/a
Boxed warningNoYes
Pharmacy cost (NADAC)$0.788 per tablet 150 mg tablet$0.189 per capsule 25 mg capsule
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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