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What the FDA labels say about taking them together

Cabozantinib and carbamazepine

Cabozantinib's FDA label (Cometriq) of October 18, 2025 names carbamazepine in its drug interactions section; the carbamazepine labels PlainMeds reads (3) do not name cabozantinib. The cabozantinib label: “Avoid chronic co-administration of strong CYP3A4 inducers with COMETRIQ or increase the dosage of COMETRIQ if concomitant use with strong CYP3A4 inducers cannot be avoided.”

Check it at the source: the cabozantinib FDA label on DailyMed (effective October 19, 2025, Exelixis, Inc.); the carbamazepine FDA label on DailyMed (effective August 20, 2026, Novartis Pharmaceuticals Corporation).

What does the cabozantinib label say about carbamazepine?

Cometriq label (Exelixis, Inc., October 18, 2025), drug interactions

Avoid chronic co-administration of strong CYP3A4 inducers (e.g., phenytoin, carbamazepine, rifampin, rifabutin, rifapentine, phenobarbital, St. John’s Wort) with COMETRIQ or increase the dosage of COMETRIQ if concomitant use with strong CYP3A4 inducers cannot be avoided [see Dosage and Administration ( 2.2 ), Clinical Pharmacology ( 12.3 )].

Source: FDA drug label (Cometriq, NDA203756), Exelixis, Inc., effective October 18, 2025 (SPL set 1a0c3bea-c87b-4d25-bb44-5f0174da6b34), via openFDA

Source: FDA drug label (CABOMETYX), Exelixis, Inc., effective October 19, 2025 (SPL set 3850cce2-6137-42e5-a792-d318c4a4b3b5), via openFDA; the full label on DailyMed

What does the carbamazepine label say about cabozantinib?

Carbamazepine's label (effective August 20, 2026) and its 2 other brand-application labels do not name cabozantinib in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Tegretol), Novartis Pharmaceuticals Corporation, effective August 20, 2026 (SPL set 8d409411-aa9f-4f3a-a52c-fbcb0c3ec053), 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

0Cabozantinib generic labelers
42Carbamazepine generic labelers
CabozantinibCarbamazepine
Labeled forn/aBipolar disorder, Seizures and epilepsy
Boxed warningNoYes
Pharmacy cost (NADAC)n/a$0.119 per tablet 200 mg tablet
Shortage nowNo current entryA presentation being discontinued

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?