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What the FDA labels say about taking them together

Caffeine and phenobarbital

Caffeine's FDA label of July 29, 2026 names phenobarbital in its drug interactions section; the phenobarbital labels PlainMeds reads (2) do not name caffeine. The caffeine label: “Based on adult data, lower doses of caffeine may be needed following coadministration of drugs which are reported to decrease caffeine elimination and higher caffeine doses may be needed following coadministration of …”

Check it at the source: the caffeine FDA label on DailyMed (effective July 29, 2026, Sagent Pharmaceuticals); the phenobarbital FDA label on DailyMed (effective August 27, 2026).

What does the caffeine label say about phenobarbital?

Caffeine label, drug interactions

Based on adult data, lower doses of caffeine may be needed following coadministration of drugs which are reported to decrease caffeine elimination (e.g., cimetidine and ketoconazole) and higher caffeine doses may be needed following coadministration of drugs that increase caffeine elimination (e.g., phenobarbital and phenytoin).

Source: FDA drug label (caffeine citrate), Sagent Pharmaceuticals, effective July 29, 2026 (SPL set 5f38c395-0093-4afd-89ec-f96e5dc0934a), via openFDA; the full label on DailyMed

What does the phenobarbital label say about caffeine?

Phenobarbital's label (effective August 27, 2026) and its 1 other brand-application label do not name caffeine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Phenobarbital), Chartwell RX, LLC, effective August 27, 2026 (SPL set 74428144-fb24-40a5-a670-3b876e2d116c), 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

7Caffeine generic labelers
0Phenobarbital generic labelers
CaffeinePhenobarbital
Labeled forn/aSeizures and epilepsy
Boxed warningNoNo
Pharmacy cost (NADAC)$0.083 per tablet 200 mg tablet$0.213 per tablet 100 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?