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What the FDA labels say about taking them together

Calcifediol and phenobarbital

Calcifediol's FDA label of January 19, 2024 names phenobarbital in its drug interactions section; the phenobarbital labels PlainMeds reads (2) do not name calcifediol. The calcifediol label: “The half-life of calcifediol is reduced by drugs stimulating microsomal hydroxylation, such as phenobarbital or other anticonvulsants.”

Check it at the source: the calcifediol FDA label on DailyMed (effective January 19, 2024, OPKO Pharmaceuticals LLC); the phenobarbital FDA label on DailyMed (effective August 27, 2026).

What does the calcifediol label say about phenobarbital?

Calcifediol label, drug interactions

The half-life of calcifediol is reduced by drugs stimulating microsomal hydroxylation, such as phenobarbital or other anticonvulsants.

Source: FDA drug label (Rayaldee), NDA208010 (Eirgen), as published by OPKO Pharmaceuticals LLC, effective January 19, 2024 (SPL set 6a95effd-32a5-46b6-a30e-7f4f9bf8cc77), via openFDA; the full label on DailyMed

What does the phenobarbital label say about calcifediol?

Phenobarbital's label (effective August 27, 2026) and its 1 other brand-application label do not name calcifediol 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

0Calcifediol generic labelers
0Phenobarbital generic labelers
CalcifediolPhenobarbital
Labeled forn/aSeizures and epilepsy
Boxed warningNoNo
Pharmacy cost (NADAC)$41.26 per capsule 30 mcg capsule (hard)$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?