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What the FDA labels say about taking them together

Capecitabine and phenytoin

Capecitabine's FDA label of February 5, 2026 names phenytoin in its drug interactions section, and phenytoin's label names capecitabine too. The capecitabine label: “Monitor INR more frequently and dose adjust oral vitamin K antagonist as appropriate Phenytoin:”

Check it at the source: the capecitabine FDA label on DailyMed (effective February 5, 2026, H2-Pharma, LLC); the phenytoin FDA label on DailyMed (effective October 15, 2024, Mylan Pharmaceuticals Inc.).

What does the capecitabine label say about phenytoin?

Capecitabine label, drug interactions

Monitor INR more frequently and dose adjust oral vitamin K antagonist as appropriate Phenytoin:

Source: FDA drug label (XELODA), NDA020896 (Cheplapharm), as published by H2-Pharma, LLC, effective February 5, 2026 (SPL set e702d84d-7162-4751-bf37-d724cc7e45a5), via openFDA; the full label on DailyMed

What does the phenytoin label say about capecitabine?

Phenytoin label, drug interactions

Interacting Agent: Antineoplastic agents; Examples: Capecitabine, fluorouracil

Source: FDA drug label (Phenytek), Mylan Pharmaceuticals Inc., effective October 15, 2024 (SPL set 0f94c791-8b07-4b41-927e-c9f28bec5f60), 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

18Capecitabine generic labelers
29Phenytoin generic labelers
CapecitabinePhenytoin
Labeled forColorectal cancer, Breast cancerSeizures and epilepsy
Boxed warningYesNo
Pharmacy cost (NADAC)$0.456 per tablet 500 mg tablet$0.145 per capsule 100 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)

What next?