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What the FDA labels say about taking them together

Carbamazepine and drospirenone

Drospirenone's FDA label of August 27, 2026 names carbamazepine in its drug interactions section; the carbamazepine labels PlainMeds reads (3) do not name drospirenone. The drospirenone label: “Some drugs or herbal products that may decrease the effectiveness of HCs include efavirenz, phenytoin, barbiturates, carbamazepine, bosentan, felbamate, griseofulvin, oxcarbazepine, rifampicin, rifabutin, rufinamide …”

Check it at the source: the carbamazepine FDA label on DailyMed (effective August 20, 2026, Novartis Pharmaceuticals Corporation); the drospirenone FDA label on DailyMed (effective August 27, 2026, Exeltis USA, Inc.).

What does the carbamazepine label say about drospirenone?

Carbamazepine's label (effective August 20, 2026) and its 2 other brand-application labels do not name drospirenone 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

What does the drospirenone label say about carbamazepine?

Drospirenone label, drug interactions

Some drugs or herbal products that may decrease the effectiveness of HCs include efavirenz, phenytoin, barbiturates, carbamazepine, bosentan, felbamate, griseofulvin, oxcarbazepine, rifampicin, rifabutin, rufinamide, aprepitant, and products containing St. John's wort.

Source: FDA drug label (SLYND), Exeltis USA, Inc., effective August 27, 2026 (SPL set db32bc55-f295-4d87-9dbb-0a2f45573dcf), 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

42Carbamazepine generic labelers
0Drospirenone generic labelers
CarbamazepineDrospirenone
Labeled forBipolar disorder, Seizures and epilepsyBirth control
Boxed warningYesNo
Pharmacy cost (NADAC)$0.119 per tablet 200 mg tablet$6.61 per tablet 4 mg tablet
Shortage nowA presentation being discontinuedNo 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?