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What the FDA labels say about taking them together

Carbamazepine and efavirenz

Efavirenz's FDA label of March 31, 2024 names carbamazepine in its drug interactions section; the carbamazepine labels PlainMeds reads (3) do not name efavirenz. The efavirenz label: “There are insufficient data to make a dose recommendation for efavirenz. Alternative anticonvulsant treatment should be used. Potential for reduction in anticonvulsant and/or efavirenz plasma levels; …”

Check it at the source: the carbamazepine FDA label on DailyMed (effective August 20, 2026, Novartis Pharmaceuticals Corporation); the efavirenz FDA label on DailyMed (effective March 31, 2024, Cipla USA Inc.).

What does the carbamazepine label say about efavirenz?

Carbamazepine's label (effective August 20, 2026) and its 2 other brand-application labels do not name efavirenz 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 efavirenz label say about carbamazepine?

Efavirenz label, drug interactions

Concomitant Drug Class/Drug Name: Anticonvulsants:Carbamazepine Phenytoin Phenobarbital; Effect: ↓ carbamazepine * ↓ efavirenz * ↓ anticonvulsant ↓ efavirenz; Clinical Comment: There are insufficient data to make a dose recommendation for efavirenz. Alternative anticonvulsant treatment should be used. Potential for reduction in anticonvulsant and/or efavirenz plasma levels; periodic monitoring of anticonvulsant plasma levels should be conducted.

Source: FDA drug label (Efavirenz), Cipla USA Inc., effective March 31, 2024 (SPL set 92603fa5-7a2c-4bfb-9a70-aadb4fba952c), 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
5Efavirenz generic labelers
CarbamazepineEfavirenz
Labeled forBipolar disorder, Seizures and epilepsyHIV
Boxed warningYesNo
Pharmacy cost (NADAC)$0.119 per tablet 200 mg tablet$1.28 per tablet 600 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?