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What the FDA labels say about taking them together

Carbamazepine and mefloquine

Carbamazepine's FDA label (Carbatrol) of August 17, 2026 names mefloquine in its drug interactions section; the mefloquine label PlainMeds reads does not name carbamazepine. The carbamazepine label: “… metabolized by CYP1A2 or CYP3A4, phenytoin, CNS depressants, lithium, chloroquine, mefloquine Equetro may decrease the effectiveness of hormonal contraceptives.”

Check it at the source: the carbamazepine FDA label on DailyMed (effective August 20, 2026, Novartis Pharmaceuticals Corporation); the mefloquine FDA label on DailyMed (effective November 18, 2024, Chartwell RX, LLC).

What does the carbamazepine label say about mefloquine?

Carbatrol label (Takeda Pharmaceuticals America, Inc., August 17, 2026), drug interactions

Chloroquine and Mefloquine Anti-malarial drugs, such as chloroquine and mefloquine, may antagonize the activity of carbamazepine.

Equetro label (Validus Pharmaceuticals LLC, August 19, 2025), drug interactions

DRUG INTERACTIONS Cytochrome (CYP) 3A4 inhibitors, epoxide hydrolase inhibitors, CYP3A4 inducers, drugs metabolized by CYP1A2 or CYP3A4 (oral contraceptives, delavirdine, nefazodone), phenytoin, CNS depressants, lithium, chloroquine, mefloquine ( 7.1 , 7.2 , 7.3 ) Equetro may decrease the effectiveness of hormonal contraceptives.

Source: FDA drug label (Carbatrol, NDA020712), Takeda Pharmaceuticals America, Inc., effective August 17, 2026 (SPL set bc03e499-5bac-4293-bff4-6864153a624d), via openFDA

Source: FDA drug label (Equetro, NDA021710), Validus Pharmaceuticals LLC, effective August 19, 2025 (SPL set be478f3c-40f6-47cc-8ab9-f420a9372b1c), via openFDA

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 mefloquine label say about carbamazepine?

Mefloquine's label (effective November 18, 2024) does not name carbamazepine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Mefloquine Hydrochloride), Chartwell RX, LLC, effective November 18, 2024 (SPL set b884d22b-aae7-4f14-9a04-ae4029a229f0), 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
3Mefloquine generic labelers
CarbamazepineMefloquine
Labeled forBipolar disorder, Seizures and epilepsyn/a
Boxed warningYesYes
Pharmacy cost (NADAC)$0.119 per tablet 200 mg tablet$3.97 per tablet 250 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?