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What the FDA labels say about taking them together

Carbidopa/entacapone/levodopa and phenytoin

Carbidopa/entacapone/levodopa's FDA label of March 19, 2026 names phenytoin in its drug interactions section; the phenytoin labels PlainMeds reads (2) do not name carbidopa/entacapone/levodopa. The carbidopa/entacapone/levodopa label: “Dopamine D2 receptor antagonists, isoniazid, phenytoin, papaverine and iron salts: may reduce efficacy of carbidopa, levodopa and entacapone tablets”

Check it at the source: the carbidopa/entacapone/levodopa FDA label on DailyMed (effective March 19, 2026, Sandoz Inc); the phenytoin FDA label on DailyMed (effective October 15, 2024, Mylan Pharmaceuticals Inc.).

What does the carbidopa/entacapone/levodopa label say about phenytoin?

Carbidopa/entacapone/levodopa label, drug interactions

Dopamine D2 receptor antagonists, isoniazid, phenytoin, papaverine and iron salts: may reduce efficacy of carbidopa, levodopa and entacapone tablets

Source: FDA drug label (Carbidopa, Levodopa, and Entacapone), NDA021485 (Orion Pharma), as published by Sandoz Inc, effective March 19, 2026 (SPL set 9c16c0e0-3b97-486b-b7d5-579f5853e2c5), via openFDA; the full label on DailyMed

What does the phenytoin label say about carbidopa/entacapone/levodopa?

Phenytoin's label (effective October 15, 2024) and its 1 other brand-application label do not name carbidopa/entacapone/levodopa in these sections. A label lists what its studies and reports found; it is not a complete list.

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

4Carbidopa/entacapone/levodopa generic labelers
29Phenytoin generic labelers
Carbidopa/entacapone/levodopaPhenytoin
Labeled forParkinson's diseaseSeizures and epilepsy
Boxed warningNoNo
Pharmacy cost (NADAC)$0.695 per tablet 25-100-200 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?