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What the FDA labels say about taking them together

Cenobamate and phenytoin

Cenobamate's FDA label of August 25, 2025 names phenytoin in its drug interactions section; the phenytoin labels PlainMeds reads (2) do not name cenobamate. The cenobamate label: “DRUG INTERACTIONS Phenytoin: Gradually decrease phenytoin dosage by up to 50%. Phenobarbital and Clobazam:”

Check it at the source: the cenobamate FDA label on DailyMed (effective August 25, 2025, SK Life Science, Inc.); the phenytoin FDA label on DailyMed (effective October 15, 2024, Mylan Pharmaceuticals Inc.).

What does the cenobamate label say about phenytoin?

Cenobamate label, drug interactions

DRUG INTERACTIONS Phenytoin: Gradually decrease phenytoin dosage by up to 50%. ( 7.1 ) Phenobarbital and Clobazam:

Source: FDA drug label (Xcopri), SK Life Science, Inc., effective August 25, 2025 (SPL set 565c2126-57ae-4e29-b443-723bbe7e2072), via openFDA; the full label on DailyMed

What does the phenytoin label say about cenobamate?

Phenytoin's label (effective October 15, 2024) and its 1 other brand-application label do not name cenobamate 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

0Cenobamate generic labelers
29Phenytoin generic labelers
CenobamatePhenytoin
Labeled forSeizures and epilepsySeizures and epilepsy
Boxed warningNoNo
Pharmacy cost (NADAC)$39.87 per tablet 100 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?