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What the FDA labels say about taking them together

Clomipramine and modafinil

Modafinil's FDA label of October 16, 2025 names clomipramine in its drug interactions section; the clomipramine label PlainMeds reads does not name modafinil. The modafinil label: “Effects of PROVIGIL on CYP2C19 Substrates Elimination of drugs that are substrates for CYP2C19 may be prolonged by PROVIGIL via inhibition of metabolic enzymes, with resultant higher systemic exposure.”

Check it at the source: the clomipramine FDA label on DailyMed (effective November 26, 2024); the modafinil FDA label on DailyMed (effective October 16, 2025, Golden State Medical Supply, Inc.).

What does the clomipramine label say about modafinil?

Clomipramine's label (effective November 26, 2024) does not name modafinil in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (CLOMIPRAMINE HYDROCHLORIDE), SpecGx LLC, effective November 26, 2024 (SPL set d7cee3fa-d05c-4702-8f75-f446627bdb49), via openFDA; the full label on DailyMed

What does the modafinil label say about clomipramine?

Modafinil label, drug interactions

Effects of PROVIGIL on CYP2C19 Substrates Elimination of drugs that are substrates for CYP2C19 (e.g., phenytoin, diazepam, propranolol, omeprazole, and clomipramine) may be prolonged by PROVIGIL via inhibition of metabolic enzymes, with resultant higher systemic exposure.

Source: FDA drug label (Provigil), NDA020717 (Nuvo Pharms), as published by Golden State Medical Supply, Inc., effective October 16, 2025 (SPL set 3b8d1c32-dac9-50e6-e063-6394a90aa5a5), 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

16Clomipramine generic labelers
19Modafinil generic labelers
ClomipramineModafinil
Labeled forn/an/a
Boxed warningYesNo
Pharmacy cost (NADAC)$0.189 per capsule 25 mg capsule$0.344 per tablet 200 mg tablet
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)

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